Chickenpox scars that have been present for many years are usually permanent skin changes caused by damage to the deeper layers of the skin during the infection. However, even old scars can often be improved to some extent with proper treatment, although complete removal may not always be possible. The best treatment depends on whether the marks are dark spots, pits, dents, or raised scars. Mild marks may improve with regular use of dermatologist-recommended creams containing retinoids, vitamin C, glycolic acid, or other skin-renewing ingredients. Using sunscreen regularly is also important because sunlight can make scars and pigmentation appear darker. For deeper or long-standing scars, procedures such as chemical peels, microneedling, laser treatment, dermabrasion, fillers, or scar revision procedures may provide better improvement. These treatments are usually done by a dermatologist and may require multiple sessions for noticeable results. It is important to avoid harsh home remedies or picking at the skin, as this can worsen scarring or cause irritation. Since your scars are around 30 years old, improvement may be gradual rather than complete, but many people still achieve smoother skin and better appearance with modern skin treatments. Consulting a dermatologist is the best way to assess the type of scars and decide which treatment option is most suitable for your skin.

For itchy keloids, start with over-the-counter silicone gel sheets or silicone-based gels, which help flatten the scar and relieve itching. For immediate itch relief, you can temporarily apply a mild 1% hydrocortisone cream. However, topical over-the-counter ointments have limited effectiveness in shrinking established keloids. I highly recommend consulting a dermatologist. They can provide highly effective, targeted treatments, most notably corticosteroid injections directly into the keloid. These injections are excellent for rapidly reducing both the itching and the size of the scar. Avoid scratching them, as irritation can cause keloids to grow larger.

For old facial burn scars, complete removal is difficult, but their appearance can be improved with the right care. You can try scar-reducing creams with ingredients like allantoin, vitamin E, or onion extract (such as Fixderma Scar Gel), which may improve skin texture gradually. Most importantly, use sunscreen daily on the scar to prevent darkening.

A scar on the eyebrow can improve gradually over time, but the result depends on how deep or old the scar is. To help reduce the appearance of the scar and improve the skin, keep the area moisturised and protected from sunlight because sun exposure can make scars look darker and more noticeable. Applying a gentle moisturiser or silicone-based scar gel regularly may help soften and flatten the scar over time. Avoid scratching, rubbing, or using harsh creams on the area. If the scar is recent, proper skin care and patience are important because healing can continue for several months. If eyebrow hair is not growing properly over the scar, some people use cosmetic options like eyebrow pencils, powders, or microblading to improve appearance temporarily. For deeper, depressed, raised, or very noticeable scars, a dermatologist may suggest treatments such as microneedling, laser therapy, chemical peels, steroid injections, or minor scar revision procedures, depending on the type of scar. In some cases, hair transplant procedures can also help restore eyebrow hair growth over scarred areas. It is best not to use strong skin-lightening creams or steroid creams without medical advice because they may damage the skin further. If the scar is painful, itchy, increasing in size, or significantly affecting your confidence, consulting a skin specialist can help you choose the safest and most suitable treatment. With proper care and the right treatment, many eyebrow scars can become much less visible over time.