5 Techniques For Treating Hypertrophic Scarring

There are generally two kinds of scars - hypertrophic and keloid. Scars are considered to be hypertrophic when the damaged tissue heals and becomes a reddish lump that does not overextend beyond the original wound. Though somewhat abnormal looking, these scars heal with time but become permanent in some cases and require hypertrophic scar treatment for removal.

There is a wide variety of hypertrophic scar treatments and it is important to know that no matter which of them is used, scars are never really removed and treatments always leave a trace.

Needling scar treatment

Needling is one of the cheapest hypertrophic scar treatments available. One of its advantages over other treatments is that it can be done at home with special scarring needles under clean and sterile environments. Proper use requires constant needling of scarred tissue to induce collagen formation. First time users are advised to seek professional medical supervision when attempting to needle the face or other vital areas where nerves are located.

Silicone scar treatment

The hypertrophic scar treatment that erases the most traces of scarring is silicone treatment. Typically used by plastic surgeons, silicone gel sheets help to moisturize the scar and even out the discoloration so that it matches the surrounding skin once again. This particular type of treatment has a very low risk of side effects and further damage to the tissue.

Steroid injections

Steroid injection is a common method used in hypertrophic scar treatment. Since steroids cause tissue to thin out, it is injected directly into the scar on a monthly interval until the scar is sufficiently flattened out. Due to the nature of steroid injections, there are certain risks involved in the procedure most especially if the scar to be injected has not completely closed on the inside or is ruptured.

Collagen injections

Similar to certain cosmetic practices, collagen injections can be used as a hypertrophic scar treatment for scars that do not grow out of the skin but rather sinks in. The treatment involves injecting collagen or an alternative into the sunken scar enough so that it rises to the same level of the skin. This method of treatment is short-term, however, as repeated treatments are required to maintain the level of the scar.

Radiotherapy

In extreme cases, scars can be cut out and stitched up or exposed to radiotherapy. These hypertrophic scar treatments are not usually used as it risks opening up new wounds and has long-term side effects.

With the advances in science and technology, new methods of treatment are being researched and developed for treating and removing scars. And with so many treatments for scar care and removal, scars are a thing of the past.

source: ezinearticles.com

Types of Acne Scars

When pimples, blackheads and whiteheads appear on the skin, a person is said to have acne. It is said to be an inflammatory skin disorder caused by the involvement of the sebaceous glands. Having acne is not only painful, but also causes discomfort to the person. Acne can occur in a person due to hormonal changes, bacteria or hereditary reasons. Most people don't do anything about acne and wait for it to cure on its own. While acne heals on its own, it also gives rise to scars on the skin which are most of the times permanent. Though some of these scars can be cured by proper treatment, they do not make the skin spotless. However, before knowing about the treatment, it is necessary to know about the types of acne scars that can be found on the skin.

Different Types of Acne Scars

It is very common to have mild pigmentation on the skin during the healing process after suffering from acne. This usually goes away after some time. However, if it remains for a long time, it is said to be permanent acne scarring. Acne scars can be broadly classified into two categories, mainly artrophic and hypertrophic. Within these two types, acne scars can be further classified into different types, as mentioned below.

Artrophic Acne Scars

Artrophic acne scars which are caused due to loss of tissue, are those that are most common among the two types of scars. Some of the artrophic scars include-

Ice Pick Scars: Ice pick scars are most commonly seen on a person's cheek, and appear as if they were been made by piercing the skin with an ice pick. These deep and sharp holes on the skin can either be soft scars or hard ones. If not treated on time, ice pick scars can turn into depressed fibrotic scars, which would deepen with sharp edges.

Boxcar Scars: Boxcar scars, as the name sounds, appear to be like wide boxes on the skin. When the collagen in the skin is damaged, tissues are lost giving rise to round or oval-shaped marks. The appearance of boxcar scars are similar to those scars that are left after chicken pox.

Rolling Scars: Rolling scars are those acne scars which are seen on the skin like a wave pattern. These scars occur because fibrous tissues appear between the skin and the subcutaneous tissue underneath.

Hypertrophic Acne Scars

Hypertrophic scars, also known as keloids, are those that arise due to increased growth of tissue in the skin. The main reason for keloids is the excess production of collagen. In contrast to the atrophic scars, where holes appear on the skin, when a person has keloids, lumps thicker than the acne form on the skin. These scars can be seen on the face, back and chest.

