Pitted Scars

Scarring can occur as a result of wounds, burns, infection or inflammation in the skin. Pitted scars refer to small, indented scars that appear like depressed spots within the skin. These are typically formed in response to previous chicken pox or moderate to severe acne. Pitted scarring can occur anywhere that the original skin condition was. For example, pitted scarring caused by a chicken pox infection can arise anywhere on the body, whereas scarring related to acne is more common on the face and upper chest and back.

This type of scarring arises as there is insufficient production of the connective tissue, collagen, within the area of healing skin following injury. This means that the healed skin does not have enough volume to become level with the adjacent skin. Sometimes pitted scarring can also be lighter or darker than the surrounding skin due to irregular production of pigment within the healed scar.

Unfortunately, although the original infection or acne may be cleared and no longer active, the residual pitted scarring can cause individuals to feel self-conscious, and put limitations on their choice of clothing or activities. Early and effective treatment of acne can help to reduce the occurrence of troublesome scarring. However, there are also a number of treatments and procedures that aim to reduce the appearance of pitted scars and help the skin look smoother and more even.

Mr Ioannis Goutos is a top, London-based plastic surgeon, with a special interest and expertise in treating individuals with scars and burns. He is well known as a leading academic and clinician in the field of scar and burn management, and is able to offer a wide array of services. These include initial consultations and assessments, a variety of surgical and non-surgical procedures and gold-standard post-operative care.

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About this condition

The most effective treatment for pitted scarring lies in its prevention and good general skin care. In the case of chicken pox, it is crucial to avoid picking or scratching at any spots to avoid additional trauma to the skin. Regular moisturisation with neutral products, or soothing lotions, can help to maintain the skin’s integrity, reduce irritation and itching and promote good skin healing. For those who are prone to developing acne, it can be helpful to ensure regular skin cleansing and moisturisation. In cases of moderate to severe acne, medications or creams prescribed by a GP or dermatologist can help to prevent severe spots or cysts from developing. In the incidence of acne, it is recommended not to pop or squeeze the spots as this can lead to further trauma and increased chances of scarring.

If you are seeking treatment for established pitted scars, it is crucial that any active acne or infection is fully resolved, as many treatments can cause further irritation to active lesions and increase the likelihood and severity of scarring later on.

Procedures that aim to improve the appearance of pitted scars generally work by targeting the areas of scarring and stimulating the cells to regenerate and produce more collagen. This can help the depressed areas of skin fill out and become more level with the surrounding skin. These treatments also help the skin to appear smoother and rejuvenated. Techniques to treat pitted scarring include:

Needling or ‘microneedling’
Laser treatments
Filler injections

In certain cases, small surgical procedures, such as subcision, which involve freeing deeper attachments in the areas of scarring to break down the can also be utilised.

Testimonials

Mr Goutos is delighted to share some of his patient and peer feedback on their experiences of his services.

Louise Steel

2023-08-16

Mr Goutos performed keloidectomy surgery on both my earlobes, and I am so grateful to have been referred to him. From the first consultation, through surgery, and now my 3-month follow-up, I have nothing but good words to say.

Luke Ward

2023-07-10

This man is an extremely intelligent, professional gentleman. He will set realistic expectations from the beginning and will not ‘beat around the bush’ so-to speak. From the initial consultation to post-surgery, it has been a rollercoaster ride. However the high level of expertise & professionalism Mr Goutos maintained has been impeccable. All I can say to any other individual considering treatment with Mr Goutos, is that you are in incredibly safe hands. And on top of this, he has a great sense of humour. I wish nothing but the best for this man, and the best results for his future patients.

Mauricio Lucas

2023-07-06

Outstanding Doctor - Exceptional Expertise I recently had the pleasure of consulting and also going through surgery. Dr. Goutos removed a large class of keloids from my back and chest, and without a doubt, I can confidently say that he is the best doctor I have ever had the privilege of seeing. From the moment I entered his practice, I was immediately struck by his professionalism, knowledge, and exceptional bedside manner. Dr. Goutos possesses an extraordinary level of expertise in his field, and his technical skills are truly remarkable. His ability to diagnose and treat medical conditions is unparalleled, and I have personally witnessed his remarkable success in improving the health and well-being of countless patients. What sets Dr. Goutos apart is his genuine care and concern for his patients. He takes the time to listen attentively, ensuring that he understands every aspect of the medical issue at hand. He communicates clearly and effectively, explaining complex medical concepts in a way that is easy to comprehend, which greatly helps in alleviating any concerns or fears. One aspect that impressed me greatly was Dr. Goutos' commitment to staying updated with the latest advancements in his field. He incorporates cutting-edge techniques and treatments into his practice, ensuring that his patients receive the highest standard of care available. This dedication to continuous learning and improvement is a testament to his unwavering dedication to his profession. Additionally, the support staff at Dr.Goutos' practice deserves recognition for their exceptional service. They are friendly, compassionate, and highly efficient, ensuring that appointments run smoothly and patients feel comfortable throughout the entire process. Overall, I cannot emphasize enough how fortunate I feel to have found Dr.Goutos' exceptional skills, genuine care, and unwavering commitment to his patients make him a truly outstanding specialist. I wholeheartedly recommend him to anyone seeking top-notch medical care.

Kashmala Khan

2023-01-26

Mr. Goutos and his team did an amazing job reversing a scar I had on my forehead. This was a very old scar and had bothered for many years. The laser treatment and fat transfer procedure has changed my life and given me so much confidence. I would definitely recommend him, he is a fantastic and very skilled surgeon. Thank you so much!

Javier

2023-01-14

Mr Goutos and his team removed some lipomas from my arms. The initial consultation right through to the aftercare was professional, sensitive and genuine. Mr Goutos put me at ease right from the start, discussing my history and background and then discussing the various options for the incisions and sutures. The incisions were quick, efficient and professional. I felt completely at ease knowing I was in expert hands. The incisions were extremely neat and have closed and scared really well. I had a number of questions after the operation and one of the sutures became infected. Mr Goutos was quick to make an appointment for me, see me and deal with the infection and offered for me to see him again if the infection didn’t calm down. He was genuinely empathetic to my needs and took time to check each scare, explain things and assure me along the way. He didn’t at any point, make me feel I was asking silly questions or too many. I highly recommend Mr Goutos for his exceptional incisions and suturing as well as his professional conduct, caring approach and after care. The whole experience was smooth and easy and I am very grateful for what he has done for me.

Ieva Lihovida-Yarlett

2022-12-07

We came to see Dr Goutos a few month ago to remove invasive spider nevus on my 9 year old sons nose . After a lovely consultation with Dr Goutos , he suggested to do several laser treatment sessions. After a few sessions we already noticed a massive improvement. On the final laser treatment session the spider nevus was completely gone. Thank you to the Dr Goutos for tackling the problem so rapidly and with great results!

Amy Munson

2022-10-27

We took our 4yr old daughter to Mr Goutos following an accident which resulted in a small burn scar on her cheek. Mr Goutos gave us various options and we went for laser treatment. After 4 appointments the scar has gone! The care that Mr Goutos gave us was exceptional and so good with children. He made us feel very comfortable and confident in his ability. I would recommend him to anyone if they were looking for a doctor in that particular field. Can't thank him enough.