Scar Care That Goes Beyond the Surface
Your dermatologist or Mohs surgeon treats the scar you can see. We treat the three things you can’t: how well you heal, whether the scar hurts or tethers deeper tissue, and whether your own biology — connective tissue and hypermobility — is working for or against you.
The Part of Scar Care You Can’t See From the Surface
A great scar outcome is a team effort. Board-certified dermatologists and fellowship-trained Mohs surgeons do superb work on the visible scar — excision, subcision, laser resurfacing, and reconstruction. In Beverly Hills, Dr. Salar Hazany and the team at the Scar Healing Institute are among the best in the world at exactly that surface work.
But a scar is three-dimensional. Underneath a line on the skin sits living tissue that has to knit back together, fascia that can adhere and pull, and a body whose collagen biology may heal beautifully — or poorly. That is the layer The Fascia Institute and Treatment Center of LA works on. We don’t compete with your dermatologist or surgeon; we sit alongside them, handling the medical and functional side of scars so their cosmetic result has the best possible foundation.
We do that three ways: we optimize your healing before surgery, we release painful, restricted scar tissue under ultrasound, and we evaluate for hypermobility when your scars or healing suggest a connective-tissue cause.
become chronically painful
report abnormal scarring
your surgeon & your scars
Metabolically optimize patients for surgery
How a scar ultimately looks and feels is decided partly on the operating chair and partly in the weeks around it. Wound repair is a metabolic event that draws on protein, vitamin C, zinc, and dozens of other cofactors, and the research is consistent: nutritional status shapes both skin wound healing and the final aesthetic appearance of a scar, and correcting deficits before an operation is associated with fewer wound complications and smoother recovery.1,2
Instead of guessing, we test. Our FIT GPS Genomic Performance Screen reads the genetic and metabolic factors that influence how you build collagen and clear inflammation, and we translate the results into a targeted, custom supplementation and nutrition plan through our Fascia Performance Program. The goal is simple: patients arrive at their dermatology or Mohs procedure primed to heal.
Release scar tissue under ultrasound
Some scars don’t just look different — they hurt, pull, or limit movement. A painful scar is a recognized clinical entity, and the pain often comes from tissue and fascia below the surface that has tethered or adhered as it healed.3 Cosmetic treatment smooths the top; it doesn’t always free what’s stuck underneath.
This is our home turf. We first map the problem with diagnostic ultrasound — our Fascial Mapping® exam pinpoints exactly where a scar is adhered to the fascial plane beneath it. Then we treat it with Hydrofascia Release™, an ultrasound-guided hydrodissection that gently separates the tethered layers. Freeing a fascial adhesion this way can relieve pain and restore glide, and manual fascial scar-release techniques have been shown to reduce chronic scar pain years after the original surgery.4,5 Where tissue also needs strengthening, we add Dextrose Prolotherapy or ProloBoost Dual PRP. Your dermatologist keeps ownership of the scar’s appearance; we take the pain and the pull.
Evaluate patients for hypermobility
When scars come out wide, thin, stretched, or slow to heal — or when keloids and easy bruising keep recurring — the skin may be reporting something about the whole body. Abnormal scarring and impaired wound healing are hallmark features of joint hypermobility and the Ehlers-Danlos syndromes, and in surveys a majority of people with hypermobile EDS report exactly these problems.6,7 Many have never been diagnosed.
Recognizing it changes everything about how a patient should be managed around a procedure — wound tension, closure technique, dressings, and realistic expectations — and it finally connects scattered symptoms a patient may have carried for years. Our Hypermobility & EDS program evaluates for connective-tissue causes and co-manages them, so your dermatologist has the full clinical picture before the first incision. Learn more about the connective tissue itself on our What Is Fascia? primer, or explore our whole approach to Fascia Medicine.
Two clinics, one result — a few doors apart
Diagnoses and removes skin cancer, and treats the visible scar — excision, subcision, collagen induction, and laser resurfacing to perfect appearance.
Optimizes healing before surgery, releases painful scar tissue under ultrasound, and evaluates for the hypermobility that can undermine any repair.
Our Beverly Hills clinic sits in the Golden Triangle, minutes from Dr. Hazany’s office on Rodeo Drive — close enough to genuinely co-manage a patient, not just cross-refer on paper. We do not diagnose or treat skin cancer; that stays with your dermatologist.
