Scar Treatment Options: From Laser to Silicone to Medical Tattooing (What Actually Works in Florida)
- Bianca Cypser
- 7 hours ago
- 13 min read
Scars tell stories. Some remind you of life-saving surgery. Others mark accidents, injuries, or health battles. But
not every scar is one you want to carry forever. If you're living with surgical scars, accident scars, burn scars, or
self-harm scars that affect your confidence or quality of life, you have options.
This comprehensive guide breaks down every major scar treatment available today, from topical creams and
silicone sheets to laser therapy, surgical revision, and paramedical scar camouflage tattooing. We'll explain how
each works, what types of scars they treat best, realistic costs, and most importantly: what actually delivers
results.
Whether you're dealing with tummy tuck scars, C-section scars, breast surgery scars, facelift scars, burn scars,
or trauma scars in Tampa, St. Petersburg, Orlando, or anywhere in Florida, this guide will help you make an
informed decision about which scar treatment is right for you.
Understanding Your Scar: Why Treatment Matters
Before choosing a treatment, it's important to understand what type of scar you have. Different scars respond to
different treatments.
Types of Scars
Hypopigmented Scars (Light/White Scars):
These scars are lighter than your surrounding skin because the scar tissue has lost melanin (natural pigment).
Common after surgery, burns, or injury. These respond best to scar camouflage tattooing that adds pigment
back into the tissue.
Hyperpigmented Scars (Dark Scars):
These scars are darker than your surrounding skin due to excess melanin production during healing. Common
in darker skin tones or after inflammation. These can be treated with laser therapy to lighten them or
neutralizing techniques in paramedical tattooing.
Hypertrophic Scars:
Raised, thick scars that stay within the original wound boundary. They're red, sometimes itchy, and can improve
over time. Treatment usually involves silicone, steroid injections, or laser before camouflage tattooing.
Keloid Scars:
Raised scars that grow beyond the original wound boundary. More common in darker skin tones and certain
body areas (chest, shoulders, ears). Keloids are difficult to treat and often require medical intervention before
any camouflage work.
Atrophic Scars:
Depressed or sunken scars (common with acne or chickenpox). Treatment often involves dermal fillers,
microneedling, or subcision to raise the skin level before camouflage.
Surgical Scars:
These can be any combination of the above types. Common surgeries that leave scars: tummy tuck, C-section,
breast augmentation/reduction/lift, facelift, arm lift, thigh lift, mastectomy, open-heart surgery, knee/hip
replacement, etc.
Scar Treatment Option #1: Topical Creams and Gels
What They Are:
Over-the-counter or prescription creams containing ingredients like silicone, onion extract, vitamin E,
hydroquinone (for dark scars), or retinoids.
How They Work:
Hydrate the scar, reduce inflammation, and may slightly improve texture or color over months of consistent use.
Best For:
• New scars (less than 6 months old)
• Minor scarring with slight discoloration
• Prevention of scar darkening
Realistic Results:
Minimal improvement for established scars. May help prevent scars from getting worse but won't make old,
visible scars disappear.
Cost:
$10-$100 per product (ongoing expense)
Downsides:
• Requires months of daily application
• Results are subtle at best
• Does not work on old, established scars
• Temporary (stops working when you stop using it)
Verdict:
Good for: Scar prevention and very minor improvement
Not good for: Established surgical scars, significant discoloration, or textured scars
Scar Treatment Option #2: Silicone Sheets and Gel
What They Are:
Medical-grade silicone applied as sticky sheets or clear gel to the scar area.
How They Work:
Create a protective, hydrated environment that helps flatten and soften scars over time.
Best For:
• Hypertrophic (raised) scars
• Keloid prevention
• Surgical scars that are still healing (3-12 months post-surgery)
Realistic Results:
Can reduce scar thickness and redness by 30-50% over 2-3 months. Does not change scar color or remove the
scar entirely.
Cost:
$20-$60 per box (need to replace regularly for 3-6 months)
Downsides:
• Only works on raised scars, not flat or depressed scars
• Sheets can be uncomfortable, visible, and peel off easily
• Requires 12+ hours per day of wear for months
• Temporary improvement (scars may thicken again if you stop)
Verdict:
Good for: Flattening raised scars
Not good for: Color correction, flat scars, or permanent results
Scar Treatment Option #3: Laser Scar Treatment
What It Is:
Various types of lasers (fractional CO2, pulsed dye laser, Nd:YAG, etc.) used to resurface skin, reduce
redness, lighten dark scars, or improve texture.
