Traitement des cicatrices Dubai

Scars are a natural part of the body’s healing process, but they can significantly impact your appearance and self-confidence. At the clinic of Dr. Saba Al Marush in Dubai, we specialise in advanced cicatrice traitement and reduction using the latest non-surgical and surgical techniques. Whether your cicatrices result from chirurgie, injury, burns, or acne, we develop personalised traitement plans that deliver visible, lasting improvement.

Understanding Scars

When the skin is injured — whether from chirurgie, trauma, burns, or inflammatory conditions like acne — the body produces collagen fibres to repair the damage. The way this collagen is deposited determines the type and appearance of the resulting cicatrice. Unlike normal skin, cicatrice tissue lacks hair follicles, sweat glands, and the organised collagen structure that gives healthy skin its smooth, even texture.

The appearance of a cicatrice depends on many factors, including the depth and size of the wound, the location on the body, your age, genetics, skin type, and how well the wound was cared for during the initial healing phase. While no cicatrice can be completely erased, modern dermatological traitements can dramatically improve the texture, colour, and overall appearance of cicatrices.

Types of Scars We Treat

Hypertrophic Scars

Hypertrophic cicatrices are raised, firm, and often red or pink. They develop when the body produces excess collagen during wound healing, causing the cicatrice to rise above the level of surrounding skin. Unlike keloids, hypertrophic cicatrices remain within the boundaries of the original wound and may improve naturally over time, though traitement can accelerate this process significantly.

Keloid Scars

Keloids are a more aggressive form of raised cicatrices. They extend beyond the boundaries of the original wound, continuing to grow over time and potentially becoming quite large. Keloids are firm, smooth, and often shiny, ranging in colour from pink to dark brown. They can be itchy or painful and are more common in individuals with darker skin tones. Keloids rarely improve on their own and often require a combination of traitements including steroid injections, laser therapy, and sometimes surgical revision.

Atrophic Scars

Atrophic cicatrices are depressed or sunken below the level of surrounding skin. They occur when the body fails to produce enough collagen during healing, resulting in a visible indentation. Acne cicatrices — including ice pick, boxcar, and rolling cicatrices — are the most common type of atrophic cicatrices. Chicken pox cicatrices and some surgical cicatrices also fall into this category. Treatments that stimulate collagen production, such as microneedling and laser resurfacing, are particularly effective for atrophic cicatrices.

Contracture Scars

Contracture cicatrices typically result from burns. As the cicatrice tissue forms, it tightens and contracts, potentially restricting movement if the cicatrice crosses a joint. Contracture cicatrices can also affect deeper tissues, including muscles and nerves. Treatment often requires a combination of physical therapy, laser traitement, and in some cases surgical release to restore function and improve appearance.

Non-Surgical Scar Treatments

Laser Scar Treatment

Laser therapy is one of the most versatile and effective tools for cicatrice traitement. Fractional ablative lasers (such as CO2 and Erbium:YAG) create microscopic columns of thermal injury in the cicatrice tissue, stimulating the body’s natural wound healing response and promoting the production of new, healthy collagen. Non-ablative fractional lasers work by heating the deeper layers of skin without removing surface tissue, offering improvement with less downtime. Pulsed dye lasers can reduce redness and flatten raised cicatrices by targeting the blood vessels within cicatrice tissue.

Microneedling

Microneedling uses a device equipped with fine needles to create controlled micro-injuries in the cicatrice tissue. This stimulates collagen and elastin production, gradually improving the texture and depth of atrophic cicatrices. Microneedling is particularly effective for acne cicatrices and can be combined with PRP for enhanced results. Multiple sessions are typically needed, spaced four to six weeks apart.

PRP (Platelet-Rich Plasma)

PRP therapy involves drawing a small amount of your blood, processing it to concentrate the platelets and growth factors, and injecting it into the cicatrice tissue. These growth factors accelerate healing, stimulate collagen remodelling, and improve skin quality. PRP is often combined with microneedling or laser traitement for synergistic results.

Silicone Therapy

Medical-grade silicone sheets and gels are a proven non-invasive traitement for hypertrophic and keloid cicatrices. Silicone works by hydrating the cicatrice tissue, regulating collagen production, and creating a protective barrier. Consistent daily use for several months can flatten and soften raised cicatrices, reduce redness, and relieve itching. Silicone therapy is often used as part of a comprehensive cicatrice management plan.

Steroid Injections (Intralesional Corticosteroids)

Corticosteroid injections, typically using triamcinolone acetonide, are a mainstay traitement for hypertrophic and keloid cicatrices. The steroid is injected directly into the cicatrice tissue, where it suppresses collagen production, reduces inflammation, and flattens the cicatrice. A series of injections spaced four to six weeks apart is usually required. Steroid injections can also relieve the itching and pain often associated with keloid cicatrices.

