Can a 20-year-old surgical scar be removed?

Scars from surgery that are 20 years old are considered old or mature scars. While complete removal is challenging, their appearance can be significantly improved through scientific treatments. After scar formation, collagen fibers become disorganized and the skin's tissue structure changes. Although the activity of the scar diminishes over time, there remains potential for improvement.

Currently, laser therapy is a commonly used method; for example, fractional laser treatment can stimulate collagen remodeling, improving scar color and uneven texture. Microdermabrasion can promote new cell growth by physically exfoliating the epidermal layer. For hypertrophic scars, surgical excision followed by meticulous suturing, combined with radiotherapy to inhibit excessive scar tissue proliferation, may be employed. In terms of medication, topical agents such as silicone gel and corticosteroids can also help soften scars to some extent. However, treatment outcomes vary depending on factors including scar type, individual skin characteristics, and the anatomical location of the scar. For instance, keloids have a higher recurrence rate, whereas areas rich in blood supply, like the face, generally respond better to treatment.

Although a 20-year-old surgical scar cannot be completely eliminated, combining various treatment modalities and tailoring a plan to the individual's specific condition can effectively improve its appearance and enhance the patient's quality of life. It is recommended to seek treatment at正规 medical institutions under the guidance of qualified physicians.