Acne Scarring Treatment

Treatment for acne scars may depend upon the type of acne scars that one has. Collagen injection is one of the different methods of acne scar removal. Collagen helps in stretching the soft scars inside the skin and is most effective for ice pick scars. Other treatment measures include skin grafting, plastic surgery, dermabrasion, etc. Laser treatment is also done to get rid of scars.

Although there are several effective treatment methods for various types of acne scars, it may take a long time for the skin to heal properly, and there are chances that some kind of mark always remains on the skin. To avoid all these hassles, it is better to prevent acne scars from occurring. The best option for proper skin care is to consult a dermatologist when acne starts appearing on the skin. Proper treatment and care of the skin during this time will surely help the skin to heal properly, without giving rise to acne scars.

source: buzzle.com

Is There a Cure For Keloids or an Effective Scar Treatment For Hypertrophic Scars?

There is no keloid cure. There are treatments. One of the most effective is an over-the-counter scar cream with silicone as the active ingredient.

For there to be a keloid cure, there would have to be a clear understanding of what causes a keloid. Doctors don't fully understand why or how these occur.

o Skin trauma appears to be the most common factor.
o Keloids form in areas where there is muscle tension, such as the chest, shoulders and back. This would lead you to think the palms and soles of feet would be just as vulnerable, but they are not.
o Infection at a wound site can lead to this type of wound.

People seek a cure for the red, painful heaps of scar tissue. Symptoms include pigmentation of the skin, itchiness, unusual sensations and pain. Silicone scar treatments are especially effective at fading color and protecting them from irritants.

Once you get one you are likely to get another.

o Half of all people who get this specific type of wound will get another somewhere else on the body. This is a prime argument for using an affordable, and effective silicone scar treatment.
o In fact, surgical removal-once thought to be a cure, often results in a larger, uglier wound.
o Some ethnic groups are at more risk of developing them. You are 16% more susceptible if you are African-American or Hispanic.

Prevention

Some doctors say that all highly pigmented people should avoid tattoos and piercing to be on the safe side. Other than that, there is no other prevention or keloid cure.

source: ezinearticles.com

Keloid Scars & Hypertrophic Scarring

When we are affected by for example wounds, our body has its own healing mechanism. The healing process starts with the production of fibroblasts and skin cells. If these are produced at the same rate, wound healing will happen normally leaving a small scar that in time fades, but if the production is off, fibroblasts create a dense cluster that hinders the migration of skin cells. This is an abnormality better known as hypertrophic or keloid scarring.

What are Keloid and Hypertrophic Scars?

These, also known as raised scars, are the result of the body's overproduction of collagen when wound healing is taking place. An overproduction will create a raised scar that is limited to the site of the original wound. When the scar is limited to the site of the wound, this kind of scar is called a hypertrophic scar.

Keloid scar are different in that a keloid can grow beyond the site of the original lesion. They are uneven and can grow larger with time.

Because keloid scars grow beyond the area of the initial lesion, they are quite unattractive. Factors such as itchiness, painfulness and tenderness to the touch are normally something usual when dealing with a keloid scar.

Are there Treatments for Raised Scars?

Two of the most common options to treat raised scarring are compression therapy and corticosteroid injections.

Compression therapy is one of the most common treatments for raised scars. The method is to use something to compress the scar and the area around it, to limit the growth. This has also been know to reduce the actual scar, but treatment is not always successful.

Corticosteroids, specifically intralesional corticosteroid injections, are also a regular treatment to help healing of raised scars. This treatment reduces collagen synthesis, by altering glucosaminoglycan synthesis and by inhibiting the production of fibroblast proliferation during wound healing.

source: ezinearticles.com

Silicone Scarless Healing

There are several types of scars, and several treatment options you can choose from. For the most part, scars can be treated without too much trouble, although keloid scars are quite possibly the most difficult lesions to get rid of because they usually recur.

Keloids are abnormal tissue that extends beyond the area of the initial wound. It's very common for them to keep growing and that's why it is important that you treat them as soon as possible. Keloid scars can be caused by piercings, cuts, and even acne. Keloidal acne scarring is especially devastating because an acne breakout can affect large areas of the face, neck, chest and back. To prevent any kind of acne scar (hypertrophic, atrophic and keloidal) it is important to follow a regular cleansing routine that includes an acne cream.