How It Works:
Laser energy breaks down scar tissue, stimulates collagen production, and can reduce pigmentation. Multiple
sessions are usually required.
Best For:
• Dark (hyperpigmented) scars that need lightening
• Red or purple scars
• Textured or raised scars
• Acne scars
Realistic Results:
Can reduce scar redness by 50-70%, improve texture, and lighten dark scars over 3-6 sessions. Results vary
widely based on skin type, scar type, and laser used.
Cost:
$200-$800 per session (usually need 3-6+ sessions)
Total: $600-$4,800+
Downsides:
• Expensive with multiple sessions required
• Can cause hyperpigmentation in darker skin tones if not done carefully
• Downtime (redness, swelling, peeling for 5-14 days per session)
• Does not work well on light/white scars (may make them more noticeable)
• Results fade over time without maintenance
Verdict:
Good for: Dark scars, red scars, textured scars
Not good for: White/light scars, people with darker skin tones (higher risk), quick results
Scar Treatment Option #4: Microneedling
What It Is:
A device with tiny needles creates controlled micro-injuries in the skin to stimulate collagen production and
improve scar texture.
How It Works:
Triggers the body's healing response, which builds new collagen and smooths out scar tissue over time.
Best For:
• Atrophic (sunken) scars
• Acne scars
• Stretch marks
• Textured scars
Realistic Results:
Can improve scar texture and depth by 30-50% over 3-6 sessions. Does not significantly change scar color.
Cost:
$100-$500 per session (usually need 3-6 sessions)
Total: $300-$3,000
Downsides:
• Multiple sessions required (spaced 4-6 weeks apart)
• Downtime (redness, swelling for 2-5 days)
• Does not change scar color
• Results are gradual (takes months to see improvement)
Verdict:
Good for: Improving texture of depressed or uneven scars
Not good for: Color correction, flat scars, quick results
Scar Treatment Option #5: Steroid Injections
What They Are:
Corticosteroid injections directly into raised scars to reduce inflammation and flatten the tissue.
How They Work:
Steroids break down excess collagen, reducing scar height and thickness.
Best For:
• Hypertrophic scars
• Keloids
• Thick, raised surgical scars
Realistic Results:
Can flatten raised scars by 50-80% over 3-6 monthly injections.
Cost:
$100-$300 per session (usually need 3-6+ sessions)
Total: $300-$1,800+
Downsides:
• Only works on raised scars
• Injections can be painful
• Can cause skin thinning or indentation if overdone
• Does not change scar color
• Risk of scar recurrence
Verdict:
Good for: Flattening keloids and hypertrophic scars
Not good for: Flat scars, color correction
Scar Treatment Option #6: Surgical Scar Revision
What It Is:
A surgical procedure to remove or reposition scar tissue, often followed by more careful closure techniques to
create a less noticeable scar.
How It Works:
The old scar is excised, and the skin is closed again (hopefully with better technique, less tension, or better
alignment).
Best For:
• Wide, thick, or poorly positioned scars
• Scars that cause functional problems (restricting movement)
• Scars in highly visible areas where surgical improvement is possible
Realistic Results:
Can improve scar appearance by 50-70%, but you're left with a NEW scar (hopefully less noticeable). No
guarantee the new scar will heal better than the original.
Cost:
$1,500-$10,000+ (depending on complexity and surgeon)
Downsides:
• Creates a new scar (which may or may not be better)
• Expensive
• Downtime (surgery recovery, stitches, scarring process starts over)
• Risk of complications (infection, poor healing, worse scarring)
Verdict:
Good for: Functional scar problems or severely disfiguring scars
Not good for: Most cosmetic concerns (new scar may not be better)
Scar Treatment Option #7: Medical Scar Camouflage Tattooing
(Paramedical Tattooing)
What It Is:
A specialized paramedical tattooing technique where custom-blended skin-tone pigments are tattooed into scar
tissue to match the surrounding skin color and make scars virtually invisible.
