I Have a Terrible Scar: Can You Help?

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July 2, 2023

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While some scars fade naturally over time, the right treatment approach can accelerate the process for bothersome scars you’d like to minimize or improve more quickly. Learn about our advanced scar revision techniques here.

A scar is an enduring mark left on the skin following chronic damage, acute trauma, a surgical incision, or a skin-affecting illness. These distinct marks form as part of the healing process as your injured epidermal and dermal layers rebuild their tissues, repair abnormal gaps, and restore optimal health.

Scars form in various ways, shapes, and sizes, depending on the nature and severity of the skin damage that leads to their development. While many become less prominent over time, most don’t fade completely. 

Luckily, our team at Colorado Skin and Vein can help. 

Here, David Verebelyi, MD, RVT, and Christina Jordan, FNP, CANS, discuss how scars form and offer five scar revision treatment options that can make unwanted scars less noticeable.

Scar formation basics 

Scar formation is part of the healing process after your skin is injured. It develops as skin tissue actively repairs itself, increasing collagen production to grow new, fresh tissue that pulls the wound together and effectively closes any gaps. Scars can result from:

  • Accidental trauma (i.e., burn, cut)
  • An incision from surgical treatment 
  • A chronic skin condition (i.e., acne)
  • An acute illness (i.e., chickenpox)

A scar can form on any area of your body. Its final composition largely depends on where it is, the damage that caused it, and your age and nutritional status. Most people develop at least one scar throughout their lives. 

Various types of scars

Scar tissue consists of collagen, the protein that gives your skin its structure, strength, and resilience. Still, scars can vary greatly — some are minor, flat, and nearly invisible, while others are large, raised, tight, or painful. Let’s take a closer look at common scar types: 

Fine-line scars

Normal, fine-line scars typically develop as a minor cut or surgical incision heals. They initially form as a raised line but tend to flatten and fade over time. While early fine-line scars can be itchy, they aren’t usually painful.    

Keloid scars

These raised scars form when excessive collagen production at the site of an injury leads to an overgrowth of epidermal tissue, both over and beyond the initial wound. Itchy, tight, and sometimes painful keloid scars grow after the skin damage has healed. They can feel restrictive, especially if they’re near a joint.  

Hypertrophic scars

Hypertrophic scars are like keloid scars, apart from the fact that they don’t extend beyond the boundary of the original wound and tend to improve gradually after an initial, early period of thickening. 

Pitted scars

When your healing skin produces too little collagen, it can form depressed scars or small indentations along the surface of your skin. Also known as atrophic “ice pick” scars, pitted scars are common after severe acne breakouts or chickenpox lesions. 

Scar revision solutions 

While many scars fade naturally over time, the correct treatment approach can accelerate the process for bothersome scars you’d like to minimize or improve more quickly. At Colorado Skin and Vein, we can treat various scar types with our advanced scar revision techniques. 

 Depending on your needs, we may recommend the following: 

Steroid injections

A series of steroid injections can help soften raised keloid and hypertrophic scars and reduce their overall thickness. This treatment is often a preparatory step for laser therapy.

Pulsed dye laser

Pulsed dye laser treatments can minimize raised or discolored scars, which painlessly breaks down excess scar tissue and triggers renewed collagen and elastin remodeling for fresh, healthy skin. 

CryoShape™ 

Some keloid and hypertrophic scars may respond best to CryoShape, a minimally invasive treatment using targeted liquid nitrogen injections to freeze raised scars from the inside out, destroying the excess tissue and preventing its recurrence.   

Subcision release 

Subcision uses precise needle insertion to break up the contracted dermal tissues that create pitted scar indentations. By releasing the scar tissue from its sunken position, this technique smooths out pitted scars and improves the appearance of your skin. 

CO2 laser therapy

CO2 laser therapy uses columns of controlled energy to break up scar tissue and pigmented cells, helping to minimize the appearance of pitted and discolored scars. This laser treatment also triggers fresh collagen and elastin for smoother, healthier skin.  

Improve your scar today

Whether your unwanted scar is uncomfortable, unsightly, or both, we can help. To learn more about the scar revision options at Colorado Skin and Vein in Englewood, Colorado, call or click online and schedule a visit today. We serve patients throughout Denver, including Centennial, Parker, Highland Ranch, and Lone Tree, Colorado communities.    

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Categories:
Colorado's Vascular & Aesthetic Medicine

Stay Informed, Stay Healthy

Explore expert tips, guides, and the latest updates on vein health and treatments.

Danielle Killingsworth, NCMA, Aesthetics Coordinator at Colorado Skin & Vein in Denver

Danielle Killingsworth

NCMA, Aesthetics Coordinator

Danielle is a Colorado native who brings more than 22 years of experience in the medical field. Throughout her career she has developed a diverse clinical background across infectious disease, general surgery, and pain management — giving her a well-rounded understanding of patient care and of what it takes to create a safe, comfortable, and personalized experience.