But, how can you treat scars that keep growing and have a high recurrence rate? Luckily, there are treatment options. These alternatives include a combination of surgery, intralesional corticosteroids, silicone bandages and compression therapy. Surgical excision is quite straightforward. The doctor will study the scar and then decide if to inject corticosteroids into the scar before, during or after surgery to help reduce the chances of recurrence. After surgery, the person will probably be fitted for compression devices.

Compression devices and silicone bandages have shown excellent results with keloid scars. This may be an effective scar treatment because it exerts constant pressure on the wound and keeps it from growing. Doctors are not exactly sure how they work, but studies have shown that compression reduces the production of collagen.

If you are fitted for a compression device you may have to use it for several months or a year before the doctor will allow you to remove it. These devices include garments (gloves, body suits and masks) that must be worn 24 hours a day to produce the desired effects. They may also include zippers or special linings to make their use more comfortable and convenient.

Silicone bandages are often used to achieve scar less healing. They, just as with compression garments, exert pressure for extended periods of time. Silicone bandages can be worn up to 9 hours a day, for several months. These bandages are also hermetic and come in an easy-to-use format. Once you are done using them, you simply discard them. Some people find this format more convenient than pressure garments. Bandages and compression garments can be used to help prevent and treat keloid scars. They are often used to treat smaller keloid scars.

Possible Treatments for Scar

The treatments for scars will vary depending on multiple factors. Scar treatments may include:
Over-the-counter or prescription creams, ointments or gels. These products can be used to treat scars that are caused from surgical incisions or other injuries or wounds. If you are under the care of a plastic surgeon and your scarring is the result of cosmetic or plastic surgery, ask your surgeon for his or her recommendation if over-the-counter treatment is sufficient; otherwise, he or she will prescribe that which best suits your personal case. Oftentimes, treatments can include corticosteroids or certain antihistamine creams for scars that cause itching and are extremely sensitive.

# Likewise, if you are under the care of a dermatologist for severe acne and have scarring as a result of acne, you should ask your doctor for his or her recommendation if you haven't already received it. Your doctor can also recommend or use pressure treatings or silicone gel sheetings to help treat scars or as preventative care.

# Surgical removal or treatment. There are many options to treat deeper wounds and scars depending on your particular case: skin grafts, excision, dermabrasion or laser surgery. You can receive a skin graft, where the surgeon removes skin from another area of your body. This is often used in the case of burn victims. If you've got scarring that impairs function, surgery can help address those problems. Like other surgeries, you and your doctor will determine together if you will have local anesthesia with an oral sedative or general anesthesia that will put you to sleep. If you've recently undergone plastic, cosmetic or other surgery that has caused your scars, it is best that you wait at least one year before making a decision about scar treatment. Many scars fade and become less noticeable over time.

# Injections. In the case of protruding scars such as keloids or hypertrophic, your doctor may elect to use steroid injections. He or she may use this as a stand-alone treatment, or in conjunction with other treatments. Other types of injects, such as collagen injections or other "fillers," may be useful for some types of pitted scarring although these are not usually permanent solutions.

Considering Scar Revision

Before considering scar revision, the treating physician must have an understanding of wound healing and how scar tissue forms. Wound healing progresses in 3 phases: an inflammatory phase, a granulation phase, and the final, remodeling phase.

Inflammation is an immediate physiologic response to any injury to the body. In the skin, it serves the additional role of helping to contain and repel any organisms or foreign materials introduced into the tissues by a variety of traumas, including surgical incisions. The various mediators of inflammation are the first materials released in the wound, including activated complement, transforming growth factor-beta, circulating monocytes, tissue macrophages, neutrophils, platelets, clotting factors, and serum proteins, among others. Damaged collagen fibers promote platelet aggregation in the wound. Later, collagen provides the scaffold for wound healing as the major constituent of the extracellular matrix. This primary phase of wound healing typically lasts for 1-2 days.

The granulation or proliferative phase involves fibroblast proliferation within the wound bed. These cells are responsible for the production of the collagen extracellular matrix. Cytokines present in the wound bed at this time also promote the process of angiogenesis and the appearance of granulation tissue, a characteristic of the healing wound. Once collagen is laid down as an extracellular matrix and cells have grown on this scaffold, the wound enters the remodeling phase of wound healing.

