Scar work brings clients with a great deal invested in the outcome, which makes honest expectation-setting both harder and more important.
What responds well
Atrophic scarring — rolling acne scars in particular — responds to the collagen induction plasma triggers. Improvement in texture and shadowing is realistic over a course of treatments.
What responds less
Ice pick scarring extends too deep for a surface modality to reach meaningfully. Say so rather than hoping.
Hypertrophic and keloid scarring
Keloid history is a contraindication, not a challenge. A client who keloids has demonstrated how their skin responds to injury, and plasma is a controlled injury.
Language at consultation
“Improve the appearance of” is accurate. “Remove” is not, and a client who heard the second word will measure the result against it however carefully the rest of the conversation went.