As Aesthetics Coordinator at Colorado Skin & Vein, Danielle combines that clinical knowledge with a genuine passion for aesthetics. She is dedicated to helping patients feel confident, informed, and supported throughout their aesthetic journey, from the initial consultation through treatment and follow-up care.

She believes one of the most rewarding parts of her career is building meaningful relationships with patients and helping them look and feel their very best.

Outside of work, Danielle enjoys spending time with her family, including her four boys, getting lost in a good book, and working in her garden. Fun fact: she is a dedicated Dallas Cowboys fan.

Nikki Moyta, Operations Director at Colorado Skin & Vein in Denver

Nikki Moyta

Operations Director

For over 26 years, Nikki has dedicated her career to the dermatology and aesthetics industry, building her experience from the ground up — starting in a patient scheduling call center, moving to the front desk, and rising to executive leadership overseeing multiple providers and locations.

Originally from Pittsburgh, she moved to Orlando before starting 10th grade and later attended Seminole State College of Florida. Her career in dermatology began in 2002, scheduling appointments for a multi-location practice. She grew quickly within the organization, moving into front-desk and checkout roles before being promoted to Office Manager in 2008. In 2012, her leadership and operational expertise led the CEO to seek her out for an expanded role overseeing multiple providers and locations — a position she held through 2022.

Outside of her professional career, Nikki is passionate about giving back to the community:

  • Community outreach
  • Voted “Cheerleader of the Practice”
  • 1st Place Winner — Miles for Melanoma

With a career built on leadership, dedication, and a genuine passion for patients and the aesthetics industry, she is excited to bring her experience and enthusiasm to the Colorado community. When she is not in the office, you can find Nikki with her Siberian husky, Compass, somewhere on top of a mountain.

Betina Lacson, RVT at Colorado Skin & Vein in Denver

Betina Lacson

RVT

Betina graduated from the Cardiovascular Technology Program at Grossmont College in California in 2020, and brings more than six years of experience in the duplex world of venous insufficiency. Much of her career has centered on superficial vein mapping and assisting in surgery while providing attentive patient care.

At Colorado Skin & Vein, she assists with venous ablation procedures as well as ultrasound-guided sclerotherapy. She is committed to quality care at every stage — from the initial consultation, through surgery, to post-operative appointments — making sure each patient feels fully supported.

In her free time, Betina loves Kizomba dancing with her Afro-Latin dance community, and can often be found at electronic dance music shows in different cities. If you are feeling generous, she will happily accept a karaoke room or an iced Thai milk tea.

Brooke Owens, PA-C, MPAS at Colorado Skin & Vein in Denver

Brooke Owens

PA-C, MPAS

Brooke Owens, PA-C, MPAS is a compassionate Physician Assistant who brings a strong clinical foundation, exceptional attention to detail, and a patient-centered approach to Colorado Skin & Vein.

Prior to joining the practice, Brooke spent several years in pediatric primary care, caring for patients with a wide range of acute and chronic conditions. She became known for her thorough evaluations, thoughtful clinical decision-making, and ability to build lasting relationships with patients and their families. That experience strengthened her diagnostic expertise while reinforcing the importance of listening carefully, educating patients, and creating individualized treatment plans.

Drawn to the unique blend of medicine, procedures, and patient transformation, Brooke was excited to move into vascular medicine and aesthetic care. She is passionate about helping patients improve not only their health but also their confidence — whether they are seeking treatment for vein disease, skin concerns, or cosmetic enhancements. By combining broad medical experience with advanced specialty training and a meticulous eye for detail, she delivers safe, effective, and personalized care.

Brooke believes the best outcomes begin with trust. She values taking the time to understand each patient’s goals, answer questions, and ensure they feel informed and comfortable throughout their care.

Angel Croce, Staff Manager at Colorado Skin & Vein in Denver

Angel Croce

Staff Manager

Angel has been in healthcare for more than 20 years. Her journey began in 2004, after her father suddenly passed away from a stroke. Losing him was a life-changing experience, and it inspired her to choose a career where she could help others and give patients and their families the care, compassion, and support they need during difficult times.

Throughout her career she has worked across cardiology, neurology, family practice, and urgent care — each experience helping her grow both personally and professionally. She now works in vascular care and aesthetics, where she enjoys building relationships with her patients, helping them understand their care, and making sure they feel comfortable and supported throughout their journey.

Outside of work, Angel is a proud mom of two. Family is incredibly important to her, and in her spare time she loves being outdoors with her husband and their two dogs — hunting, fishing, and enjoying Colorado.

For Angel, healthcare is more than a career — it is personal. What started as a way to honor her father’s memory has become more than two decades of caring for others, and she is grateful to keep doing something that means so much to her every day.