Complex scars can appear after surgery, trauma, burn, severe acne or as a result of abnormal scarring, as occurs in keloids and hypertrophic scars. In addition to their aesthetic impact, some scars can cause pain, itching, functional limitation or significantly affect quality of life.
One of the most frequently asked questions is which doctor should assess a complex scar and when it is advisable to see a specialist.
The dermatologist is the specialist indicated for the treatment of complex scars
The dermatologist is the doctor specialized in the diagnosis and treatment of skin diseases and, therefore, the indicated professional to assess most scars.
Each scar has different characteristics. Its origin, evolution, depth, location and behaviour condition the most appropriate treatment. For this reason, the first step should always be an individualised medical assessment that allows an accurate diagnosis to be established and a personalised therapeutic strategy to be designed.
Dr. Didac Barco’s Approach to Treating Complex Scars
Dr. Didac Barco is a specialist in Medical-Surgical Dermatology and Venereology via MIR and develops a very important part of his clinical activity in the treatment of complex scars and in the application of dermatological laser.
His practice focuses especially on the treatment of acne scars, surgical scars, keloids and other skin alterations that require an individualized approach. Each patient is different and each scar responds differently. For this reason, Dr. Didac Barco carries out a detailed assessment of each case before selecting the most appropriate treatment, combining different techniques and technologies when necessary to achieve the best possible evolution.
His clinical activity at the Corium Dermatology clinic in Barcelona is complemented by intense teaching and research work, regularly participating as a speaker at national and international conferences and training doctors and dermatologists in the use of dermatological laser and scar treatment.
What is considered a complex scar?
Not all scars require the same treatment.
Generally, complex scars are considered to be those that, due to their clinical characteristics or evolution, require a specialized assessment.
These include:
• Acne scars.
• Keloids.
• Hypertrophic scars.
• Surgical scars with poor evolution.
• Traumatic scars.
• Burn scars.
• Scars that cause pain, itching or functional limitation.
Each of them requires a different therapeutic strategy.
How are complex scars treated?
Currently, there are different therapeutic options for the treatment of scars.
The choice depends on the type of scar, its age, the skin phototype and the characteristics of each patient. Among the techniques that can be used are:
• Fractional CO2 laser.
• Vascular laser.
• Radiofrequency with microneedling.
• Subcision.
• Intralesional infiltrations.
• Cryotherapy.
• Surgical techniques.
• Combined treatments.
The goal is not to apply a single technique, but to select the combination of procedures that can offer the greatest benefit to each patient.
The Importance of Scar Treatment Experience
Treating a complex scar requires much more than technology.
It is necessary to know the natural evolution of each type of scar, the indications and limitations of each procedure and how to combine different techniques when necessary.

For this reason, Dr. Didac Barco has oriented an important part of his professional activity to the study and treatment of scars, integrating clinical experience with scientific research and the continuous training of other doctors and dermatologists.
Research, teaching and clinical practice
In addition to his healthcare activity, Dr. Didac Barco carries out intense teaching and research work related to the treatment of scars and the use of dermatological lasers.
He participates as a professor in courses, workshops, clinical rotations and national and international congresses, where he shares treatment protocols, clinical cases and the practical application of different technologies. This activity allows him to continuously incorporate the most relevant scientific advances into his clinical practice and offer treatments based on the most current scientific evidence.
When to consult with a scar specialist?
It is advisable to request a medical assessment when a scar has an unfavourable evolution, causes discomfort, limits mobility, generates a significant aesthetic concern or when there are doubts about the most appropriate treatment.
An early assessment allows us to know the different therapeutic alternatives and plan the most appropriate treatment according to the characteristics of each case.
Frequently Asked Questions
Which doctor treats complex scars?
In most cases, the indicated specialist is the dermatologist, as he or she is the doctor who specialises in the diagnosis and treatment of skin diseases and healing disorders.
What type of scars does Dr. Didac Barco treat?
Dr. Didac Barco treats acne scars, surgical scars, keloids, traumatic scars, and other skin alterations that require personalized treatment and, in many cases, the use of laser technologies.
Is it necessary to use lasers on all scars?
No. Treatment depends on the type of scar and the characteristics of each patient. In some cases, the laser is a very useful tool, while in others it may be necessary to combine different procedures or use other techniques.
What technologies does Dr. Dídac Barco use?
Treatment may include fractional CO2 laser, vascular laser, radiofrequency with microneedles, intralesional infiltrations, subcision, cryotherapy or other techniques. The choice is always made after an individualized assessment.
How can I request a valuation?
Dr. Dídac Barco’s consultations are carried out at Corium Dermatology, in Barcelona. You can request a first consultation online from this link.
Request a specialized assessment
If you are looking for a dermatologist with experience in the treatment of complex scars and in the use of dermatological laser in Barcelona, you can request an initial consultation with Dr. Didac Barco through this link.
After a complete clinical evaluation, you will receive an accurate diagnosis and a personalized treatment proposal, based on scientific evidence and adapted to the characteristics of your case.
Do you want to make an appointment?
If you have questions about the treatment or want to book an appointment, you can:
Email info@coriumdermatology.com
Call 93 715 56 08.
Send a WhatsApp message to 620 92 86 11.