Scar Management

Scar Management

Bran Sivakumar as a specialist paediatric plastic surgeon has great insight into scar management. He works with a team of dermatologists, physiotherapists and occupational therapists who together specialise in preventing and treating with troublesome scars.

Scars can be caused after any wound or injury. They form as part of the healing process.  When skin is damaged the body produces a protein called collagen which helps to heal and strengthen a wound. A scar continues to change even after a wound has healed. A process of scar maturation occurs for a period of around one year after a wound has healed. Although scars are permanent they can fade and soften making them less visible.

In some instances there is an imbalance in the production of collagen in a healing wound. In these cases a keloid or hypertrophic scar can be formed. Keloid scars tend to extend beyond the edges of a wound as a result of too much collagen being produced once a wound has finished healing. Keloids are often raised, itchy and painful. Some areas around the body are more susceptible to developing keloid scars such as the area in front of the breastbone, the upper arms and shoulders, upper back and earlobes.

Hypertrophic scars unlike keloid scars do not extend beyond the edge of a wound. Thickened areas of scarring can cause a number of problems. They can be unsightly and can cause contractures which limit movement particularly if they occur across a joint.

Although scars cannot be completely removed from they can be made less visible through a number of different treatments. These include conservative measures such as scar massage, compression and the use of silicon gels or sheets. Some keloid and hypertrophic scars respond well to steroid injections. Surgery is also useful in some instances. It is possible in some instances to reduce a scar’s width, change its shape or re-orientate it to make it less visible. In adults this is often possible under a local anaesthetic.

Other surgical techniques include fat transfer for indented or pitted scars, minimally invasive scar release or the use of dermal techniques to re-contour tethered scars.



To book an appointment with Mr Sivakumar or for more information please call 020 7432 8329 or email


Mr Sivakumar works within London’s leading children's hospitals: Great Ormond Street Hospital, The Portland Hospital for Women and Children and the Royal Free Hospital.


Great Ormond Street Hospital for Children
NHS Foundation Trust


The Portland Hospital for Women and Children
205 - 209 Great Portland Street


Royal Free Hospital
Pond Street

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If you prefer, please call 020 7305 5673 or email