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Scars & Burns by Mr Ioannis Goutos

Scar Therapy London

Scar Therapy London

At a glance

Treatment time & anaesthetic:

Dependent on the type of scarring and type of treatment being carried out. Many scar therapies can be done as day procedures during clinic appointments and do not require any anaesthetic or time off work.

A scar is formed when there is damage, injury or inflammation in the skin and is part of the natural healing process. Scar therapy at Goutos London aims to reduce any symptoms that are troubling or distressing to the individual.

As the skin tissue remodels to repair the damaged area, cells produce tough connective tissue, namely collagen, which helps to restore skin integrity. In some cases, this remodeling stage of scar production can produce too much or too little collagen. This can result in troublesome scars that can be unsightly, protuberant or dimpled from the level of the surrounding skin, appear darker or lighter than the rest of the skin, or produce symptoms of pain and itch over the scar itself.

Scar therapy aims to reduce any symptoms that are troubling or distressing to the individual, whether this be appearance related concerns or functional symptoms (e.g persistent pain or itch). There are a number of treatment options, which will depend on the type of scarring present, the skin type and general health of the individual as well as specific treatment aims.

Mr Ioannis Goutos is an expert plastic surgeon with a keen interest in treating and helping those with troublesome scarring or burns. He is well known and respected within the plastics community and places particular emphasis on treating his patients holistically; incorporating both physical and psychological factors in his assessment and treatment. He is a skilled surgeon, with experience in recommending and delivering a number of surgical and non-surgical procedures with an adept hand.

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What is scar therapy?

Topical treatments, such as steroid tapes or silicone sheets, are helpful in treating and preventing the occurrence of bulky or hypertrophic scars. They can be used as an adjunct following planned surgical procedures in those who are prone to developing this type of scarring. Tapes can also provide mechanical support to the healing skin, aiming to produce a scar which is softer, flatter and paler in appearance.

In addition to the application of steroid tapes, injections of steroid medications can also be helpful in reducing the appearance of bulky scars. Injections aim to break down excess collagen and also reduce inflammation in the skin, to help improve the overall appearance of the scar. These injections are also effective in reducing troublesome symptoms such as itch and pain.

Laser therapies are targeted, energy-based treatments, which help to remodel irregular texture within the skin and promote healing/regeneration. They are applicable to a wide variety of skin types and can be easily performed within the confines of an outpatient appointment.

Needling techniques can be employed for a number of different skin and scar types, including acne scarring, atrophic scars and bulky scars, as well as used for general skin rejuvenation. The tiny skin perforations produced during the treatment aim to stimulate the skin to produce collagen improving the overall appearance and feel of the scar and skin. Needling can be of great benefit in those with darker skin tones as it does not usually affect the pigmentation of the skin itself.

If the above treatments have proven ineffective, or they are not suitable, there are a number of surgical procedures, which can be undertaken to improve the appearance and symptoms associated with scarring, including scar revision and subcision. These must be carried out by a skilled and experienced specialist to prevent the recurrence of the original scarring.

It is essential to discuss all the appropriate treatment options for you and your skin with a qualified specialist prior to embarking on any procedures. Managing scars can be difficult and inappropriate procedures may make scarring worse, so it is important to ensure that you seek advice from an experienced clinician.

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Goutos London - Scar therapy
Goutos London - FAQ

Scar Therapy FAQs

We know having medical, surgical or cosmetic treatment can seem daunting and it is natural to have questions. We are here to ensure your comfort and safety at all times. If you are unable to find the answer to your questions below, then please do not hesitate to contact us so we can help.

Each procedure will carry a different profile of risks and side effects to consider. Most therapies confer risks of infection and skin irritation, which can usually be minimized by the use of sterile equipment and good post-treatment skin care. Some modalities carry the risks of increasing bulky scarring or causing changes in the pigmentation of darker skin tones. All aspects should be discussed with you in full prior to commencement of any procedures.

In contrast to the more invasive procedures list above or surgery, there are a number of additional measures that can be taken to improve the appearance of scarring. For example, good moisturisation in the early stages of scar formation helps to reduce the activity of the scar-forming cells to produce a more aesthetically pleasing end result. In established scarring, there are a number of foundations and camouflage creams that are available which can help to reduce the appearance of unsightly scars. Some people also opt for having their scars covered by either decorative or medical grade tattoos.

Many individuals will find that their scars do not bother them. Treatment and therapies are aimed at those who are affected by their scarring. This may be for cosmetic reasons; some people find that prominent or noticeable scarring has a significant impact on their self-esteem, or the pain/itch and/or tightness in the scarring affects their quality of scarring. It is important to discuss your own treatment goals with your specialist prior to starting any scar therapy.

Results for each procedure will vary between individuals. For example, laser and needling procedures sometimes need a few rounds of repeated treatment to achieve good results. Topical tapes and sheets may require use over several months to be effective. Often, a combination of different therapies is recommended to gain optimal results.

Optimal results are gained with good preventative measures and skin care in the early stages of scar formation.

Prices from

Starting from: available on enquiry.

At Goutos London, we aim to deliver a premium service with no compromise on quality in order to deliver the best results possible for your needs.

Goutos London

Related conditions

Whatever your condition, and whatever your health goals are, we will ensure you get a holistic, focused and bespoke service that offers you the safest options for treatment aiming for the best possible outcome.

Atrophic Scars

Acne Scarring


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

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