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.
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Selasa, 09 Maret 2010
Scar Treatment Reviews
Label:
cream,
epidermis,
healing process,
hypertrophic,
keloid,
scar removal,
scar treatment,
scarring,
skin,
tissue,
wound
Minggu, 07 Maret 2010
Scar Removal Home Remedies
A scar is the pinkish or brown patch of skin that grows in the place where you once had a wound or sore. They are areas of fibrous tissue that replace normal skin tissue after destruction of some of the dermis. A scar is thus the skin's natural way of repairing itself from injury. Most people have scars. The word scar is derived from the Greek word eschara, meaning fireplace.
Every skin injury or wound heals with a scar. The appearance of a scar however depends on the type and extent of the wound, as well as how an individual's body heals. Scar tissue is not similar to the tissue that it replaces and is usually of inferior quality. There is no hair growth on the scar tissue, and the skin there becomes less resistant to ultraviolet radiation.
Scarring occur when the deep dermis layer of skin is damaged. The deeper the damage, the worse the scar. Many skin scars are pale and leave a trace of the original injury that caused them. The time that a scar takes to form may range from a few days to, in some serious and rare cases, several years. Various treatments can speed up the process in serious cases.
To repair the damage, the body has to lay down new collagen tissues As the body cannot re-build the tissue exactly as it was, the scar tissue will have a different texture and quality than the surrounding normal tissue. An injury does not become a scar until the wound has completely healed.
Every skin injury or wound heals with a scar. The appearance of a scar however depends on the type and extent of the wound, as well as how an individual's body heals. Scar tissue is not similar to the tissue that it replaces and is usually of inferior quality. There is no hair growth on the scar tissue, and the skin there becomes less resistant to ultraviolet radiation.
Scarring occur when the deep dermis layer of skin is damaged. The deeper the damage, the worse the scar. Many skin scars are pale and leave a trace of the original injury that caused them. The time that a scar takes to form may range from a few days to, in some serious and rare cases, several years. Various treatments can speed up the process in serious cases.
To repair the damage, the body has to lay down new collagen tissues As the body cannot re-build the tissue exactly as it was, the scar tissue will have a different texture and quality than the surrounding normal tissue. An injury does not become a scar until the wound has completely healed.
Keloid & Hypertrophic Scars
Keloid and hypertrophic scars are usually thick, raised, unattractive masses of collagen at a site where the skin has been injured. They are frequently associated with a variety of characteristics including hardened, rope-like protrusions, raised surfaces and excessive discoloration.
The differences between hypertrophic and keloid scars can be confusing. Although they both have excessive collagen in common, they act differently. For instance, a hypertrophic scar forms soon after the skin has been lacerated, while keloids may not begin forming for up to a year after the injury.The tissue structure also varies between the two scar types. Collagen fiber formation in keloid scars actively spreads into the nearby healthy tissue while hypertrophic scars remain contained within the original boundary of the injury. The surrounding healthy tissue is not affected.
The fact is that the use of Silicone Gel Products is one of the few proven methods to help prevent hypertrophic and keloid scars.If you know you are susceptible because of previous scarring or a predisposition to this condition then you can exercise extra caution. Make sure you inform your medical professional of your condition prior to any surgery. Be aware that any time you have a body piercing, a tattoo or an injury to the skin, a hypertrophic or keloid scar is likely to form. The Biodermis Scar Management Products are designed to help prevent scarring as soon as your skin is completely healed.
The differences between hypertrophic and keloid scars can be confusing. Although they both have excessive collagen in common, they act differently. For instance, a hypertrophic scar forms soon after the skin has been lacerated, while keloids may not begin forming for up to a year after the injury.The tissue structure also varies between the two scar types. Collagen fiber formation in keloid scars actively spreads into the nearby healthy tissue while hypertrophic scars remain contained within the original boundary of the injury. The surrounding healthy tissue is not affected.