Frequently Asked Questions
No. We work with them. They own the diagnosis, the skin-cancer care, and the cosmetic result; we handle healing optimization, painful or restricted scar tissue, and connective-tissue evaluation. It’s co-management, not a hand-off.
Yes — that’s ideal. A few weeks of targeted metabolic and nutritional optimization, guided by our GPS genomic screen, helps you arrive ready to heal. We coordinate timing with your surgeon.
Often, yes. We use diagnostic ultrasound to find where the scar is tethered to the tissue beneath it, then Hydrofascia Release™ to free that adhesion. Many patients notice less pain and better movement once the deep restriction is released.
Because wide, stretched, or slow-healing scars, keloids, and easy bruising are classic signs of Ehlers-Danlos syndrome and joint hypermobility. Finding it lets your surgeon adapt closure and aftercare — and often explains other symptoms you’ve had for years.
We’re at 415 North Crescent Drive, Suite 130, in Beverly Hills’ Golden Triangle — a short walk from Rodeo Drive. No referral is required; you can book directly. California patients can start with telehealth for the parts that don’t need hands-on care. See pricing for details.
Give your scar care a deeper foundation
Whether you’re preparing for a procedure, living with a scar that hurts, or wondering why you heal the way you do — let’s take a look.
Book an Evaluation
Call (424) 378-3488
The Fascia Institute and Treatment Center® of LA · 415 North Crescent Drive, Suite 130, Beverly Hills, CA 90210 · fit@fasciala.com
Medically reviewed by Dr. Jacques Courseault, MD, founder and medical director of The Fascia Institute and Treatment Center of LA.
- Seth I, Lim B, Cevik J, et al. Impact of nutrition on skin wound healing and aesthetic outcomes: a comprehensive narrative review. JPRAS Open. 2024;39:291–302. PMID 38370002. pubmed.ncbi.nlm.nih.gov/38370002
- Loon MM, Goshe M, Rashid M, et al. Impact of preoperative nutritional support on surgical outcomes in gastrointestinal surgeries: a systematic review. Cureus. 2024;16(3):e56416. PMID 38638718. pubmed.ncbi.nlm.nih.gov/38638718
- Abd-Elsayed A, Pope J, Mundey DA, et al. Diagnosis, treatment, and management of painful scar: a narrative review. J Pain Res. 2022;15:925–937. PMID 35411187. pubmed.ncbi.nlm.nih.gov/35411187
- Gerard NO 3rd, Mortell TM, Kingry C, Couture C, Courseault J. Hydrodissection of an ulnar nerve fascial adhesion in a baseball pitcher. JSES Rev Rep Tech. 2023;3(2):252–255. PMID 37588433. pubmed.ncbi.nlm.nih.gov/37588433
- Wasserman JB, et al. Chronic caesarian section scar pain treated with fascial scar release techniques: a case series. J Bodyw Mov Ther. 2016;20(4):906–913. PMID 27814873. pubmed.ncbi.nlm.nih.gov/27814873
- Angwin C, Doolan BJ, Hausser I, et al. Skin fragility and wound management in Ehlers–Danlos syndromes: a report by the International Consortium on EDS and HSD Skin Working Group. Clin Exp Dermatol. 2024;49(12):1496–1503. PMID 38767179. pubmed.ncbi.nlm.nih.gov/38767179
- Snyder AN, Lateef A, Strat N, et al. Physician- and patient-reported dermatologic comorbidities of hypermobile Ehlers-Danlos syndrome. J Am Acad Dermatol. 2024;90(4):824–826. PMID 38040336. pubmed.ncbi.nlm.nih.gov/38040336
Founded by Dr. Jacques Courseault, MD, our network treats fascia and hypermobility nationwide. Explore the flagship Fascia Institute in New Orleans and its research and publications, or visit the dedicated Hypermobility & Ehlers-Danlos Clinic and its EDS blog to learn how connective-tissue disorders affect the whole body.
This page is for general education and is not a substitute for individualized medical advice. The Fascia Institute does not diagnose or treat skin cancer — skin-cancer diagnosis and surgical removal remain with your dermatologist or Mohs surgeon. Outcomes vary from person to person, and no result is guaranteed. See your physician for diagnosis and before starting or changing any treatment.
