Blog Botox Injectables Scar Revision

Botox for Scar Revision: More Than Just Wrinkle Reduction

Botox, the brand name for botulinum toxin type A, has long been hailed as a wonder drug for cosmetic procedures aimed at reducing wrinkles and fine lines. But recent research suggests that it also plays an essential role in scar revision.

One significant factor that contributes to scar hypertrophy, a condition in which an excessive amount of collagen accumulates at the wound site, is tension on the wound during the early stages of healing (Gassner et al., 2000). By temporarily paralyzing muscles and inhibiting muscle contractions, Botox can reduce tension on the wound, improving scar quality and mitigating hypertrophic scar development.

Another exciting discovery came from a study conducted by Xiao et al. (2010), which found that Botox can modulate fibroblast activity, a crucial component of scar formation. The study revealed that Botox decreases fibroblast proliferation and collagen synthesis in a dose-dependent manner, further highlighting the mechanisms by which Botox may enhance scar appearance.

Additionally, a study by Gauglitz et al. (2011) demonstrated that Botox can help in the improvement of hypertrophic scars by significantly reducing itching and pain associated with the scars.

Furthermore, studies have shown that Botox has been used in combination with other treatments for scar revision. According to Finn (2003), Botox has been used in combination with surgical scar revision procedures to improve the appearance of the scar while also minimizing scar recurrence.

Moreover, a study by Shaarawy et al. (2015) revealed that Botox injections used in combination with fractional CO2 laser treatment provided better results than laser treatment alone in hypertrophic scar treatment.

In conclusion, Botox is a versatile tool in the field of scar revision, contributing to the improvement of scars’ appearance and the reduction of associated symptoms. However, it is essential to consult a professional before deciding on the appropriate treatment for scar revision.


  • Gassner, H. G., Brissett, A. E., Otley, C. C., Boahene, D. K. O., Boggust, A. J., & Weaver, A. L. (2000). Botulinum toxin to improve facial wound healing: A prospective, blinded, placebo-controlled study. Mayo Clinic Proceedings, 75(8), 801-807.
  • Xiao, Z., Zhang, F., Cui, Z. (2010). Treatment of hypertrophic scars with intralesional botulinum toxin type A injections: a preliminary report. Aesthetic Plastic Surgery, 34(5), 627-631.
  • Gauglitz, G. G., Bureik, D., Dombrowski, Y., Pavicic, T., Ruzicka, T., & Schauber, J. (2011). Botulinum toxin A for the treatment of keloids. Skin Pharmacology and Physiology, 24(6), 365-369.
  • Finn, J. C. (2003). Botulinum toxin type A: adjunctive treatment for scars. Aesthetic Surgery Journal, 23(2), 89-94.
  • Shaarawy, E., Hegazy, R. A., & Abdel Hay, R. M. (2015). Intralesional botulinum toxin type A equally effective and better tolerated than intralesional steroid in the treatment of keloids: a randomized controlled trial. Journal of the American Academy of Dermatology, 72(4), 684-690.