The remodeling phase involves the reassortment of collagen fibers laid down in the preceding proliferative phase. Remodeling is the longest period of the wound healing process; it may continue for up to a year. However, 2-3 weeks is a more common interval for this final phase of wound healing. During this time, the net amount of collagen does not increase, but the formation of a more orderly arrangement of fibers helps to greatly increase the wound's tensile strength. When healed properly, the final wound strength reaches 70-80% of prewound strength.

The ideal scar is narrow and fills but does not eclipse the original volume of the wound bed. In fact, the wound often decreases in size upon healing due to contractile forces involved in scar formation. Occasionally, scar formation may be exuberant, as in the cases of hypertrophic scarring or keloid formation. Although discussed in detail in Keloid and Hypertrophic Scar, a brief mention of these unwelcome sequelae of wound healing is warranted.

Hypertrophic scars do not extend beyond the original boundaries of the wound laterally, but scar tissue may rise above the level of the surrounding skin. This commonly results in a very noticeable, irregularly contoured scar. A more extreme example of exuberant growth of scar tissue is the keloid. Keloid scars extend beyond the original borders of the wound, resulting in a raised and expanded scar relative to the original defect. These are often very noticeable, and they occur with increased frequency in persons with dark complexions. In both hypertrophic scars and keloids, components of the extracellular matrix are increased. Thus, while the number of fibroblasts present is normal, the cells present are apparently overactive in their wound healing response.

Raised Acne Scars

Itching, pain and discomfort are often part and parcel of the raised acne scars that linger after acne lesions have vanished. The American Academy of Dermatology states that some raised scars (keloids) may even increase in size. When deciding on the correct method to use in treating raised acne scars, your dermatologist will consider how long you've had the scar, as well as its size and placement on your body.

The AAD notes that there are two types of raised acne scars, keloids and hypertrophic scars. Keloids, which are usually large with a thick, banded texture, usually form on the chest, shoulders, upper back and earlobes and may grow past their boundaries. The American Osteopathic College of Dermatology states that hypertrophic scars resemble keloids but are more common, remain the same size and can go away in time. Keloids are more common in darker-skinned individuals of African, Asian and Latino descent. Hypertrophic scars can affect anyone, regardless of racial group.

Intralesional Injections
The AAD indicates that the first treatment method for raised acne scars is to inject them with corticosteroids or interferon. A series of injections is usually given at two- or three-week intervals. The AOCD indicates that while hypertrophic scars usually respond to this treatment, keloids are far more challenging, and have a high rate of return in individuals with a family history of keloids. According to the AAD, if the scar doesn't show signs of improvement after four injections, another treatment method may be considered: acne scar surgery.

Surgical Treatment
An in-office surgical procedure in conjunction with follow-up treatments may be advised for raised scars. The AAD indicates that subsequent to excising the scar, various methods may be used to prevent the scar from coming back, such as application of a pressure dressing, corticosteroid or interferon injections and, in the most severe cases, X-ray treatments. Because between 45 and 100 percent of keloids return after surgery, the AAD indicates that injections of corticosteroids prior to surgery is often used to prevent keloid regrowth.

Other Medical Treatments
The AAD states that an increasing number of dermatologists use pulsed-dye laser (PDL) or intense pulsed light (IPL) treatment to address raised acne scars. Again, to prevent keloids from returning, injections of corticosteroids or application of a pressure garment may be advised. Cryotherapy employs the application of liquid nitrogen to "freeze" scars. The AAD indicates that a combination of cryotherapy in conjunction with corticosteroid injections often gives the most marked results. Prescription topical corticosteroid and trentinoin may also be applied to the scar to reduce its size and appearance.

Over-the-Counter Treatments
Silicone creams, gels and strips are available at most drugstores and pharmacies. The AAD indicates that these can slightly flatten raised scars if used daily over a long period of time. Silicone may also assuage the itching and tenderness associated with hypertrophic scars and keloids. The AAD states that many patients prefer applying topical creams rather than risk undesirable side effects of more invasive medical scar treatments. However, over-the-counter products won't get rid of the scars entirely.

Scar Treatment Reviews

The appearance of scarred tissue can have many different origins including minor skin damage, acne, burns, injury and surgical procedures. However, regardless of the cause, scars are generally associated with some degree of insecurity and self-consciousness, particularly on areas of the body such as the face. As a result, many scar removal and scar treatment products have been developed over the years in an effort to improve the scar healing process.

