http://www.scarlesstheclinic.com.au/

Scarless - The Clinic, East Sydney Private Hospital, Suite 1, Level 6, 75 Crown Street, Sydney (2025)

13/10/2025

We're honoured to be presenting at ANZBA's annual scientific meeting - the premier gathering for burn care leaders and practitioners across Australia and New Zealand.

Dr Andrea Issler-Fisher will share insights on emerging laser technology in burn-scar management, highlighting UltraClear™ — a next-generation cold-fibre ablative fractional laser — and exploring whether this platform could represent the next evolution beyond traditional CO₂-based approaches.

These scientific meetings are invaluable opportunities to connect with renowned leaders in the field, exchange knowledge, and contribute to the ongoing conversation about advancing patient care.

It's where innovation meets clinical experience, and where the future of burn scar treatment takes shape.

Grateful to be part of this important dialogue with Australia and New Zealand's burn care community.

12/10/2025

October reminds us of the importance of awareness, early detection, and the incredible strength of women navigating breast cancer journeys.

Behind every statistic is a person - a daughter, mother, sister, friend - facing decisions and challenges that require extraordinary courage.

The strength we witness in our patients who've walked this path continues to inspire us every single day.

Breast cancer awareness isn't just about wearing pink. It's about encouraging conversations that save lives, supporting research that advances treatment, and standing alongside those currently in treatment or recovery.

It's about remembering that healing extends beyond the medical - it encompasses physical, emotional, and psychological wellbeing.

To every woman who has faced breast cancer, who is currently fighting, or who supports someone on this journey - your resilience doesn't go unnoticed.

Your courage in navigating treatment decisions, managing side effects, and rebuilding confidence afterwards is remarkable.

This October, we encourage everyone to have those important conversations about breast health, to support the women in your lives, and to remember that awareness truly does save lives.

08/10/2025

Depending on your individual situation, early treatment might include pressure therapy to reduce tension on the healing tissue, silicone products to create optimal healing conditions, or other targeted approaches that your specialist might recommend based on your specific risk profile.

The key is managing inflammation and mechanical tension from the very beginning.

Think of it as setting up the best possible environment for your skin to heal normally, rather than trying to correct problematic scarring after it's already formed.

If you're scheduled for surgery or have recently been injured, and keloids are a concern for you, don't wait to have this conversation.

Early intervention strategies are often much more effective than treating established keloid scars later on.

Every person's risk profile is different, so what works best for you will depend on factors like your skin type, ethnicity, the location of the wound, past medical history, and your individual healing patterns.

06/10/2025

Surgical scar revision can involve techniques such as small excisions, local tissue rearrangement, or skin grafting.

The choice of method — and whether it’s performed under local anaesthetic, sedation, or general anaesthetic — depends on the size, depth, and location of the scar.

*All medical procedures carry inherent risks and potential complications. A thorough consultation and clinical assessment are required to determine suitability for treatment. Individual outcomes may vary.

05/10/2025

Over a year of dedicated multimodal care — showing what’s possible when treatment is tailored, consistent, and patient-centred.

This was an especially challenging case, having proven resistant to conventional approaches before starting this program.

01/10/2025

It was an absolute honour for us to be part of the Flat Life Live Event 2025.

This inspiring day brought together women who have undergone mastectomy, sharing stories of resilience, courage and connection.

We are grateful for the opportunity to contribute an educational session on evidence-based scar care – aiming to empower women with knowledge about healing, comfort and long-term scar support.

Events like these remind us that recovery is more than physical: it’s about community, support and strength.

Thank you to the incredible Flat Life team for creating such a welcoming space.

28/09/2025

Time for a quick myth-busting quiz! Test your scar knowledge with us.

24/09/2025

Successful scar reconstruction isn’t just about the surgery itself.

While an operation can release a contracture, excise a scar, or restore form and function, true success comes from addressing every stage of the healing journey.

Before surgery:

Pre-conditioning techniques — such as improving vascularisation and lymphatic flow — can transform the quality of scar tissue. In burn scars, for example, targeted therapies can remodel the scar, enhance blood flow, and reduce tension, often allowing for less invasive surgical procedures.

