What is the best treatment for rolling scars?

Rolling scars are characterized by wave-like depressions in the skin, often caused by damage to the deeper layers. Treating them effectively typically involves improving collagen production and addressing the tethered skin. Here are the best options:

• Subcision
• How It Works: Releases the fibrous bands beneath the skin, lifting the depressed scars.
• Best For: Deep, tethered rolling scars.
• Recovery Time: 3–7 days with mild bruising.
• Microneedling
• How It Works: Stimulates collagen production, improving skin texture over time.
• Best For: Mild to moderate rolling scars.
• Recovery Time: 1–3 days with minimal redness or swelling.
• Fractional Laser Resurfacing
• How It Works: Ablative lasers remove damaged skin layers, while non-ablative lasers stimulate collagen.
• Best For: Moderate to severe scars.
• Recovery Time: 5–14 days depending on the laser type.
• Dermal Fillers
• How It Works: Temporarily fill the depressions, smoothing the skin surface.
• Best For: Immediate but temporary improvement.
• Recovery Time: Minimal, with results lasting 6–18 months.
• Radiofrequency Microneedling
• How It Works: Combines microneedling with heat energy to tighten skin and stimulate collagen.
• Best For: Deep scars and overall skin tightening.
• Recovery Time: 2–5 days.
• Combination Treatments
• Combining subcision with fillers or laser treatments often yields the best results for rolling scars.

Important Notes:

• Results may require multiple sessions depending on scar severity.
• A customized approach is essential; consult a dermatologist to develop a treatment plan tailored to your skin.
• Consistent post-treatment care, including sun protection, is critical for optimal outcomes.