Scars can be classified into two general categories: keloid and hypertrophic. Keloid scars are raised, puckered tissue and typically grow beyond the size of the original skin wound. Hypertrophic scars are more common, and their sizes remain within the original skin injury and may recede with time. Other problematic characteristics of scarring include discoloration, itching, soreness, indentation and irregular skin texture.

Because of recent headway in transdermal technology, many highly effective scar removal and healing products are now available on the market. For prominent scarring, surgical treatment is available; however, there are also many non-invasive scar removal products that show significant improvements.

Scar removal creams—available without a medical prescription—can be used for the treatment of both minor and major scar tissue. These creams work to increase the production of the enzyme collagenase, which helps break down the scar tissue. Additionally, a favorable healing environment is created as the cream sends essential lipids and bio-molecules below the skin surface. Finally, the creams help rebuild the damaged stratum corneum (the outermost layer of the epidermis), which is most affected by hypertrophic scarring.

Laser Scar Removal

The wound-healing process begins with inflammation, progresses to tissue formation and ends with modifying specific factors in the anatomy – such as collagen, the main protein found in connective tissue that supports the skin, bone, cartilage and blood vessels. Scarring occurs when the wound-healing process is disrupted by certain factors such as too much or too little collagen. For example, a keloid scar is a mass of collagen.

Today's laser scar removal techniques can reduce the appearance of several types of scars, including Keloid Scarring, Hypertrophic Scarring and Atrophic Scarring. like pockets in the skin that can result from skin conditions or diseases such as acne. Not everyone is a candidate for laser scar removal. People with skin disorders such as psoriasis, cystic acne and dermatitis may not be ideal candidates. Those using certain medications such as isotretinoin for acne must stop using the medication for six months prior to the procedure.

During laser scar removal, the laser is moved along the scar. This can vaporize or remove a layer of skin and expose a more natural-looking skin layer, which heals over time to minimize scar appearance. Other lasers may target lower layers of the skin, stimulating new collagen growth and correcting scars from the inside out. The laser scar removal procedure is often performed under local anesthesia in an outpatient surgery center, surgeon's office or hospital. Sometimes, general anesthesia is used. The surgery takes anywhere from a few minutes to an hour and a half.

Many types of lasers are available, each of which has unique benefits for scar removal. The CO2 and Er:YAG lasers are best suited for acne scarring. The CO2 is an ablative laser that basically sandblasts the skin away; resulting in some substantial downtime. The Er:Yag is also ablative, but less so than the CO2; meaning that it is less damaging. Many different companies manufacture CO2 and Er:YAG lasers.

Fractionated CO2 and Er:YAG lasers including the Fraxel and fractionated radiofrequency treatments also are very helpful for acne scarring, but they require multiple treatments. Fractionated lasers work by treating a fraction of the skin's surface. These lasers create tiny wounds in the deeper layer of the skin. Each wound is surrounded by untreated skin, helping to repair the treated area via a controlled wound-healing process. Both CO2 and Erbium YAG lasers as well as radiofrequency treatments can be fractionated.

Until recently, African-Americans were not considered ideal candidates for laser scar removal, but times are changing. Certain lasers (such as fractionated infrared lasers) and radiofrequency devices such as Thermage may be helpful in treating acne scars among African-Americans. There is still little that lasers can do to treat keloid scars affecting this population.

Hypertrophic Scar Removal

Hypertrophic scars are caused because the body overproduces collagen. As a result, the damaged cells produce a raised scar much like a keloid scar. However, hypertrophic scars do not grow beyond the limits of the original wound like keloid scars do. Hypertrophic scars are more common. Because these types of scars do not grow very big, they tend to fade over time. While this type of scar is not life threatening, most people want to know how to get rid of hypertrophic scars because they can be unsightly.

There are a range of treatments for hypertrophic scars including natural skin care. Prevention is the first line of defense, but standard treatments include compression therapy, injections and surgery to excise the scars. Compression therapy entails applying pressure to the scar and the area around it. Reports have stated that by applying pressure to the scar, there is a reduction in the cohesive mess of collagen fibers. Some of the elements used in compression therapy include ACE bandages, elastic adhesive bandages, compression wraps, spandex or Lycra bandages.