In elective surgeries, tissue preconditioning can enhance lymphatic flow and vascularisation, reducing the risk of postoperative complications such as haematoma or seroma formation.

After surgery:

Post-surgical care is tailored to the type of scar and the individual’s needs.

Keloid scars may require adjuvant radiotherapy, pressure therapy, silicone, steroid injections, and targeted scar management.

Surgical scars benefit from lymphatic drainage, scar massage, moisturisation, silicone, photomodulation or laser therapy, and in some cases, intralesional drug delivery.

Burn and traumatic scars may require comprehensive rehabilitation, including scar care, occupational or physiotherapy, LPG Endermologie medical, and laser resurfacing.

The bigger picture:

Scar management is always a holistic process — combining meticulous aftercare, sun protection, regular follow-ups, and attention to both physical and emotional recovery.

The ultimate goal is not only healing the skin, but also restoring confidence and function, helping each person reintegrate fully into daily life and work.

22/09/2025

For many burn survivors, the journey doesn’t end with skin healing — it continues through the daily challenges that follow.

When deeper layers of skin are injured, the resulting scars are more than just visible marks. They can lead to contractures, where tightened scar tissue restricts movement, particularly across joints or high-mobility areas like the neck, shoulders, and hands.

In more severe burns, distortion and deformity of the affected area can affect both function and appearance — altering the way a person moves, communicates, or interacts with the world.

Less visibly, scar contractures can affect not only the site of injury but also surrounding or even distant areas.
Intrinsic contractures arise when scar tissue causes tightening within the injured area itself, leading to distortion or restricted movement of the affected body part.

Extrinsic contractures, in contrast, can cause tension or deformity in distant tissues, often due to mechanical pull or postural changes as the body compensates over time.

These effects extend far beyond the physical. Burn injuries can reshape lives, not just bodies — making comprehensive, multidisciplinary care and compassionate support essential at every stage of recovery.

18/09/2025

Scar care is more than just performing procedures — it's about listening, understanding each scar’s history, and making informed, evidence-based decisions tailored to the individual in front of you.

From the initial consultation to every follow-up, it requires time, clinical insight, and technical precision to understand what the skin has been through — whether from surgery, trauma, burns, or chronic conditions.

No two scars are alike, and no treatment plan is ever exactly the same.

Behind the scenes, it also means reviewing detailed histories, tracking progress, selecting the most appropriate modalities, and working closely with a multidisciplinary team to provide truly integrated care.

Scar treatment isn’t just about physical outcomes — it’s about helping people move forward with greater comfort, confidence, and trust in their recovery journey.

17/09/2025

Fractional laser therapy has been shown to modulate scar vascularisation—typically decreasing vascular density in immature scars while promoting vascular remodelling in mature tissue—helping to enhance and accelerate natural scar maturation.

The patient also reported improvements in heat sensitivity, neuropathic discomfort, and pruritus over the course of treatment.

*All medical procedures carry inherent risks and potential complications. A thorough consultation and clinical assessment are required to determine suitability for treatment. Individual outcomes may vary.

*Some images in this post are from 'Laser Modulation of Hypertrophic Scars’ by Issler-Fisher AC et al., Clin Plast Surg, Vol 44:757-766, © Elsevier 2017.

14/09/2025

Burn scars undergo significant changes in blood supply throughout the healing process — and this balance between too much and too little vascularisation plays a crucial role in scar quality and function.

In immature scars, blood vessels are often overactive (hypervascularisation), making scars appear red and inflamed.

This is driven by ongoing remodelling and inflammation, and may be associated with itch, discomfort, and neuropathic pain.

Scars under tension — such as those across joints or high-movement areas — as well as inflamed scars and keloids tend to be even more vascularised.

As scars mature, the pattern shifts. They often become pale and firm due to reduced blood supply (hypovascularisation).

This lack of vascularisation can contribute to dense, fibrotic tissue that is less flexible and functional limitations.

Understanding these changes in vascularisation is essential when tailoring scar treatments — from targeting excessive blood vessel activity in early scars to addressing poor circulation in mature scars.

By restoring vascular balance, we aim to improve both the appearance and the functional outcome of burn scars.

Scarless - The Clinic

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