How It Works:
A trained paramedical tattoo artist custom-mixes pigments that perfectly match your natural skin tone (including
undertones and overtones). Using precise tattooing techniques, pigment is deposited into the scar tissue to
restore color where it's been lost (hypopigmented scars) or neutralize excess pigment (hyperpigmented scars).
Best For:
• Hypopigmented (white/light) surgical scars: Tummy tuck, C-section, breast augmentation, breast
reduction, breast lift, arm lift, thigh lift, facelift, knee/hip replacement, mastectomy, heart surgery,
liposuction, skin grafts
• Burn scars (once fully healed and flat)
• Trauma scars from accidents or injuries
• Self-harm scars
• Stretch marks (white/silver only)
• Vitiligo (pigment loss)
Realistic Results:
Can reduce scar visibility by 70-90% when performed by a skilled artist. Scars blend seamlessly with
surrounding skin, becoming virtually undetectable. Results are long-lasting (3-5+ years before touch-ups
needed).
Cost at Imagine You New:
Pricing varies based on scar size and complexity.
• Small scars: Starting at $500-$800
• Medium scars: $800-$1,500
• Large scars (tummy tuck, extensive areas): $1,500-$3,000+
• Touch-up sessions (if needed) are typically included or discounted
Consultation required for accurate pricing.
Downsides:
• Only works on flat or slightly raised scars (keloids and thick hypertrophic scars need treatment first)
• Scars must be fully healed (6-12 months post-surgery minimum)
• Only works on scars lighter than or similar to surrounding skin (hypopigmented or normally pigmented
scars)
• Does not work on red, pink, or actively healing scars
• Results are semi-permanent (fade over years, requiring touch-ups)
• Requires skilled artist with paramedical training (not every tattoo artist can do this)
Process at Imagine You New:
Step 1: Consultation
You'll meet with Bianca or another trained paramedical tattoo artist to:
• Assess your scar type, age, and healing status
• Discuss your goals and expectations
• Review your medical history
• Determine if you're a good candidate
• Show you before-and-after photos of similar cases
• Provide pricing and answer all questions
Step 2: Color Matching
If you're a candidate, the artist will:
• Examine your skin tone in different lighting
• Identify undertones and overtones
• Custom-mix pigments to perfectly match your natural skin
• Test colors if needed
Step 3: Tattooing Session
• The scar area is cleaned and prepped
• Topical numbing is available (most clients report minimal discomfort)
• Using specialized equipment and techniques, pigment is carefully deposited into the scar tissue
• Session length: 1-3 hours depending on scar size
Step 4: Healing
• Minimal downtime (7-10 days)
• Follow aftercare instructions (keep clean, avoid sun, no swimming/saunas)
• Pigment may appear darker initially and will lighten to final color over 4-6 weeks
Step 5: Touch-Up (if needed)
• Scheduled 6-12 weeks after initial session
• Refines color and coverage
• Often included in original price
Types of Scars We Treat at Imagine You New:
Surgical Scars:
• Tummy tuck (abdominoplasty) scars
• C-section scars
• Breast augmentation scars (peri-areolar, inframammary, axillary)
• Breast reduction and breast lift scars
• Mastectomy scars
• Facelift scars
• Arm lift (brachioplasty) scars
• Thigh lift scars
• Liposuction scars
• Laparoscopy scars
• Appendectomy scars
• Open-heart surgery scars
• Knee, hip, shoulder replacement scars
• Skin graft donor site scars
Trauma and Injury Scars:
• Burn scars (thermal, chemical, radiation - fully healed only)
• Accident scars (car accidents, workplace injuries, sports injuries)
• Laceration scars
• Dog bite scars
Other Scars:
• Self-harm scars
• Acne scars (certain types)
• Cleft lip scars
Hypopigmented vs. Hyperpigmented Scars:
At Imagine You New, we specialize in treating both light and dark scars:
Hypopigmented (Light/White) Scars:
This is our specialty. We add custom-matched pigment back into the scar tissue to restore natural skin color.
Most surgical scars are hypopigmented.
Hyperpigmented (Dark) Scars:
We use color neutralization techniques to balance out excess pigmentation. This works best on scars that are
only slightly darker than surrounding skin. Very dark scars may benefit from laser lightening first.
