Scars heal differently from patient to patient. Some fade quietly; others remain raised, thickened, discoloured or positioned in ways that cause discomfort, restrict movement or affect confidence. How a scar forms depends on genetics, skin type, wound location and the quality of initial care, so some patients are predisposed to more pronounced scarring regardless of how well a wound is managed.
Mr Hazim Sadideen is a Consultant Plastic and Reconstructive Surgeon with a specialist interest in scar management and regenerative surgery, recognised as one of the UK’s leading experts in this field. He was named in the Tatler Beauty and Cosmetic Surgery Guide 2026, in the Scar Wars category, in recognition of the results he achieves even with complex scar presentations.
Common scar types include hypertrophic scars, raised and thickened but confined to the original wound; keloid scars, which extend beyond it and can continue growing, more common in darker skin tones; atrophic scars, depressed scars often linked to acne; post-surgical scars that have healed unevenly or with poor placement; contracture scars, which tighten the skin and restrict movement, often following burns; and traumatic scars from injuries or accidents.
Scar revision may be appropriate for patients with a scar that is causing physical discomfort, itching, tightness or restriction of movement, or who are affected by the appearance of a scar, whether due to its size, position, colour, texture or prominence. This includes patients with a post-surgical scar that has not healed as expected, a hypertrophic or keloid scar that has not responded adequately to conservative management, or an atrophic or depressed scar affecting skin texture and confidence. Good candidates are in good general health and have realistic expectations about the degree of improvement achievable.
It is important to understand that scar revision does not remove a scar entirely. The aim is to improve its appearance, reduce any associated symptoms and produce a result that is less noticeable and more comfortable. Mr Sadideen discusses realistic outcomes in full during consultation.
Timing is one of the most important factors in scar management. Scars continue to mature for up to eighteen months after the original wound or surgery, and intervening too early can disrupt the natural healing process rather than improve it. Non-surgical treatments such as silicone and massage are most effective when started early in the healing process, typically within weeks of wound closure. Corticosteroid injections for hypertrophic or keloid scars are often most effective while the scar is still active and raised, typically within the first year. Surgical revision is generally considered only once a scar has fully matured, usually at twelve to eighteen months after the original wound, to ensure the new scar has the best possible healing environment. Keloid scars require particularly careful timing and are often managed with a combination of treatment modalities to reduce the risk of recurrence.
Mr Sadideen will assess the maturity and behaviour of your scar during consultation and advise on the most appropriate timing and sequence of treatment.
Mr Hazim Sadideen is a board-certified and FRCS-qualified consultant plastic surgeon specialising in aesthetic, reconstructive and regenerative plastic surgery. His approach is grounded in clinical evidence, meticulous surgical technique and personalised planning.
Patients choose Mr Sadideen for his:
Non-surgical scar treatments typically involve minimal to no downtime. Corticosteroid injections and silicone therapy can usually be resumed to normal activity immediately, with results building gradually over several weeks as the scar responds to treatment. Laser treatments and Morpheus8 may cause mild redness or swelling for a few days, with a course of sessions usually spaced four to six weeks apart to allow the skin to respond between treatments. Chemical peels typically involve several days of visible peeling before results settle. As with surgical revision, non-surgical treatments work best when timed appropriately to the scar’s stage of maturity, which Mr Sadideen will confirm during consultation.
Manual lymphatic drainage may be recommended to support healing depending on the location and extent of the revision. Functional medicine and clinical nutrition support is integrated into the recovery plan to optimise healing conditions and long-term scar outcome.
Scar revision carries inherent risks that are discussed openly during consultation. These include the new scar healing in a way that is no better than, or similar to, the original; hypertrophic scarring or keloid recurrence, particularly in patients with a known predisposition; infection or wound healing complications; changes in skin sensation at the treated site; pigmentation changes, particularly in patients with darker skin tones; and the need for further treatment to achieve the desired result.
Mr Sadideen’s thorough assessment, precise technique and structured post-operative care protocol are all designed to minimise these risks and give the revised scar the best possible environment in which to heal.
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