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Damage to the skin in many forms may
result in scarring. A scar is the result of rearrangement of collagen
fibers in dermal layer of the skin. This rearrangements are not
always taken place in its intact mode and may lead to formation
of keloids and hypertrophic
ones. Among many methods for scar reduction, laser resurfacing,
dermabrasion and chemical peeling are more frequently used. Decision
making regarding these rather invasive procedures for scar removal sometimes
require consultation with an expert in these areas. On the following
pages we introduce you to basic information including pros and cons,
best candidate for each procedure, recovery time and pricing about
these methods.
Tissue formation occurs differently
in different individuals. Some are more prone to development of
keloids. Some skins may barely leave any sequel following healing
process at all, fading into an imperceptible line. Whereas other
may keloid which results in collagenation outside the barriers of
the wound. These usually look dark and rope like. Not everyone is
going to treat or be subject to the same elements during
the healing phase. From sun exposure to smoking, to the area on
which the injured skin resides - all these factors and more will
effect the outcome of the mature keloid. keloids in areas which
are not mobile will less likely stretch, while the ones on the legs
may seem to fade more than those on the arms, stomach or back. Exfoliation
and skin thickness can also contribute to the factors which affect
scar healing process.
Laser resurfacing
is one of the methods by which layers of damaged skin ( lines, wrinkles,
scar tissue, pigmentation and surface unevenness ) is removed using
laser energy. Even though precision of laser resurfacing is one of its advantages over other resurfacing methods,
treating only part of the skin with any resurfacing procedure may
not produce an even complexion. Those who still have acne breakouts,
are at no considerable risk to try YAG laser
treatments. Some may see some improvements
in their breakouts. Because its effects are less deep, the erbium
laser
does not cause collagen shrinkage in
the dermis of the skin (the layer right below the epidermis), and
some studies have shown that this is necessary for better long term
effects for removal of scar tissue. Proper classification is important
because differences in clinical characteristics determine
the protocol for a facial scar removal treatment. Color, texture,
and morphology, of lesions as well as previously applied treatments,
will affect the laser
parameters and number of treatments
required for optimal improvement. Progress in laser
technology and refinements in technique
have made laser
a preferred choice for keloid and hypertrophic
scar removal treatment.
A scar removal cream may
function the same as peels to improve appearance of scars. This methods employs
a variety of caustic chemicals for revision of several layers of
skin selectively. The peeling solutions are "painted on,"
area-by-area of face, to ensure that the entire face is treated.
After the skin heals, discoloration, wrinkles, scar tissue and other
surface irregularities are often eliminated.
Dermabrasion removal of scars involves
controlled surgical scraping that resurfaces the outermost layers
of the skin to give a smoother appearance. It can be done over the
full surface of the face or on small areas. Dermabrasion also may
be done in conjunction with other cosmetic procedures such as a
chemical peeling or face lift. Dermabrasion is used to treat a range
of skin imperfections including: Wrinkles and frown lines, pre-cancerous
skin growths, (keratoses), scar lesions (excluding burned skin,
acne scarring), post-surgery damages, skin
pigmentation, sun damage, tattoos, age spots, freckles.
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