The fact is that the use of Silicone Gel Products is one of the few proven methods to help prevent hypertrophic and keloid scars.If you know you are susceptible because of previous scarring or a predisposition to this condition then you can exercise extra caution. Make sure you inform your medical professional of your condition prior to any surgery. Be aware that any time you have a body piercing, a tattoo or an injury to the skin, a hypertrophic or keloid scar is likely to form. The Biodermis Scar Management Products are designed to help prevent scarring as soon as your skin is completely healed.
Collagen Injections
Collagen is the main protein found in connective tissue. It supports the skin, bone, cartilage and blood vessels. Collagen composes up to 80 percent of the skin. Its role is to maintain the skin's integrity, but collagen breaks down with advancing age. The breakdown of collagen during the aging process can lead to wrinkles, lines and folds. Collagen injections replenish the skin's natural collagen. Several types of Collagen fillers are on the market. For example, collagen fillers containing human collagen include CosmoDerm and Cosmoplast. Cow (bovine) collagen fillers include Zyderm and Zyplast. ArteFill is a hybrid gel filler consisting of millions of synthetic microspheres (polymethylmethacrylate or PMMA) suspended in purified bovine (cow) collagen.
Zyderm and Zyplast do require a skin test prior to the first treatment because of the risk of allergic reaction in some people. Collagen injections are typically performed in the doctor's office. They are most often performed without anesthesia, although the collagen filler itself contains lidocaine, which is a local anesthetic. Collagen is injected with a tiny needle into the skin depressions. Several injections may be needed, depending on the length and depth of the wrinkle. The procedure takes less than an hour.
The points of injection are "scored" by the doctor with a pencil. Your doctor may select numerous injection points for each location slated for treatment. Antiseptic is also applied. Your doctor will then decide on the correct amount of collagen to be used. The collagen filler is injected into the marked points beneath the skin. Complications from collagen fillers are typically minimal. Some possible complications include uneven texture of the skin, an allergic reaction, infection, abscess and scarring.
While collagen is a good option, it is always a good idea to investigate alternative treatments. Other minimally invasive procedures include Botox, which may be complementary to collagen, or Restylane, which may be a better substitute for collagen. For more severe conditions, surgical procedures may be more appropriate, such as a facelift, forehead lift (brow lift) and blepharoplasty (eyelid surgery). Your doctor may recommend additional treatments for you to consider in conjunction with collagen, such as a chemical peel, laser skin resurfacing, or microdermabrasion.
Zyderm and Zyplast do require a skin test prior to the first treatment because of the risk of allergic reaction in some people. Collagen injections are typically performed in the doctor's office. They are most often performed without anesthesia, although the collagen filler itself contains lidocaine, which is a local anesthetic. Collagen is injected with a tiny needle into the skin depressions. Several injections may be needed, depending on the length and depth of the wrinkle. The procedure takes less than an hour.
The points of injection are "scored" by the doctor with a pencil. Your doctor may select numerous injection points for each location slated for treatment. Antiseptic is also applied. Your doctor will then decide on the correct amount of collagen to be used. The collagen filler is injected into the marked points beneath the skin. Complications from collagen fillers are typically minimal. Some possible complications include uneven texture of the skin, an allergic reaction, infection, abscess and scarring.
While collagen is a good option, it is always a good idea to investigate alternative treatments. Other minimally invasive procedures include Botox, which may be complementary to collagen, or Restylane, which may be a better substitute for collagen. For more severe conditions, surgical procedures may be more appropriate, such as a facelift, forehead lift (brow lift) and blepharoplasty (eyelid surgery). Your doctor may recommend additional treatments for you to consider in conjunction with collagen, such as a chemical peel, laser skin resurfacing, or microdermabrasion.
Kamis, 04 Maret 2010
Removing Scars Natural Way
It’s a general tendency for people to be vainer with themselves caused by the effects of lots of advertisements that depict the essence of being beautiful as an important element that leads you to successfulness. No wonder why a lot of people are so much into cosmetic surgeries these days. All of them want to improve or enhance their appearance for being physically acceptable in society. Consequently, one of the most undesirable problems in a person’s appearance is face scars. Whether it is caused by acne or other incidents that resulted in wounds, scar is an unsightly spot in the skin.
