Scars and stretch marks are not just an aesthetic problem – they are permanent changes in the skin's structure, associated with damage to collagen and elastin fibers. Creams or superficial treatments cannot realistically remodel them. Effective therapy requires reaching the dermis and initiating a controlled regeneration process.
Skin resurfacing with fractional lasers is one of the most advanced methods for treating scars and stretch marks available in modern aesthetic medicine. At Ambasada Urody Warsaw, we use non-ablative, ablative, and hybrid solutions, which allow us to precisely adjust the intensity of the therapy to the type of change and the expected effect.
How do fractional lasers work?
Fractional technology is based on creating microscopic thermal zones in the skin – point damages separated by fragments of healthy tissue. It is this “grid” of microstimulation that triggers intensive remodeling without the risk of extensive damage to the entire skin surface.
- Non-ablative laser – deep stimulation without disrupting the epidermis
The non-ablative laser works selectively in the deeper layers of the skin (up to approximately 2.5 mm), without damaging the surface of the epidermis.
→ It creates deeply coagulated microthermal zones in the dermis
→ It stimulates fibroblasts to produce new collagen and elastin
→ It initiates the remodeling of the extracellular matrix
→ It minimizes recovery time
This solution is recommended for fresh stretch marks, moderately severe scars, and patients who seek a short healing time.
- Fractional ablative laser – intensive remodeling and surface resurfacing
The ablative laser works both deep in the skin and on its surface. It evaporates microcolumns of tissue, creating ablative zones with coagulated edges.
→ It removes the damaged epidermal layer
→ It strongly stimulates the healing and regeneration process
→ It smooths the skin structure
→ It effectively reduces even deep scars and stretch marks
This is a more invasive method, requiring a longer recovery period but providing more noticeable effects for entrenched and deep changes.
- Alma Hybrid OScar hybrid laser – a combination of power and precision
Hybrid technology combines the action of the CO₂ ablative laser and 1570 nm non-ablative light in a single treatment. This allows for simultaneous:
→ evaporation of microzones of damaged tissue,
→ deep coagulation of the dermis,
→ strong stimulation of collagen synthesis,
→ remodeling of the scar along with improvement in its color and structure.
It is currently one of the most advanced methods for treating traumatic, postoperative, acne scars, and stretch marks – even those that are many years old. The combination of both technologies achieves an effect that a single method does not provide.
When is it worth undergoing fractional resurfacing?
Laser skin remodeling makes sense when the change is structural – meaning when the problem concerns the architecture of the skin, not just its surface.
The procedure is recommended for:
- postoperative and traumatic scars
- cesarean section scars
- hypertrophic and atrophic scars
- stretch marks after pregnancy or weight loss
- adolescent stretch marks
- uneven skin structure after injuries
The earlier the therapy is started (after the active healing phase is complete), the better the remodeling potential. However, even long-standing changes can significantly improve with a properly tailored protocol.
Which body areas is the treatment applied to?
Fractional resurfacing can be safely performed on most body areas:
→ abdomen (including the cesarean section area)
→ thighs and buttocks
→ hips
→ arms
→ breasts
→ back
→ knee area
The choice of parameters always depends on the thickness of the skin and the nature of the change. Each therapy is preceded by a consultation and assessment of the scar or stretch mark's structure.
What can be realistically expected from laser therapy?
The laser does not “erase” the scar – it remodels it. This is a fundamental difference worth clearly communicating. The effects are gradual and cumulative over time, along with the synthesis of new collagen.
→ Reduction in scar visibility – through remodeling of collagen fibers and leveling of the skin surface
→ Smoothing of stretch marks – due to densification and thickening of the dermis
→ Evening out of skin tone – reduction of pigmentation difference between the change and healthy skin
→ Improved elasticity – newly formed collagen increases tension and elasticity
→ Smoothing of structure – especially in the case of ablative and hybrid therapy
→ Gradual regeneration – the remodeling process lasts several months post-treatment
We usually evaluate the full effect after a series of 2–4 treatments, performed at appropriate intervals.
What can be combined with laser scar and stretch mark removal?
Combining therapies often accelerates and enhances effects – provided the correct order and timing are maintained.
Possible supporting protocols:
- INDIBA® – 2–3 weeks after laser treatment to accelerate regeneration and improve microcirculation
- needle mesotherapy – after full healing of the epidermis (usually 4–6 weeks), for additional biostimulation
- manual scar therapy – for postoperative scars as preparation for the laser
We do not combine fractional laser with intensive exfoliating procedures or strongly irritating treatments in a short time interval. The skin must complete the healing process before the next intervention.
Why do patients choose this method?
Because it is a causal treatment, not masking the problem.
Patients choose fractional resurfacing because:
→ it provides real improvement in skin structure
→ it allows work on even long-standing changes
→ it can be tailored to lifestyle intensity
→ the effects are natural and biologically justified
→ improving skin quality also affects its tension and overall appearance
This is a therapy for people who expect concrete results – not an illusion of improvement.
Laser scar and stretch mark removal is a process of controlled skin remodeling. Thanks to fractional technology, it is possible to initiate intensive regeneration while maintaining safety and precision of action.
The choice between non-ablative, ablative laser, and hybrid technology depends on the type of change, its depth, and the expected effect. A well-planned series of treatments can significantly improve skin structure, color, and elasticity – without artificiality and exaggeration.
If a scar or stretch marks truly affect your well-being, it is worth treating them as a medical problem, not just an aesthetic one. The skin has the ability to regenerate – it just needs to be properly activated.
Learn more: Usuwanie blizn laserem, Usuwanie rozstępów laserem