Hypertrophic scars are usually difficult to eradicate when treated by traditional destructive methods. While there is no definitive treatment approach, laser scar revision using pulsed dye laser technology has been shown to result in prolonged positive clinical outcomes. These scars often develop on the anterior chest in pressure-or movement-dependent areas(e.g., scapula) and on body areas that respond with slow wound healing. They may develop in anyone following surgery or trauma and more in individuals with darker skin tones. Hypertrophic scars is raise and remains within the boundries of trauma while a keloid extends beyond the confines of the wound and is more nodular. The vascular specific pulsed dye laser was successfully used to treat hypertrophic scars and keloids.