Scar develops if there’s an abnormal function of the skin cells and it may rise shiny and thin, hard and rough, white or dark textured, depending each case. Sometimes it can be reminded where the wound was “stitched-up”, others the scar can be so tough and fibrous that it interferes with the body’s capability to move a joint. Experts say that it is easier to take measures to minimize a scar early than to having to correct one later. That is why it is very important to remove the scar as early as possible.
There are many products in the market today that had been proven to be effective in removing scars. These products range from gels, healing creams, and other skin care products. There are also surgeries and other operative procedures that are used to remove the scar. Patients may choose whether they want to have it removed through laser treatment, plastic reconstructive surgery or natural treatments.
Reconstructive surgeries are performed to repair extra-visceral defects, malformations congenital or acquired and to restore and prevent further loss of function as well. Wherever, plastic surgeries are done most of the time for esthetic and cosmetic improvement; it is applicable to many parts of the body and numerous structures, in these types of treatments, living tissue may be transferred from one part of the body to another.
There are instances where people would rather use natural methods instead of the artificial or commercialized form of treatments. The main reason is that many people feel that they are better with the natural methods instead of undergoing several painful procedures. The best way to remove a scar is to apply skin care products that contain natural ingredients known to effectively eliminate scars.
Today, examples of natural scar removers are those that contain vitamin C. It is considered a natural antioxidant that neutralizes the skin and effectively promotes the speedy reproduction of healthy skin cells more efficiently and safely. Another effective product for scar treatment is Bio Skin Care cream witch have biological activators that trigger the self healing process of the skin. It only has natural elements with no side effects that surely enhance your skin.
Scar develops if there’s an abnormal function of the skin cells and it may rise shiny and thin, hard and rough, white or dark textured, depending each case. Sometimes it can be reminded where the wound was “stitched-up”, others the scar can be so tough and fibrous that it interferes with the body’s capability to move a joint. Experts say that it is easier to take measures to minimize a scar early than to having to correct one later. That is why it is very important to remove the scar as early as possible.
There are many products in the market today that had been proven to be effective in removing scars. These products range from gels, healing creams, and other skin care products. There are also surgeries and other operative procedures that are used to remove the scar. Patients may choose whether they want to have it removed through laser treatment, plastic reconstructive surgery or natural treatments.
Reconstructive surgeries are performed to repair extra-visceral defects, malformations congenital or acquired and to restore and prevent further loss of function as well. Wherever, plastic surgeries are done most of the time for esthetic and cosmetic improvement; it is applicable to many parts of the body and numerous structures, in these types of treatments, living tissue may be transferred from one part of the body to another.
There are instances where people would rather use natural methods instead of the artificial or commercialized form of treatments. The main reason is that many people feel that they are better with the natural methods instead of undergoing several painful procedures. The best way to remove a scar is to apply skin care products that contain natural ingredients known to effectively eliminate scars.
Today, examples of natural scar removers are those that contain vitamin C. It is considered a natural antioxidant that neutralizes the skin and effectively promotes the speedy reproduction of healthy skin cells more efficiently and safely. Another effective product for scar treatment is Bio Skin Care cream witch have biological activators that trigger the self healing process of the skin. It only has natural elements with no side effects that surely enhance your skin.
Label:
cosmetic,
healing process,
laser treatment,
natural,
removing scar,
skin,
surgery,
tissue,
vitamin,
wound
Skin resurfacing
Facial images are a paramount part of the appearance package. Executives who've led outdoor recreational lives may have sun damage. Others might bear acne scars from adolescence. Reversal of these damages, to produce glowing, smoother, and tighter, skin, is desirable. Since many prefer not having surgery to achieve these goals, non-surgical options, including laser treatments, were developed to improve skins. Unfortunately many involved pain and long recovery times.
Dermatologien products also had drawbacks. They weren't effective for deeper defects, and took a long time to work. However, the latest, and most effective, non surgical cosmetic treatment, Sciton ProFractional Laser skin resurfacing, which arrived in Wisconsin recently, erases deep wrinkles and scars, penetrating deeper than other lasers. After a Friday treatment an executive can return to work by Monday. The ProFractional Laser, part of the Sciton Tower Machine can, with different attachments, give a face and neck lift without surgery. The ProFractional is the best thing now in skin resurfacing. It fractionates the beam, setting it as deep as needed, pinpointing the surface like a grid.
