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Writer's pictureDr Calvin Tan

Scars: The Types and Treatments

"From Scars to Stars: Transform Your Skin Now"

 














Introduction


Scar is an area of fibrous tissue that replaces normal skin after an injury. They are among the most prevalent cases in dermatology and aesthetic clinics.

Scars result from a biological process of wound healing in the skin and its composition are collagen fibres that are randomly aligned with inferior functional quality. They are less resistant to ultraviolet radiation and sweat glands and hair follicles do not grow back within scar tissues.


Types of Scars


2 most common types of scar tissues are hypertrophic and atrophic scarring. Hypertrophic scars occur when the body overproduces collagen, which causes scar tissue to be raised above the skin. They usually occur 4 to 8 weeks following wound infection or wound closure with excess tension. There is also another subtype of hypertrophic scar called keloid scars. They are a form of excessive scarring which is often distinguished from hypertrophic scars by their excessive growth beyond the original wound area. Another form of scar tissue is atrophic scarring, which looks sunken, pitted appearance.


Modes of Scar Treatments


Approach to scar tissues usually needs a holistic approach, based on individual skin characteristics and a combination of therapy. Some of the modalities of treatment include chemical peeling, microneedling, subcision therapy and Laser Therapy.


Chemical Peeling


Chemical peeling is a procedure in which a chemical solution is applied to the skin to remove dead skin cells and stimulate new cell growth. There are 3 different types of chemical peels which are superficial, medium and deep peels. Examples of chemical peeling is TCA CROSS (chemical reconstruction of skin scars using trichloroacetic acid). The procedure involves depositing a small amount of TCA onto the atrophic scar surface, to induce healing process by the formation of new collagen fibers.


Microneedling


Microneedling is a well tolerated, minimally invasive procedure for scar management. It involves pricking your skin with tiny sterilized needles causing your body to make more collagen and elastin to heal the wound or skin. This is usually used in combination with platelet rich plasma, laser or injectables for better results.

Subcision


Subcision, also called subcutaneous incisionless surgery, is a minor surgery procedure for treating depressed scars using a special needle inserted through a puncture in the skin surface. Its sharp edges of the needle is used to break fibrotic tissue of the scar underneath our skin. It can be used in conjunction with fillers and laser treatments for better results. It is painless and it is usually individually dependent for the number of sessions of treatment. This treatment usually requires 3 to 6 visits for moderate scarring.


Laser Therapy


Laser Therapy is effective in treating scars and skin imperfections. They can be divided into non ablative lasers and ablative lasers. Non ablative laser treatment such as fractional laser therapy like our Picosecond laser, the ultraperformance Fotona Starwalker PQX and ablative laser resurfacing, CO2 laser has been shown to be effective, especially when resurfaced within 6 to 10 weeks after trauma or surgery or even immediately after surgery. They are also effective due to their ability to smooth scar texture and stimulate collagen production. Downtime usually is minimal to none and it is usually dependent on the patient's skin pathological condition and adaptations plus operator laser settings during the laser treatment.

Multiple therapeutic options are used to treat scars with promising results and combinations of these therapies results in higher efficacy and less side effects in the field of scar management in selected cases.


At our Dream Clinic, we will work closely together with you to determine the best treatment plan for a better, smoother and radiant skin to bring up your inner confidence! Don’t let your scar hold you back any longer - browse our clinic page to know more about our treatment services @ www.dreamclinic.my/treatments/ and book your consultation today!


 




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