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Scarless - The Clinic Dedicated Multidisciplinary Team Providing Personalized, Comprehensive Scar Management

Negative pressure therapy applies gentle, controlled suction to a wound through a specialised dressing connected to a sm...
20/10/2026

Negative pressure therapy applies gentle, controlled suction to a wound through a specialised dressing connected to a small pump.

It’s generally considered for wounds under higher mechanical stress, and where used is typically initiated in a hospital or specialist wound setting.

The suction may help reduce swelling, support blood flow, and draw away fluid that could otherwise collect beneath the skin.

By supporting a more stable healing environment and reducing tension at the wound edges, it may also lower the risk of a widened or raised scar, since tension is one of the factors influencing how a scar forms.

It isn’t required for every wound. Its use is guided by wound location, tension and clinical judgement case by case.

If you’re managing a wound, or a scar that has resulted from one, get in touch to arrange a consultation if appropriate.

All procedures carry risks. Suitability for treatment requires individual clinical assessment. Individual outcomes vary.

Living with breast cancer can ask a great deal of a person, physically and emotionally, often over a long period. We pau...
19/10/2026

Living with breast cancer can ask a great deal of a person, physically and emotionally, often over a long period.

We pause this month to acknowledge everyone going through it, and those who walk alongside them. You're not alone.

Not all scars are the same. They can vary widely in how they look, feel, and behave, and recognising these differences i...
15/10/2026

Not all scars are the same.

They can vary widely in how they look, feel, and behave, and recognising these differences is part of understanding what treatment options may be appropriate.

Pigment change after scar treatment is common, particularly after procedures involving heat or inflammation. It can appe...
14/10/2026

Pigment change after scar treatment is common, particularly after procedures involving heat or inflammation.

It can appear as darkening, or less often as lightening of the treated area.

When skin is inflamed, whether by a wound, an energy-based treatment or another injury, melanocytes are affected.

Sometimes this means excess pigment production.

Sometimes pigment production is disrupted instead, leaving a lighter patch. The tendency is more pronounced in melanin-rich skin.

Darkening is usually temporary, though it can take time to settle.

Strict sun protection is one of the most useful things during this period, alongside topical agents where appropriate. In select cases, additional pigment-directed treatment may be considered.

Lightening is thought to relate to disruption of melanocyte function or migration during healing, and can be harder to address than darkening.

Approaches are individualised based on the extent and cause.

If you're planning scar treatment and pigment change is a concern, it's worth raising before you start.

Skin type is one of the factors that shapes which approach is chosen, and knowing your history helps inform that decision.

All procedures carry risks. Suitability for treatment requires individual clinical assessment. Individual outcomes vary.

Surgery is never a standalone treatment for keloids. Excision creates a new wound, and in keloid-prone skin that wound c...
12/10/2026

Surgery is never a standalone treatment for keloids.

Excision creates a new wound, and in keloid-prone skin that wound can trigger the same response again — so adjuvant therapy is an essential part of the plan.

Just as essential is long-term follow-up: keloid management continues well beyond the early months, so any sign of recurrence can be treated at its most responsive stage.

*All procedures carry risks and potential complications. A comprehensive consultation and clinical assessment are required to determine suitability. Individual results may vary.

*Comments are disabled in accordance with AHPRA advertising guidelines.

Grateful for another year at the ANZBA conference in Brisbane, and for the chance to keep learning from and alongside co...
11/10/2026

Grateful for another year at the ANZBA conference in Brisbane, and for the chance to keep learning from and alongside colleagues across the burns and scar community.

It's hard to believe this marks over a decade of contributing as a speaker. Conferences like this are a reminder of how much progress in scar care comes from shared knowledge, not individual effort.

Thank you to ANZBA and to everyone who continues to make this such a valuable gathering each year.

Itching is one of the most commonly reported symptoms associated with keloid scars, and for many people, it can be just ...
08/10/2026

Itching is one of the most commonly reported symptoms associated with keloid scars, and for many people, it can be just as disruptive as the scar's appearance.

