Scars
Scars
Scars are marks on the skin left by some wounds. They are the result of an injury that reaches the middle dermis. At the beginning the scars appear as a pink spot, with the passing of time they become skin colored and depending on the patient they become hyperpigmented or depigmented.
There are several types of scars, keloids, which are 3D scars that form a lump in the skin; atrophic scars, which are those that are sunken; those caused by acne, pigmented and post-surgical scars. In any of the cases, scars are considered unsightly, and thanks to technological advances today we can remove them or make them less visible.
There is a suitable treatment for each type of scar
Keloid scars are those that grow in an exaggerated manner, usually have a red-violet color and a fibrous consistency. They can be caused by surgeries, traumatic wounds, piercings, burns, cuts, among others. The people most prone to have this type of scars are African-Americans, Asians and Hispanics. To eliminate this type of scars there are several treatments, which can be combined for greater effect:
Erbium laser:
For people who want a safe, effective and fast treatment, this is the best option. This treatment uses one of the most advanced types of laser, which allows the total removal of the scar. It is a procedure that does not require anesthesia, since it is not necessary the removal of skin thanks to the laser that is used, and therefore does not generate disability, nor hospitalization.
Infiltration:
In the treatment to eliminate keloid scars by infiltration, corticosteroids are introduced to the scar by means of injections, this is a more painful procedure than the previous one, since it includes the use of needles. However, it is a quick recovery and does not require disability.
Microdermabrasion:
Microdermabrasion involves the removal of dead cells from the surface layer of the skin. In other words, the scar is “sanded” to reduce its size and color. It is not an invasive treatment, nor very painful, so it does not require incapacity, and its recovery is fast.
Cryosurgery:
What this treatment seeks is to eliminate the scar through the production of necrosis inside the cell, this is achieved with the application of liquid nitrogen with a probe. However, it is a procedure that over time has been replaced by laser technology.
Atrophic scars are those that are thin, sunken, shiny and wrinkled. This type of scar arises when there is not a complete regeneration of collagen, they are frequently observed after acne or chickenpox. The most effective treatments for this type of scars are:
Co2 laser:
Co2 laser treatment is one of the most recommended for any type of scar, as it is one of the most advanced. Also known as Erbium laser, what it seeks is the total removal of the scar without generating any injury or invasion in the skin. It does not require incapacity or anesthesia.
Collagen inducing therapy:
As its name suggests, the production of collagen is induced so that the scar disappears or diminishes. With the help of devices such as dermaroller or dermapen (devices with micro needles) the skin is stimulated through multiple punctures so that collagen regeneration occurs and with this the scar diminishes.
Subcision:
It is a simple procedure, it consists in the removal of the scar with the help of a Nokor needle. The needle is inserted under the scar and moved back and forth causing the fibrous tracts to break and the skin surface to rise.
Microdermabrasion:
This treatment is one of the most common when it comes to removing scars, since it does not require injections. it consists of the removal of dead cells. It is not a procedure that requires anesthesia, nor incapacitation.
Chemical peeling:
Consists of cellular renewal with the help of chemical substances applied to the skin. In most cases after the application of this treatment there is desquamation in the area where the procedure was performed.
This type of scars are varied, not in all patients are the same, they depend on each skin type, and in some patients there may be different types and forms of scars caused by acne. There are punctiform scars, valley scars, box scars, hypertrophic scars, keloid scars, pigmented scars, etc. And all of them can be caused by acne. To carry out a procedure for the removal of scars caused by acne, it is necessary to make an assessment to choose which is the best and most appropriate for each patient. There are several treatments, and in most patients they are combined to obtain better results. Some of those already mentioned can be performed, such as microdermabrasion, chemical peeling, Co2 laser treatment, collagen inducing therapy, and others such as surgical resection of extensive scars or fibrous tracts, infiltration of keloid scars and fibrous tracts and hyaluronic acid filling of depressed areas.
In the case of pigmented scars, i.e. those that have a different color, stronger than that of the patient’s normal skin, the most recommended treatments are erbium laser, collagen induction therapy and chemical peels. These procedures are recommended because they are the least aggressive and avoid pigmentation.
With post-surgical scars, which are those generated after surgery and come in all sizes, shapes and types, all the treatments mentioned in this article can be performed. However, it is necessary to make an assessment before, in order to determine what type of scar it is and what is the procedure with the best results for what the patient needs. Finally, we must not forget that for any type of scar there is the option of surgical removal. However, this procedure is recommended only for large scars, since it would require anesthesia and hospitalization of the patient.
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