Call us at 603-894-0070 to set up your free “Limited Consultation”, if you simply want to discuss your scar concerns, or a full “Head to Toe Consultation” if you have other issues you would like to discuss at the same time.

One of our experiences nurses or medical assistants will review your history and take photographs of your specific areas of concern.

They will review some of the common treatment approaches in more depth, and/or answer questions about specific procedures you feel are most of interest to you, including treatment pricing. They will then present the photos and consult information to Dr. Vuich for her input and recommendations. Within a few days you will receive a return call letting you know Dr. Vuich’s input/recommendations.

We will help you select the best start based on our many years of experience with all of these treatment modalities.

In some instances a combination of treatment types may be suggested. Common things to consider include type and location of the scars, tolerance for downtime or activity restrictions post procedure, skin care requirements post procedure, your budget, and recent or upcoming sun exposure.

• In general, procedures are not performed on pregnant women or on patients with a history of keloid scars.  
• If you have used Accutane or similar oral agents, a 6 month waiting period may be required for some procedures.  

• Some treatments cannot be performed on skin that is tanned, or if you will be getting significant sun exposure in the near future to the proposed treatment area.  
• Some scars are too large or too advanced, and require a consult regarding surgical scar revision. We do not offer surgical services, but can assist by recommending a surgeon to you. 

There is not an “absolute” waiting period needed. Some surgeons actually start treating scars with laser and/or platelet rich plasma for example, right in the operating room on the day of the surgical procedure. You may wish to check with your surgeon for their recommendations. Surgical scars are known to remodel gradually over the course of at least a year, so some will wait that long just to “see how good it gets on its own” before intervening.

We generally do not. Keloid scars are best managed by a plastic surgeon as they will frequently need to be excised.

Some patients for some procedures will require a 4 to 6 week period of skin conditioning with topical agents such as tretinoin and/or hydroquinone prior to the actual procedure. This is most often for patients with a tendency towards hyperpigmentation due to their ethnic background- African American, Eastern European, Asian, Hispanic and Native American skin types generally need to consider preconditioning their skin prior to some procedures to avoid hyperpigmentation during their recovery process.

• This will vary depending on scar type and extent and which procedures have been chosen. We will do our best to estimate this for you at the time of the consultation. In general, the treatment of scars or stretch marks requires a series of procedures over time. 
• When it comes to collagen remodeling, improvement is usually evident within several weeks and continues for several months. Although each treatment has benefit, it is possible that an initial treatment will not produce enough change for you to appreciate a difference “with the naked eye”. Sometimes it takes 2 or 3 sessions to notice visible changes.  

• We will let you know if your post procedure care requires the use of any topical agents.  
• In the case of Smart Skin CO2 laser skin resurfacing, we provide you with a post treatment skin care kit which contains most everything you will need during the healing phase.  

There are 3 main types of acne scars- ice pick, rolling (round edges) and box car (square shaped) scars. Bellafill has some benefit primarily for the rolling type of scar- which is also a type which flattens out when you spread the skin with your fingers. The other two types do not respond to Bellafill and will more likely require laser resurfacing.