Category : Genel
Scar Removal Treatment
Our Clinic offers safe and effective treatments to help with scar concerns. We can treat all varieties of scar such as keloid, acne, hypertrophic and stretch marks. The available treatments include steroid injection, Dermaroller, filler injection, laser treatments, chemical peel and scar revision. All procedures are performed by an experienced, cosmetic dermatologist and independent specialised therapist.
Every time the skin or tissue is cut or damaged it will heal by forming a scar. Various factors influence how your skin scars including the depth and size of the wound or incision, the location of the injury, skin type, age, heredity, sex and ethnicity. These factors will all affect how your skin reacts.
What are the different types of scars?
These are several different types of scars including:
Keloid scars : These scars are the result of an overly aggressive healing process. These scars extend beyond the original injury and over time, a keloid scar may affect mobility. Possible treatments include surgical removal or injections with steroids. 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 sustain an injury. Keloid scars most often occur in people of black ethnicity.
Hypertrophic scars : Raised and red scars that are similar to keloids, but do not breach the boundaries of the injury site. Possible treatments can include injections of steroids to reduce inflammation.
Contracture scars : If your skin has been burned, you may have a contracture scar which causes tightening of the skin that can impair your ability to move; additionally, this type of scar may go deeper to affect muscles and nerves.
Acne scars : If you have suffered with 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. Possible treatments, include: Dermaoller, chemical peel, dermal filler injections and laser.
Stretch marks : This is a type of scar that occurs when the skin is stretched rapidly (eg during a teenage growth spurt or pregnancy). Possible treatment includes the dermaroller and chemical peel.
How will I know which treatment is best for me??
Before deciding to have treatment, the doctor will medically examine the areas and advise the best suitable treatment for your scar. Our highly experienced doctor will also discuss what you’re hoping to gain from the treatment and the results you can realistically expect.
Chemical peels are chemicals which destroy the epidermis in a controlled manner, leading to exfoliation and the alleviation of certain skin conditions including superficial acne scars. Various chemicals can be used depending upon the depth of the peel and caution should be used, particularly for dark-skinned individuals and also including individuals susceptible to keloid formation or those with active infections.
Dermal filler injections
Filler injections of can be used to raise atrophic scars to the level of surrounding skin. Risks vary based upon the filler used and can include temporary improvement, further disfigurement, and allergic reaction.
Corticosteroid injections are used to prevent and treat some keloid and hypertrophic scars.
Corticosteroids are injected into the scar to reduce any inflammation (swelling) and to flatten the scar. Depending on the type of scar, the corticosteroid injection may need to be repeated. Two or three injections are usually given a month apart, although this type of treatment may continue for six months or possibly longer, depending on how the scar reacts to the injections.
The specific type of steroid for scar treatment is injected into the scar itself; since very little is absorbed into the blood stream, side effects of this treatment are minor. This treatment is repeated at 4-6 week intervals.
A local anaesthetic may be combined with the corticosteroid to reduce any pain and discomfort.
Scar revision is a process of cutting the scar tissue out. After the excision, the new wound is usually closed up in order to heal by primary intention, instead of secondary intention. Deeper cuts need a multi-layered closure to heal optimally, otherwise depressed or dented scars can result.
Surgical excision of hypertrophic or keloid scars is often associated to other methods such as pressotherapy or silicone gel sheeting.
Be aware that having surgery on your scar will leave a new scar that will take up to two years to heal. There is also an increased risk of further keloid and hypertrophic scarring following surgery. After surgery, the recurrence rate for keloid scarring is 50-80%.