Fractional Laser Resurfacing — Scar Treatment

Fractional laser resurfacing targeted at individual scars — post-surgical, post-traumatic or acne-related — uses the same fractional column technology as the full-face protocol but with treatment confined to the scar area. The laser creates microscopic channels within and around the scar tissue, triggering a remodelling response that softens the scar surface, reduces colour contrast with surrounding skin, and improves the texture match. At DermaClinique Písek, treatment can be targeted at scars anywhere on the body, and the session cost is determined by the scar's surface area.

Scars — whether from surgery, trauma or acne — represent an altered collagen architecture. Normal skin has a basket-weave collagen structure; scar tissue has a parallel, disorganised arrangement that is structurally weaker and cosmetically distinct (different colour, texture, contour from surrounding skin). Fractional laser resurfacing disrupts and remodels this aberrant collagen, partially restoring a more normal architecture over a series of treatments. **What types of scars respond:** Fractional laser is most effective for: - Atrophic acne scars (rolling, boxcar, and to a lesser extent ice-pick types) - Post-surgical scars (after healing is complete — typically at least 6 months post-surgery) - Post-traumatic scars - Stretch marks (striae distensae) — with variable results - Hypertrophic scars — when used in combination with intralesional corticosteroid injections (also available at DermaClinique Písek), producing synergistic scar remodelling **What does NOT respond well:** Keloid scars should be treated primarily with intralesional corticosteroids (available at the clinic); adding fractional laser to a keloid without prior corticosteroid response carries a risk of stimulating further keloid growth. MUDr. Jůzlová will assess scar type and recommend the appropriate treatment pathway. **Session experience:** For a smaller scar, EMLA topical anaesthetic is applied if requested. Laser passes are made over the scar and a margin of surrounding normal skin — treating the transition zone is important for blending outcomes. The session is short for small scars (15–30 minutes). Post-treatment, the scar appears redder than usual for 24–72 hours; fine crusting resolves within 4–7 days. **Protocol:** Most scars require 3–6 sessions for clinically meaningful improvement, spaced 4–8 weeks apart. Mature scars (>2 years old) and atrophic acne scars typically need more sessions than early post-surgical scars. Results continue to improve for up to 6 months after the final session. **Pricing note:** Because scar surface area varies widely, DermaClinique Písek charges from 800 Kč with a price discussion at the initial consultation. This ensures pricing is fair for small scars and reflects actual treatment complexity for larger ones. **Aftercare:** Keep the area out of direct sun for 4–6 weeks. Apply prescribed healing ointment. SPF 50 mandatory when outdoors.