For a long time, corticosteroid injections have been used as a common treatment to encourage hypertrophic scar healing. Corticosteroids reduce excessive scarring by reducing collagen synthesis, by altering glucosaminoglycan synthesis and by inhibiting the production of fibroblast proliferation during wound healing.
Another injection therapy includes steroid injections. In some cases, your doctor may choose to use steroid injections as the sole form of treatment. He may also incorporate a parallel form of treatment. Injections, such as collagen injections and fillers, can be used in the case of atrophic scars. However, this treatment is usually temporary.

Surgery is not usually the best option for a hypertrophic scar because any cut will reproduce the scar tissue. Nevertheless, if surgery is couple with other forms of treatment such as radiotherapy, corticosteroid and interferon injections, the results can be positive. Compression therapy is also a good option when hypertrophic scars are removed surgically. Deep massage with a hypertrophic scar cream that contains vitamin E will help soften the skin and make it more elastic. It also lubricates dry scar tissue and prevents them from reopening.

Massages are a natural way of flattening hypertrophic scars, and they can be very helpful in reducing the sensitivity and pain of a healed scar. You should only massage a closed scar, never an unhealed scar.

The answer for scars and wrinkles

Some degree of scarring appears when wounds heal, and this is a natural part of healing process. There are two types of scars, hypertrophic and keloid scars. Keloid scars are a more serious form of scarring, as they grow indefinitely into large tumors. Scar treatments can be done either by cosmetic surgery or by non-surgical options, such as scar gels, crème, and adhesive silicone sheeting. Intensive researches, for non-surgical scar treatment and scar reduction using scar gels and crèmes, are being carried out by medical industries.

Wrinkles are worse than scars because wrinkles appear all over the skin affecting the person both physically and psychologically. Factors like habitual facial expressions, aging, loss of facial fat, sun damage, smoking, poor hydration, and even gravity contributes in the formation of wrinkles. Although there are several kinds of treatments, such as chemical peels, dermabrasion, laser resurfacing, non-ablative laser resurfacing, and plastic surgical procedures, anti-aging serum and crèmes are the safest and cheapest means to get rid of wrinkles.

Based on latest technology, Scarheal Inc has produced superior scar gels for non-surgical scar reduction treatments and anti-aging serum and cremes for skin rejuvenation and wrinkle treatment. Scar Esthetique creme, Scar Fx (self-adhesive silicone sheeting), and Rejuvaskin (anti-aging serum) are wonder working products produced by Scarheal Inc. Scar Esthetique is the only product in the market that has a combination of anti-oxidants, cortisone, vitamin E, and onion extract. Scar treatment is effective on your most severe scars, which include Hypertrophic and Keloid scars. It is a low-cost, non-surgical scar treatment that neutralizes the scar's color and works to flatten raised scars. The regular use of Rejuvaskin anti-aging serum rejuvenates your skin and prevents early aging by removing wrinkles on your skin.

Acne scar removal and treatment

Acne scars associated with loss of tissue similar to scars that result from chicken pox  are more common than keloids and hypertrophic scars. Using tretinoin speeds up the skin's remodeling process and helps heal post-inflammatory changes. Acne scars is two types of tissue response to the inflammation of acne increased tissue formation and loss of tissue. Nearly 80 percent of people aged 11 to 30 years have acne, most often on the face, chest and back. Scars caused by increased tissue formation are called keloids or hypertrophic scars. The typical keloid or hypertrophic scar is 1 to 2 millimeters in diameter, but some may be 1 centimeter or larger. Hypertrophic and keloid scars persist for years, but may diminish in size over time. Accutaneä may be prescribed for severe cases. Depressed fibrotic scars are usually large scars that have sharp margins and steep sides.

They are similar in appearance to deep chicken pox scars. Superficial and deep soft scars are variable in size, and have sloping edges that merge with normal skin. Most serious scarring is caused by the more severe forms of acne, with nodules more likely to leave permanent scars than other types of acne. Acne staining can be treated with exfoliating creams and facials. Acne scar removal cream is designed to help diminish and in some cases removing the scarring altogether that has occurred on a person's skin after they have suffered with acne. These creams are supposed to help flatten as well as soften and smooth a person's skin with various different ingredients. Use this acne scar removal cream with a topical Vitamin A product. Use these creams at separate times during the day. There are several topical creams in the market, claiming to be the best and most suitable. Hippocrates has developed an skin care tailored for scarring using high-potency serums.