The laser doesn't work on every pore, just what needs to be worked on. It's that precise. The most important thing for clients is to tailor therapy. In the case of wrinkling, we destroy damaged tissue, and rebuild collagen. For the best effect on very damaged skin, Wakefield suggests a combination of Sciton Microlaser peel and the ProFractional treatment. Facial appearance continues to improve over time, up to even a month after treatments.
The ProFractional laser and the Micro Laser peel can be used together for tightening facial and neck skins. People who are afraid to have a face lift can get some of the same results with this non-surgical treatment. She cautions that to achieve results similar to a face lift would require approximately two to three treatments, The look is much more natural than any surgical facelift. We blend the neck with the face for a more natural and even look, as everything tightens uniformly.
Dermatologien products also had drawbacks. They weren't effective for deeper defects, and took a long time to work. However, the latest, and most effective, non surgical cosmetic treatment, Sciton ProFractional Laser skin resurfacing, which arrived in Wisconsin recently, erases deep wrinkles and scars, penetrating deeper than other lasers. After a Friday treatment an executive can return to work by Monday. The ProFractional Laser, part of the Sciton Tower Machine can, with different attachments, give a face and neck lift without surgery. The ProFractional is the best thing now in skin resurfacing. It fractionates the beam, setting it as deep as needed, pinpointing the surface like a grid.
The laser doesn't work on every pore, just what needs to be worked on. It's that precise. The most important thing for clients is to tailor therapy. In the case of wrinkling, we destroy damaged tissue, and rebuild collagen. For the best effect on very damaged skin, Wakefield suggests a combination of Sciton Microlaser peel and the ProFractional treatment. Facial appearance continues to improve over time, up to even a month after treatments.
The ProFractional laser and the Micro Laser peel can be used together for tightening facial and neck skins. People who are afraid to have a face lift can get some of the same results with this non-surgical treatment. She cautions that to achieve results similar to a face lift would require approximately two to three treatments, The look is much more natural than any surgical facelift. We blend the neck with the face for a more natural and even look, as everything tightens uniformly.
Process wound repair
The pineal gland hormone melatonin is known to have both anti-inflammatory and immunomodulatory effects. Given this, we propose that melatonin is an ideal candidate to enhance the process of wound healing. The present study assessed the effects of exogenously administered melatonin, on scar formation using a full-thickness incisional rat model of dermal wound healing. Melatonin treatment significantly improved the quality of scarring, both in terms of maturity and orientation of collagen fibres.
An increase in nitric oxide synthase (NOS) activity and therefore nitric oxide production is detrimental during inflammation but is favourable during granulation tissue formation. Melatonin treatment significantly decreased inducible NOS (iNOS) activity during the acute inflammatory phase but significantly increased iNOS activity during the resolving phase. Cyclooxygenase-2, which has been shown to have anti-inflammatory effects, was elevated in the melatonin-treated rats following wounding.
In addition, melatonin treatment also accelerated the angiogenic process, increasing the formation of new blood vessels and elevating the level of vascular endothelial growth factor protein expression during granulation tissue formation. Melatonin treatment increased arginase activity (which generates proline, a building block for collagen synthesis) from earlier time points. The protein profiles of hemoxygenase-1 (HO-1) and HO-2 isoforms, vital participants in the repair process, were also upregulated upon melatonin treatment. This study has therefore demonstrated, for the first time, that melatonin can significantly improve the quality of wound healing and scar formation.
An increase in nitric oxide synthase (NOS) activity and therefore nitric oxide production is detrimental during inflammation but is favourable during granulation tissue formation. Melatonin treatment significantly decreased inducible NOS (iNOS) activity during the acute inflammatory phase but significantly increased iNOS activity during the resolving phase. Cyclooxygenase-2, which has been shown to have anti-inflammatory effects, was elevated in the melatonin-treated rats following wounding.
