Abnormal scars are a common complication of the wound healing process, associated with aesthetic, functional and psychological morbidities. The constant development of our understanding of the pathophysiology of scars has led to the development of different treatment modalities and protocols. Treatment during the early stages of wound healing is considered scar prevention and is associated with better cosmetic results than older mature scars. Several studies have demonstrated optimal results with therapeutic protocols combining different treatment modalities, the most important of them being laser technology. Every scar is unique and requires a customized approach and a combination of modalities to achieve the most aesthetic outcome.