These symptoms are often linked to the same underlying processes involved in keloid formation — ongoing tissue activity within the scar that can contribute to itch, sensitivity, and a sense of tightness or irritation in the area.

Some measures may help relieve discomfort, but persistent itch often reflects ongoing biological activity within the scar and may benefit from clinical assessment.

While scratching can feel like an immediate response to itch, it can also place additional mechanical stress on the scar, which may contribute to further irritation or growth of keloid tissue over time.

Avoiding scratching where possible is generally considered a useful part of managing keloid symptoms.

Symptom management can vary considerably from person to person, depending on the scar's size, location, and individual presentation.

If itching, discomfort, or sensitivity is affecting your daily life, a clinical assessment can help identify options that may be appropriate for your circumstances.

If you are living with a keloid scar and experiencing ongoing symptoms, get in touch to arrange a consultation if appropriate.

Meet Karin!Karin Vogel, Occupational Therapist and accredited lymphatic therapist, joined the Scarless team in August, a...
07/10/2026

Meet Karin!

Karin Vogel, Occupational Therapist and accredited lymphatic therapist, joined the Scarless team in August, and many of our patients have already met her.

Karin brings more than 20 years of clinical experience across some of the most complex areas of care, including lymphoedema, spinal rehabilitation, burns, complex wounds and neurological conditions.

Alongside her role with us, she holds a specialist position in a large public hospital supporting spinal rehabilitation and pressure care services.

At Scarless, Karin is part of our multimodal approach, supporting patients preparing for surgery, recovering after it, or living with pain, abnormal scars, reduced movement or lymphoedema. She works both manually and with LPG® Endermologie® medical.

Scar management is multidisciplinary by nature, and Karin's depth of experience across function, movement and lymphatic health makes her a wonderful addition to the team and to the patients we care for.

All procedures carry risks. Individual results vary. Please seek advice from a qualified health professional about your specific circumstances.

A burn injury already asks a great deal of patience and adjustment. Burn scar treatment, including reconstructive surger...
06/10/2026

A burn injury already asks a great deal of patience and adjustment.

Burn scar treatment, including reconstructive surgery where appropriate, often adds another layer to that process — one that often involves multiple procedures, extended timelines, ongoing rehabilitation and ongoing scar management.

It's worth being clear about what burn scar management may offer: an opportunity to improve function, pliability, and in some cases appearance, depending on the individual scar and circumstances.

Treatment is rarely a single procedure with a defined endpoint. More often, care is delivered in stages, with the treatment plan evolving over time according to characteristics of the scar, how the tissue responds, and the individual’s goals.

This means commitment matters as much as the scar management plan itself, attending follow-up appointments, engaging with rehabilitation, and allowing adequate time between stages all play a part in the overall outcome.

Having a realistic understanding of what to expect, and the time and involvement required, is part of preparing for the reconstructive journey — not a discouragement from pursuing it, but a foundation for approaching it well. Burn scars continue to remodel over time, so treatment plans are often adjusted as recovery progresses.

If you are considering treatment for scars following a burn injury and would like to discuss what the process may involve, you are welcome to arrange a consultation if appropriate.

In individuals with a personal or familial predisposition to keloid formation, timing becomes a central consideration in...
05/10/2026

In individuals with a personal or familial predisposition to keloid formation, timing becomes a central consideration in scar management.

The early phase of wound healing represents a window during which scar behaviour is still being shaped.

Once a dysregulated response is established, subsequent intervention becomes more complex.

Two key drivers are consistently implicated in keloid development: persistent inflammation and mechanical tension.

Prolonged or exaggerated inflammatory signalling can sustain fibroproliferative activity, while mechanical forces across the healing tissue can further amplify this response.

Early management is therefore directed at modulating these underlying processes, rather than responding only once structural changes are established.

In this context, assessment at an early stage allows for a more proactive and biologically guided approach to scar development.

Address

East Sydney Private Hospital, Suite 1, Level 6, 75 Crown Street
Sydney, NSW
2011

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