Raised Scars: How Is Papular Scar Laser Treatment Performed at a Wangsimni Dermatology Clinic?

Nose and Chin Papular Scars

Hello, this is Raon Dermatology in Wangsimni!

The nose and chin areas are where sebum secretion is high and acne often appears. Even after acne subsides, it is common for bumpy scars to remain! In particular, raised papular scars are different from simple pitted marks in that they are caused by excessive collagen production within the skin. Because of this, improvement is difficult with ordinary scar treatments, and precise treatment is needed to normalize the tissue. With consistent combination treatment, the skin texture can become flat and smooth again.

Nose and Chin Papular Scars

What Are Papular Scars?

First, let’s clearly define what papular scars are. As inflammation deepens, the dermal layer of the skin is damaged, and the affected area regenerates excessively, leaving a scar that protrudes in the form of a firm nodule. The nose and chin have well-developed sebaceous glands, so inflammation occurs frequently there, making scars more likely to form repeatedly or recur.

The problem is that the collagen fibers beneath the scar are irregularly tangled. Removing only the surface does not solve it; the collagen structure inside the skin must be normalized and cell regeneration induced for the skin to return to a flat state. For this reason, regenerative laser treatment is effective for papular scar treatment :)

<Papular Scars>

• Excessive collagen regeneration in the dermis

• Raised acne scars / recurrent recurrence

• Possibility of additional scarring

What Are Papular Scars?

Treatment Method 01. CO2 Pinhole Method

We’re going to look at a total of three treatment methods~ The first is CO2 pinhole treatment. You can think of it as a method that precisely directs the laser only to the papular scar area in a tiny pinhole shape. The laser breaks down the abnormal collagen tissue in the skin and promotes the production of new collagen, flattening the raised scar. Unlike ordinary lasers, it minimizes damage to surrounding healthy tissue, which is an advantage because recovery is faster.

After treatment, the scar area may become slightly red or develop tiny scabs, but this is a natural part of the regeneration process. Over time, the bumpy area gradually becomes smoother, and redness and pigmentation also subside together. Even areas with pronounced curves such as the nose and chin can be treated precisely because the pinhole size and intensity can be finely adjusted!

<Advantages of the CO2 Pinhole Method>

• Precisely targets only scar tissue

• Normalizes collagen alignment

• Minimal damage / fast recovery

Treatment Method 01. CO2 Pinhole Method

Treatment Method 02. Stella M22 ResurFX

Second, Stella M22 ResurFX is a non-ablative fractional laser that provides microthermal stimulation to the dermis without removing the skin. At this time, it realigns damaged collagen and encourages new cells to grow, gradually helping the skin recover a smoother texture. Because there is almost no damage to the epidermis, it causes little disruption to daily life, and redness or swelling after the procedure subsides within a short time.

The biggest advantage of treatment using ResurFX is that it can improve skin texture and reduce pore size at the same time. As papular scars improve, the skin texture becomes smoother and the overall skin tone looks clearer. When the damaged dermis regenerates healthily through repeated treatments, the uneven texture of the nose and chin becomes noticeably softer!

<Advantages of Stella M22 ResurFX>

• Improves pores and skin texture at the same time

• Almost no damage to the epidermis

Treatment Method 02. Stella M22 ResurFX

Treatment Method 03. Pico Laser

Lastly, pico laser is also one of the major treatments for papular scars. It delivers strong energy in an extremely short time measured in picoseconds, finely breaking down scar tissue. The vibration energy generated in this process stimulates the dermis, promotes new collagen formation, and improves both the color and texture of the scar area. Another major advantage is that it causes less heat damage than traditional nanosecond lasers, lowering the risk of pigmentation.

In addition, pico laser can help not only with papular scars but also with pigmentation, pores, and skin texture improvement. When used together with the CO2 pinhole method or ResurFX, it can maximize the effects of scar removal and skin texture regeneration at the same time. Areas that were uneven gradually become flatter, and the skin overall changes to a smoother, more elastic state.

Treatment Method 03. Pico Laser

Papular Scar Treatment Case

Let’s wrap up today’s post by looking at a case in which combination treatment for papular scars was performed five times. You can see that the raised scars spread across the nose gradually lowered and the skin texture became smoother. Even two months after the final treatment, the improvement was maintained without recurrence, the pores became smaller, and the overall skin tone became more even.

As such, papular scars have limitations with a single treatment, so combination therapy that normalizes the skin structure is necessary. A customized laser combination centered on collagen regeneration improves not only scars but also skin texture, pores, and tone. Since the skin changes gradually over time, please remember that consistent treatment and care create the best results :)

Papular Scar Treatment Case

Nose / Chin Papular Scars