Thick, raised scars—such as hypertrophic scars and keloids—can be challenging to treat. While traditional methods like steroid injections, silicone sheets, and microneedling offer some improvement, laser coring has emerged as a promising treatment for reducing scar thickness, improving texture, and restoring smoother skin. But is it the best option for thick scars? Let’s take a closer look at how it works and when it’s the ideal choice.

Understanding Thick Scars: Hypertrophic vs. Keloid

Before exploring laser coring, it’s essential to distinguish between hypertrophic scars and keloids:

• Hypertrophic Scars – Raised, firm scars that remain within the original wound boundary and can fade over time.
• Keloids – Overgrown scar tissue that extends beyond the original wound, often requiring more aggressive treatment to prevent regrowth.

How Laser Coring Works for Thick Scars

Laser coring is a minimally invasive laser treatment that removes thickened scar tissue while stimulating new collagen formation. Unlike traditional ablative lasers, which resurface the entire skin layer, laser coring precisely targets scar tissue without causing widespread damage to surrounding healthy skin.

Key Benefits of Laser Coring for Thick Scars:

• Breaks Down Excess Collagen – Softens and reduces scar thickness.
• Stimulates Skin Regeneration – Encourages new, smoother tissue growth.
• Minimizes Redness & Discoloration – Improves overall scar appearance.
• Lower Risk of Recurrence – Particularly useful for keloid-prone individuals.

How Does Laser Coring Compare to Other Scar Treatments?

Treatment	Effectiveness for Thick Scars	Downtime	Risk of Recurrence
Laser Coring	High	Minimal	Low
Steroid Injections	Moderate	None	Medium (may require multiple sessions)
Microneedling	Moderate	1-2 days	Medium
Silicone Sheets	Mild	None	Medium
Surgical Removal	High	Weeks	High (keloids often regrow)

Who Is a Good Candidate for Laser Coring?

Laser coring is best for individuals with:

• Thick, raised scars from surgery, burns, or injuries.
• Hypertrophic scars that have not responded well to other treatments.
• Keloids that require precise treatment to prevent excessive regrowth.
• Individuals looking for a non-surgical option with minimal downtime.

How Many Sessions Are Needed?

Most patients see noticeable improvement after 1-3 sessions, depending on the scar’s severity. For stubborn or larger scars, additional treatments may be recommended.

The Bottom Line: Is Laser Coring the Best for Thick Scars?

Laser coring is a highly effective treatment for reducing thick scars and restoring smoother skin, offering better results than traditional methods with minimal downtime. While it may not be the best option for every type of scar, it’s an excellent choice for those seeking a targeted, minimally invasive solution for hypertrophic and keloid scars.

Interested in exploring laser coring for your scars? Book a consultation today to see if this cutting-edge treatment is right for you!