Peeling Chimiques

Medium-depth peeling chimiques using trichloroacetic acid (TCA) or combination peels can improve the appearance of superficial cicatrices by removing damaged outer skin layers and promoting new cell growth. Peels are particularly useful for shallow acne cicatrices and post-inflammatory discolouration associated with cicatrices.

Surgical Scar Revision

When non-surgical traitements alone are insufficient, surgical cicatrice revision may be recommended. This intervention involves excising the old cicatrice and closing the wound with meticulous surgical technique to create a finer, less noticeable cicatrice. Surgical revision is often combined with post-operative traitements such as steroid injections, silicone therapy, or laser traitement to optimise the final result and prevent recurrence of raised cicatrices.

Dr. Saba Al Marush carefully evaluates each cicatrice to determine whether surgical revision is appropriate, considering factors such as the cicatrice’s location, size, type, and the patient’s skin type and healing history.

When to Treat: Timing Matters

The timing of cicatrice traitement is an important consideration that affects outcomes:

• Fresh wounds (0–3 months) — Focus on proper wound care, silicone therapy, and sun protection to optimise natural healing
• Maturing cicatrices (3–12 months) — Scars continue to remodel during this period; steroid injections and silicone can be introduced for raised cicatrices
• Mature cicatrices (12+ months) — Once a cicatrice has fully matured, the full range of traitement options becomes available, including laser, microneedling, and surgical revision

Starting traitement too early with aggressive modalities can worsen cicatrices, while waiting too long may allow the cicatrice to become more established and resistant to traitement. Dr. Saba Al Marush will advise on the optimal timing based on your individual circumstances.

Realistic Expectations

It is important to understand that while modern cicatrice traitements can achieve remarkable improvement, no traitement can completely erase a cicatrice or restore the skin to its pre-injury state. The goal of cicatrice traitement is to make the cicatrice as inconspicuous as possible — reducing its size, flattening raised areas, filling depressed areas, improving colour and texture, and restoring comfort and function.

Most patients achieve significant visible improvement, with many cicatrices becoming barely noticeable after a full course of traitement. Dr. Saba Al Marush provides honest, realistic assessments during the consultation so you can make informed decisions about your traitement plan.

Questions fréquemment posées

Can old cicatrices be treated?

Yes, even cicatrices that are many years old can be significantly improved with modern traitements. Laser therapy, microneedling, and PRP can stimulate collagen remodelling in mature cicatrices, leading to noticeable improvement in texture, colour, and appearance.

How many sessions are needed for cicatrice traitement?

The number of sessions depends on the type and severity of the cicatrice and the traitement modality used. Mild atrophic cicatrices may improve significantly in three to four sessions, while deep or extensive cicatrices may require six or more sessions. Keloid traitement often requires ongoing management.

Is cicatrice traitement painful?

Most cicatrice traitements involve mild discomfort that is well managed with topical numbing cream or local anesthésie. Microneedling and laser traitements cause a warm, prickling sensation. Steroid injections involve brief, localised discomfort. Dr. Saba Al Marush ensures your comfort throughout every intervention.

What is the best traitement for acne cicatrices?

A combination approach typically yields the best results for acne cicatrices. Fractional laser resurfacing, microneedling with PRP, and subcision (for tethered cicatrices) are the most effective traitements. The optimal combination depends on the type and depth of your acne cicatrices.

Can keloid cicatrices be permanently removed?

Keloids can be significantly reduced but have a tendency to recur, particularly if traitement is not comprehensive. The most effective approach combines surgical excision with immediate steroid injections and ongoing monitoring. Some patients also benefit from pressure therapy or radiation therapy to prevent recurrence.

Is there any downtime after cicatrice traitement?

Downtime varies by traitement. Steroid injections and silicone therapy have no downtime. Microneedling typically involves one to two days of redness. Fractional laser traitements may require five to seven days of healing, with redness and mild peeling. Surgical revision requires one to two weeks of récupération, depending on the location and extent of the intervention.

How much does cicatrice traitement cost in Dubai?

The cost varies based on the traitement type, number of sessions, and extent of cicatrices. We offer personalised traitement plans with transparent pricing. Contact our clinic to schedule a consultation and receive a detailed cost estimate for your cicatrice traitement.

Can cicatrices be prevented?

While cicatrices cannot always be prevented, proper wound care can significantly improve healing outcomes. This includes keeping wounds clean and moist, avoiding sun exposure on healing skin, using silicone products early, and seeking professional traitement promptly for any signs of abnormal cicatrices.