Verdict:
Good for: Long-lasting, natural-looking camouflage of flat, healed, hypopigmented surgical scars and trauma
scars
Not good for: Raised/keloid scars, actively healing scars, or people who want 100% perfection (scars will be
significantly reduced but may not be completely invisible)
Scar Treatment Option #8: Makeup Camouflage
What It Is:
Specialized heavy-coverage makeup (like Dermablend, Cover FX, or dermoscopy-grade concealers) used to
temporarily hide scars.
How It Works:
Pigmented makeup covers the scar. Washes off at the end of the day.
Best For:
• Temporary coverage for special events
• People who aren't ready for permanent treatment
• Testing if camouflage would make you feel better before committing to tattooing
Realistic Results:
Can hide scars very well when applied correctly, but requires daily application and can rub off on clothing.
Cost:
$30-$80 per product (ongoing expense, needs replacement every few months)
Downsides:
• Daily time commitment (application and removal)
• Can rub off on clothing, bedding, partners
• Not waterproof for swimming or sweating
• Ongoing expense
Verdict:
Good for: Temporary coverage, special occasions
Not good for: Permanent solution, active lifestyles, swimming
Comparing Scar Treatments: Which Is Best?
| Treatment | Best For | Results | Duration | Cost | Downtime |
|-----------|---------|---------|----------|------|----------|
| Topical Creams | Prevention, minor scars | Minimal | Temporary | $10-$100 | None |
| Silicone Sheets | Raised scars | Moderate flattening | Temporary | $20-$60/month | None |
| Laser Therapy | Dark scars, red scars, texture | Moderate improvement | Semi-permanent | $600-$4,800+ |
5-14 days |
| Microneedling | Depressed scars, texture | Texture improvement | Semi-permanent | $300-$3,000 | 2-5 days |
| Steroid Injections | Raised scars, keloids | Flattening | Semi-permanent | $300-$1,800+ | Minimal |
| Surgical Revision | Severe scars, functional issues | Variable (creates new scar) | Permanent |
$1,500-$10,000+ | Weeks |
| Medical Tattooing | Flat, light scars (surgical, trauma, burns) | 70-90% reduction | 3-5+ years | $500-$3,000+
| 7-10 days |
| Makeup | Temporary coverage | Excellent (washes off) | Daily | $30-$80 | None |
Frequently Asked Questions About Scar Treatment
How do I know which scar treatment is right for me?
It depends on your scar type, goals, budget, and timeline. In general:
• If your scar is raised or thick: Start with silicone sheets or steroid injections
• If your scar is red or dark: Consider laser therapy
• If your scar is depressed or textured: Try microneedling
• If your scar is flat and light (hypopigmented): Medical scar camouflage tattooing is your best bet
• If your scar is new (under 6 months): Focus on scar prevention (silicone, sun protection, gentle massage)
Can I combine treatments?
Yes! Many clients get the best results by combining treatments. For example:
• Laser + tattooing (laser to lighten dark scars first, then tattoo to match skin tone)
• Steroid injections + tattooing (flatten raised scars first, then camouflage)
• Microneedling + tattooing (smooth texture first, then restore color)
At Imagine You New, we'll assess your scar and recommend the best treatment plan, which may include
referrals to dermatologists or plastic surgeons for complementary treatments.
How old does my scar need to be before treatment?
Most scar treatments require the scar to be fully healed and stable:
• Topical creams/silicone: Can start 2-4 weeks post-surgery
• Laser, microneedling, steroid injections: Usually 3-6 months post-surgery
• Medical tattooing: 6-12 months post-surgery minimum (scars must be flat, stable, and no longer pink/red)
Do scar treatments hurt?
Pain levels vary:
• Topical creams, silicone: No pain
• Laser, microneedling: Moderate discomfort (numbing available)
• Steroid injections: Can be painful (brief)
• Surgical revision: Surgery pain + recovery
• Medical tattooing: Minimal to moderate discomfort (numbing available, most clients rate 2-4 out of 10)
Will my scar completely disappear?
No scar treatment can make a scar 100% disappear. However, medical scar camouflage tattooing can reduce
scar visibility by 70-90%, making scars virtually undetectable in most lighting and situations.
Does insurance cover scar treatment?
Most cosmetic scar treatments are not covered by insurance. However:
• Some functional scar revision surgeries may be covered if the scar restricts movement
• Areola tattooing after mastectomy is covered under the Women's Health and Cancer Rights Act
• Check with your insurance provider for specific coverage
Can dark skin tones get scar camouflage tattooing?
