Scars Treatment

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Scars treatment

A scar results from the biologic process of wound repair in the skin and other tissues. They form when the dermis is damaged and the body forms new collagen fibers to mend the damage

ACNE SCARS GLOBAL CLASSIFICATION

Grade I – Macule – erythematous / hyper pigmented/ hypopigmented flat mark
Grade II – Mild rolling, small, soft papular scar
Grade III – Significant rolling, shallow boxcar, and mild- moderate papular / hypertrophic scar

Grade IV – Punched out, atrophic deep boxcar, ice pick, bridges, tunnels, dystrophic, hypertrophic, keloidal scar

Scars can be atrophic or hypertrophic.

ATROPHIC SCARS CAN BE CLASSIFIED AS:

Craters – These are deep scars whose width is equal to or greater than their depth.
Pits – These are scars whose width is less than depth.
Ice pick scars – These are rocket-shaped /V-shaped scars where the base of the rocket is on the skin surface and the tip lies at a depth
Box scars – These are deep U-shaped scars
Rolled scars – These are W-shaped scars.

HYPERTROPHIC SCARS

These are raised scars associated with excessive fibrous tissue formation.

What Are The Types of Scars?

There are several different types of scars including:

Keloid scars: These scars are the result of an overly aggressive healing process. They extend beyond the original injury. Over time, a keloid scar may hamper movement. Treatments include surgery to remove the scar, steroid injections, or silicone sheets to flatten the scar. Smaller keloids can be treated using cryotherapy (freezing therapy using liquid nitrogen). You can also prevent keloid formation by using pressure treatment or gel pads with silicone when you are injured. Keloid scars are most common among people with dark skin.
Contracture scars: If your skin has been burned, you may have a contracture scar. These scars tighten skin, which can impair your ability to move. Contracture scars may also go deeper, affecting muscles and nerves.
Hypertrophic scars: These are raised, red scars that are similar to keloids but do not go beyond the boundary of the injury. Treatments include injections of steroids to reduce inflammation or silicone sheets, which flatten the scar.
Acne scars: If you’ve had severe acne, you probably have the scars to prove it. There are many types of acne scars, ranging from deep pits to scars that are angular or wavelike in appearance. Treatment options depend on the types of acne scars you have.

What Are Possible Treatments for Scars?

Scar treatments may include:

Creams, ointments, or gels: These products can be used to treat scars that are caused by cuts or other injuries or wounds, and are effective when started early. Mostly useful in case of post acne and post surgical scars.
Silicon gel sheets: Usually given in case of post surgical wounds after the suture removal has been done, it prevents scar formation and helps in cosmetic healing of the wound.
Surgical removal or treatment: There are many options to treat deeper scars depending on a particular case. These include skin grafts, excision, or surgery excision.
Injections: Steroid injections are used to treat scars that stick out, such as keloids or hypertrophic scars.
Fillers : Sub-dermal fillers are one of the most quickest option for scar treatment, however the results aren’t permanent and has to be redone every year.

TREATMENT OF ACNE SCARS

Venus Viva : NANOFRACTIONAL RADIOFREQUENCY WITH SMART SCAN TECHNOLOGY Venus Viva™ is safe for all skin types and utilizes with the revolutionary NanoFractional RF™ with SmartScan™ technology that allows heated zone density control and unique pattern generation.
NanoFractional RF™ with SmartScan™ technology is delivered through 160 pins per tip with 62mj per pin, and a smaller footprint per pin (150×20 Microns) resulting in minimal downtime due to micro wound. The state-of-the-art patented tip technology with 1000 pulses and a phenomenal depth of penetration (up to 500 microns), provides varying energy density enabling both ablation of the epidermis and coagulation of the dermis area resulting in skin resurfacing with minimal pain.
MICRONEEDLING : Dermapen 4 glides over the skin creating millions of fine, vertical fractional channels up to 104% faster than other microneedling pens. These channels can carry up to 80% more topical nutrients deeper into the skin.
MORPHEUS 8 PRO : Morpheus8 is a fractional skin treatment that stimulates collagen production of the underlying layers of the dermis. By targeting the deeper layers of the skin, tissues of the face and body can be remodeled to reveal a more radiant youthful
appearance. Morpheus8 can be used on any areas that can benefit from resurfacing and subdermal renewal. The most commonly treated areas include the face, periorbital area, abdomen, thighs, legs, and buttocks.
Chemical Peels : 70% Glycolic Acid peels can be done to treat hyper pigmented, red and shallow scars. TCA peeling can be done for hyper pigmented and deep-pitted scars. Spot TCA peeling is a very good technique for isolated ice pick scars.
Fillers : these can be used to raise sunken scars to the level of surrounding skin. Hyaluronic acid is a very safe injectable material that is used to restore structure and volume to the skin. It is a good and safe option. The effects are usually temporary lasting 6- 12 months.
Autologus fat transfer : Autologous fat transfer, is a procedure in which an individual’s own body fat is removed from the abdominal area, emulsified and put in the areas of volume loss e.g. sunken or emaciated areas of the face.
Radiosurgery : In this procedure, radio waves are used in ablative mode, to ablate the unwanted layers of the skin and flatten out the edges of scars and promote collagen remodeling thereby filling up deep irregular scars.
Steroid injections : Intralesional Steroid Injections like Triamcinolone Acetonide 10mg- 40mg may be used for raised keloidal and hypertrophic scars. These injections help to soften thick stubborn fibrous tissue.
Subcision : This involves subcutaneous sectioning of dermal adhesions with a sharp needle thereby lifting the scars. This technique is useful for very deep-pitted scars. ice pick scars, boxcar scars and rolled scars.
Light Systems – IPL acts by heating the dermis and stimulating new collagen formation. It is useful for treating red post-acne scars.