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Understanding What Causes Scars and How to Treat Them

Every scar is unique and complex. Since no two scars are alike, there are many factors to consider when deciding the best course of action and treatment plan for scars. These factors include type of scar, what caused the scar, the scar’s location, your age and health, and how long you have had the scar. Scars develop as a natural part of the body’s healing process as a result of damage to the dermis, which is the deep, thick layer of skin. They can develop following accidents, skin conditions, surgeries, or other health complications.

scars Honu Women's Health OB / GYN & Aesthetics Physician - Honolulu Hawaii

Choosing Honu Women’s Health for Scar Treatment

At Honu Women’s Health, we believe all women are unique, and it is our unique qualities that make us beautiful. We also understand that uneven skin tone and texture, including scars, can prevent us from feeling that we look our best. Whether you are experiencing acne scars or trauma scars, we understand the impact they can make on self-esteem and want to help you reverse them safely and effectively. This is why we are pleased to offer a variety of treatment options to help you safely reverse and reduce the appearance of scars and reveal smoother skin.

Understanding the Types of Acne Scars

 Acne is a common skin condition that affects teenagers and adults. In some cases, it can leave behind discoloration and uneven texture known as acne scars that can last a lifetime if left untreated. These scars form after acne has healed and can develop on the face, back, neck, shoulders, and chest. Acne scars are commonly divided into three major categories, based on appearance and texture:

  • Atrophic (depressed) scars appear as indentations in the skin. Where skin is thinner, such as on the face, forehead, and upper cheek, they tend to form as small, sharp indentations that are wider at the skin’s surface and narrow below the surface. Where skin is thicker, such as on the lower cheek and jaw, they can appear as small indentations or as an uneven, wavy appearance.
  • Hypertrophic (raised) scars are often caused by excess scar tissue. They can appear as small, hard growths or bumps, and are more common in areas with thicker skin, such as the chest, back, and shoulders. While this excess scar tissue is harmless, it can be frustrating or irritating to deal with, and some individuals experience discomfort as a result of scar tissue.
  • Hyperpigmentation is not a form of scarring, but rather a discoloration or darkening of the skin which appears after acne has healed. For those suffering from acne, it is common for the skin to become inflamed, which can cause the skin to produce excess melanin or pigment. This can leave behind dark patches or spots once the acne has healed.

Find Your Inner Health and Outer Beauty™

Common Trauma Scars Treated at Honu Women’s Health

 Our skin acts as a protective barrier for our bodies, and as a result, it can experience traumas that lead to scarring.

  • Stretch marks are narrow streaks that appear in the skin as a result of rapid growth. They can form as the skin stretches quickly as a result of pregnancy, growth spurts, weight gain, or weight loss. Stretch marks may heal over time, but some stretch marks persist and can prevent us from feeling our best.
  • C-section and surgical scars can commonly develop as your skin heals following an incision. Your skin naturally produces additional collagen to heal, and when it produces excess skin tissue, it can lead to a raised appearance at the site of the incision. Alternatively, as the skin heals, the soft tissues around the wound may change characteristics and lead to dimpling or an indentation around the incision site.

Selecting the Best Treatment for Your Scars

 Honu Women’s Health is dedicated to addressing every woman’s unique needs and enabling her to be her most confident self and to take control of her health and wellbeing. We offer a variety of treatments to help women achieve inner health and outer beauty, enabling them to look and feel their best. Dr. Aya Sultan brings expertise and patience to each of her patients, and through a personalized consultation, can determine which treatments are best to treat and reverse your unique scars. Available treatments include:

Medical Creams

Help prevent scars, eg, applying on surgical incisions immediately after surgery.


This treatment combines exfoliation, extraction and the infusion of conditioning serums in order to treat skin issues such as hyperpigmentation. This customizable treatment hydrates scars on the face and body to reduce and soften their appearance.

Dermal Fillers

Cosmetic injectables can be utilized to replace lost facial volume and treat the skin around depressed acne scars in order to improve skin texture.

Fractional Laser Technology

This type of laser treatment delivers specialized pulses of energy to your skin in order to encourage your body’s natural healing process and reduce hyperpigmentation, wrinkles, stretch marks or scarring.

Secret™ RF Microneedling

This high-powered microneedling system is an effective and minimally invasive treatment that is utilized for scar remodeling and can reduce the appearance of hyperpigmentation, acne scars, or sun damage.

Platelet-Rich Plasma (PRP)

This treatment harnesses the powerful nutrients of your own blood plasma to heal and rejuvenate damaged skin and help in the remodeling of scars. Many of these treatments can be used in customized combinations to help achieve your desired results as quickly as possible.

Taking Care of Your Skin

At Honu Women’s Health, we believe in caring for women’s total body health and we embrace the fact that every woman has uniqueness in body, mind and spirit. Skin is the body’s largest organ, so it deserves high-quality care and attention. By nourishing and optimizing the skin, a direct impact can be made on mental, physical, and spiritual health.

Contact us today to start your journey to smoother, more even-toned skin, and renewed confidence with a customized scar reversal plan.