Scar Treatment & Keloid Assessment Richmond, BC
Surgical, injury, acne and raised scars: what can be softened, and how.
A scar is repair tissue: when a wound reaches the dermis, collagen is laid down in a disorganised pattern, so the skin looks and feels different. At RAAC in Richmond, BC, serving Greater Vancouver, scar treatment combines Sylfirm X RF microneedling for texture, PicoWay laser for colour, and microneedling with PRP over several sessions. It covers surgical, injury, burn and acne scars; raised or keloid scars need a physician's assessment first, and no scar can be erased completely.
- 3–6
- Typical sessions for many scars, about 4–6 weeks apart
- 1–3 Days
- Typical redness or pinpoint marks after RF microneedling
- Months
- Improvement builds as collagen remodels; scars soften, not disappear
- 3–6
- Typical sessions for many scars, about 4–6 weeks apart
- 1–3 Days
- Typical redness or pinpoint marks after RF microneedling
- Months
- Improvement builds as collagen remodels; scars soften, not disappear
What Kind of Scar?
Different scar types need different treatment approaches. Identifying your scar type helps us plan a suitable approach. Select all that apply:
Most scars have more than one feature: texture, colour and depth. After assessment, we choose treatments for each.
How Do Scars Form?
Scars are the body's natural wound-healing response. Understanding how they form helps explain why treatment can improve their appearance but not remove them.
Collagen Overproduction
When skin is wounded, the body rushes to close it with collagen. This emergency collagen is laid down in parallel bundles instead of the basket-weave pattern of normal skin, creating visible scar tissue.
Inflammatory Response
Prolonged inflammation during healing leads to excessive scar formation. The more inflamed the wound, the more prominent the resulting scar.
Depth of Injury
Wounds that reach the dermis usually leave a scar. The deeper the injury, the more collagen is needed to repair it, and the more visible the scar tends to be.
Healing Conditions
Wound tension, infection, sun exposure during healing, and poor blood supply all contribute to worse scarring outcomes.
Genetic Predisposition
Some people are genetically prone to forming thicker, more prominent scars. Keloid formation, in particular, has a strong genetic component.
How Are Scars Treated at RAAC?
Different scars need different tools: one for texture and structure, another for colour, and sometimes a regenerative add-on.
RF microneedling for structural remodeling, laser for colour, and optional PRP to support healing. Raised or keloid scars are assessed by a physician first.
1Scar Remodeling Technologies
Sylfirm X
For Texture and Structure
Dual-wave RF microneedling delivers energy into scar tissue to stimulate collagen remodeling. It is non-ablative, so it does not remove the surface skin.
PicoWay
For Colour
Picosecond laser targets scar pigmentation and stimulates collagen with minimal heat, and may suit discoloured scars.
How We Assess Scars
Several Tools
RF microneedling, picosecond laser, microneedling and PRP are available, so the tool can be matched to your scar type.
Medical Assessment
A physician reviews how and when the scar formed, so the plan works with your skin's healing rather than against it.
Skin-Tone Aware
We favour non-ablative options such as Sylfirm X for melanin-rich skin, which lowers but does not remove the risk of pigment changes.
Comprehensive Assessment
We look at scar type, age, depth, colour and location, and plan treatment around your scar.
Scar Treatment Q&A
Plan Your Scar Treatment
Book a scar assessment to review your scars and discuss which options might suit you.
Scars on the face, body, limbs and torso can be assessed.
Related articles
- Sylfirm X RF Microneedling vs Regular Microneedling: CW vs PW, Depth and Who Benefits
How deep does Sylfirm X go, and what does the RF actually change? A physician-authored look at CW vs PW modes, collagen building, and who benefits for melasma, redness and indented acne scars.
- Sylfirm X for Stretch Marks, Body Acne Scars and Loose Skin in Richmond, BC
Sylfirm X RF microneedling is also used on the body: stretch marks, body acne scars and loose skin on the abdomen, thighs and arms. How treatment works, downtime and how many sessions are usual.
- PicoWay Laser for Sun Spots, Freckles and Pigmentation in Richmond, BC
How PicoWay's picosecond pulses break up sun spots, age spots, freckles and post-inflammatory pigmentation, how many sessions are typical and what the weeks after treatment look like.
- PIH After Pico Laser: Can It Make Pigmentation Worse?
PIH after pico laser is possible with any laser, though PicoWay is generally considered lower risk. Here is how to tell normal darkening from PIH, how many sessions it takes, and aftercare.