Absolutely. Scar camouflage works on ALL skin tones. In fact, darker skin tones often see more dramatic
results because the contrast between hypopigmented scars and natural skin is more noticeable. A skilled
paramedical tattoo artist (like our team at Imagine You New) will custom-mix pigments to perfectly match your
exact skin tone.
What if I tan or my skin color changes?
The tattooed pigment will stay the same color, but your surrounding skin will darken with sun exposure or
tanning. This is why sun protection is critical. If your skin tone changes significantly (weight loss, pregnancy,
aging), you may need a color adjustment touch-up.
How long do scar camouflage tattoo results last?
Results typically last 3-5+ years before fading enough to need a touch-up. Factors that affect longevity:
• Sun exposure (UV breaks down pigment faster)
• Skin type and metabolism
• Scar location (areas with more friction fade faster)
• Aftercare compliance
Can you tattoo over keloid scars?
No. Keloid scars and thick hypertrophic scars are not good candidates for tattooing because:
• The raised tissue doesn't hold pigment well
• Tattooing can irritate the scar and cause further growth
• Keloids need medical treatment first (steroid injections, laser, or surgical removal)
Once a keloid is flattened and stable, scar camouflage may be possible.
What's the difference between regular tattooing and medical scar camouflage?
Huge difference. Medical scar camouflage requires:
• Advanced training in skin anatomy, scar physiology, and color theory
• Understanding of how scar tissue holds pigment differently than normal skin
• Ability to custom-mix flesh-tone pigments for every skin tone
• Precision and artistry to create seamless, natural-looking results
• Trauma-informed care for clients with emotional scars
A regular decorative tattoo artist is NOT qualified to do medical scar camouflage. Always choose a trained
paramedical tattoo artist.
Why Choose Imagine You New for Scar Treatment in Florida?
At Imagine You New in St. Petersburg, Florida, we specialize in medical scar camouflage tattooing for clients
throughout Tampa Bay, Orlando, and Central Florida. Here's what sets us apart:
Advanced Training:
Our team has completed comprehensive paramedical tattooing training through the International Institute of
Medical Tattoo Science and Artistry, specializing in scar camouflage, areola restoration, and skin
repigmentation.
Artist Bianca:
Bianca is our lead paramedical tattoo artist with years of experience treating surgical scars, trauma scars, burn
scars, and self-harm scars. Her expertise in custom color matching ensures seamless, natural-looking results
for every skin tone.
Specialization in All Scar Types:
• Hypopigmented (light/white) scars: Our specialty
• Hyperpigmented (dark) scars: Color neutralization techniques
• Surgical scars from tummy tucks, C-sections, breast surgeries, facelifts, and more
• Trauma scars from burns, accidents, and injuries
Comprehensive Consultations:
We take time to assess your scar, explain realistic expectations, show you before-and-after photos, and create
a personalized treatment plan. No pressure, no sales tactics.
Medical Collaboration:
We work closely with plastic surgeons, dermatologists, and oncologists throughout Florida. Many surgeons
refer their patients to us for final scar camouflage after procedures.
Compassionate, Trauma-Informed Care:
We understand that scars carry emotional weight. Whether your scar is from life-saving surgery, an accident, or
self-harm, we provide a safe, judgment-free, confidential environment.
Convenient Location:
Located in St. Petersburg, we serve clients from Tampa, Clearwater, Sarasota, Orlando, Miami, Jacksonville,
and beyond. Many clients travel 1-3 hours because they want the best results.
Take the Next Step
If you're tired of hiding your scars and ready to explore treatment options, we're here to help.
Schedule a consultation at Imagine You New:
• We'll assess your scar type and recommend the best treatment approach
• Show you real before-and-after results from clients with similar scars
• Answer all your questions about the process, timeline, and cost
• Provide honest, realistic expectations
Visit www.imagineyounew.com or call to book your consultation today.
Scar camouflage tattooing | Surgical scar treatment | Tummy tuck scars | C-section scars | Breast surgery scars
| Burn scar treatment | Trauma scar camouflage | St. Petersburg, Tampa, Orlando, Florida
You've carried that scar long enough. Let us help you move forward with confidence.







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