Hippocrates treatment works on the surface of the skin, epidermis, as well as deep within the dermis layer. Hippocrates serum for treatment of acne scarring is a high potency resurfacing serum to retexturize your skin. Cellex-C is yet another acne scar removal cream that is recommended by many. Elicina cream is a natural day and night protein cream for all ages and skin colours. The product regenerates photo aged skin, reduces wrinkles, age spots, serious skin discolouration and erodes away actinic keratosis. One of the best known of the acne scar removal creams available today is Mederma. Mederma is a type of acne scar removal cream product. It is actually a gel based medication and has been very helpful in many situations. If the acne scars are brown in color you can use bleach with hydroquinone along with the acne scar removal cream.

Pathophysiology

The ideal scar is narrow and fills but does not eclipse the original volume of the wound bed. In fact, the wound often decreases in size upon healing due to contractile forces involved in scar formation. Occasionally, scar formation may be exuberant, as in the cases of hypertrophic scarring or keloid formation. Although discussed in detail in Keloid and Hypertrophic Scar, a brief mention of these unwelcome sequelae of wound healing is warranted.

Hypertrophic scars do not extend beyond the original boundaries of the wound laterally, but scar tissue may rise above the level of the surrounding skin. This commonly results in a very noticeable, irregularly contoured scar. A more extreme example of exuberant growth of scar tissue is the keloid. Keloid scars extend beyond the original borders of the wound, resulting in a raised and expanded scar relative to the original defect. These are often very noticeable, and they occur with increased frequency in persons with dark complexions. In both hypertrophic scars and keloids, components of the extracellular matrix are increased. Thus, while the number of fibroblasts present is normal, the cells present are apparently overactive in their wound healing response.

Raised acne scars

When acne clears, some people see raised scars on their skin. With time, these scars may become larger and more noticeable. Some raised scars itch. They can even be painful and tender. To ease the discomfort and diminish the appearance of these scars, dermatologists offer patients a number of treatment options.

Your dermatologist considers many things before deciding how to treat a raised scar. Considerations include where the scar appears on the body, the size of the scar, and how long the scar has been there. Your dermatologist will use this information to create a treatment plan. Often a treatment plan will include more than 1 treatment option. Raised scars, especially keloids, often respond better when treated this way.

Injections
These injections, which your dermatologist may call “intralesional injections,” help shrink raised scars. Injections of corticosteroids can soften and flatten thick, raised scars. Interferon can help soften a keloid and make it feel smoother. Dermatologists generally give a series of injections. Usually given every few weeks, the frequency will depend on the type of scar and many other considerations. Some patients receive an injection every 2 or 3 weeks. Others get an injection once every 3 to 6 weeks. If a scar does not respond (or stops responding) by the 4th injection, scar surgery may be recommended.

Acne Scar Surgery
When raised scars do not respond to injections, your dermatologist may recommend surgery to remove the scar. This surgery can be performed in a dermatologist’s office, and you can go home afterward. When treating a keloid, dermatologists do not recommend surgery alone. Most keloids have a high risk (between 45% and 100%) of returning when surgery is the only treatment. To prevent a keloid from returning, dermatologists use other treatments before and after surgery. Many people receive injections of corticosteroids before surgery.

Cryotherapy
This treatment freezes the scar tissue. Freezing the tissue causes it to die and gradually fall off. To improve the results, dermatologists may schedule a series of cryotherapy sessions and corticosteroid injections. This combination often produces the best results. It can effectively diminish hypertrophic scars and flatten some keloids. Cryotherapy, however, can leave the treated skin looking lighter than the surrounding skin. This limits its use in people with skin of color.

Gels, Creams, and Tapes
Many of these are available without a prescription and can be used at home to treat raised scars. Products containing silicone may help reduce the itch and discomfort of both hypertrophic scars and keloids. One study found that some (34%) keloids actually flattened a bit when patients applied a silicone gel continuously for 6 months.

To be effective, gels, creams, and tapes must be used continuously. This can be difficult, especially for scars on the face. Many people are willing to do this because these treatments have little risk of side effects. Even so, with continuous use, some people develop itchy, irritated skin. None of these gels, creams, or tapes is likely to eliminate a raised scar, but these can help reduce the discomfort and the size.