In addition, melatonin treatment also accelerated the angiogenic process, increasing the formation of new blood vessels and elevating the level of vascular endothelial growth factor protein expression during granulation tissue formation. Melatonin treatment increased arginase activity (which generates proline, a building block for collagen synthesis) from earlier time points. The protein profiles of hemoxygenase-1 (HO-1) and HO-2 isoforms, vital participants in the repair process, were also upregulated upon melatonin treatment. This study has therefore demonstrated, for the first time, that melatonin can significantly improve the quality of wound healing and scar formation.
Label:
collagen,
inflammation,
inflammatory,
repair process,
scarring,
tissue,
treatment,
wound
Jumat, 26 Februari 2010
Groundbreaking skin treatment
The Dermatology Center of St. Luke’s Medical Center has acquired the country’s first Sciton Profractional Laser, a new groundbreaking technology that provides virtually painless treatment of scars and aging facial skin.A population option for facial skin enhancement, the procedure utilizes ablative lasers. When directed to the skin, the energy heats the water within the surface layers of the skin causing both the water and the tissue to vaporize.
Every time the laser passes the skin, portions of the outermost layers are removed with utmost precision and control. The skin then heals over a period of time, usually three to four weeks, as new layers of collagen are produced. An improved skin literally resurfaces without traces of sun damage or acne scars. Unlike conventional ablative lasers where effective results are associated with prolonged downtime, the profractional technology offers a cost-effective solution for treating wrinkles, scar and epidermal dyspigmentation, resulting in healthier skin in a much shorter time.
Non-ablative laser treatments have shorter healing time but require several treatments in monthly intervals. These generally have more subtle improvements over time.Dr. Lonabel Encarnacion, Head of the Dermatology Center, explained that profractional treatments combine the benefits of the faster recovery of non-ablative technology. She added that the profractional laser targets a specific area, leaving surrounding skin intact. Skin problems are corrected, new collagen is produced – all within a shorter recovery period.“Some swelling and redness are expected from profractional treatments but this generally subsides within a day or two,” she said. “Optimal improvement is usually visible in about two to three months.
This time frame and treatment structure allows for complete healing and replacement of damaged tissue with new collagen, elastin and viable healthy skin cell growth.”The Dermatology Center at St. Luke’s Medical Center provides world-class medical and surgical outpatient dermatologic care. Patients are seen for common conditions such as acne, eczema, dermatitis, psoriasis, rosacea, hair loss, warts, actinic keratoses, and common skin infections, as well as patients with more complex disorders, including vitiligo, genetic diseases that affect the skin, dermatological manifestations of systemic illnesses, and skin cancer. In addition to the general dermatology outpatient service, the Center has several units devoted to specialized care in various subspecialties, including the Laser Unit, which provides Vascular Laser (Pulsed Dye Laser), Hair Removal (Alexandrite Laser), Pigment Laser treatments.
Every time the laser passes the skin, portions of the outermost layers are removed with utmost precision and control. The skin then heals over a period of time, usually three to four weeks, as new layers of collagen are produced. An improved skin literally resurfaces without traces of sun damage or acne scars. Unlike conventional ablative lasers where effective results are associated with prolonged downtime, the profractional technology offers a cost-effective solution for treating wrinkles, scar and epidermal dyspigmentation, resulting in healthier skin in a much shorter time.
Non-ablative laser treatments have shorter healing time but require several treatments in monthly intervals. These generally have more subtle improvements over time.Dr. Lonabel Encarnacion, Head of the Dermatology Center, explained that profractional treatments combine the benefits of the faster recovery of non-ablative technology. She added that the profractional laser targets a specific area, leaving surrounding skin intact. Skin problems are corrected, new collagen is produced – all within a shorter recovery period.“Some swelling and redness are expected from profractional treatments but this generally subsides within a day or two,” she said. “Optimal improvement is usually visible in about two to three months.
This time frame and treatment structure allows for complete healing and replacement of damaged tissue with new collagen, elastin and viable healthy skin cell growth.”The Dermatology Center at St. Luke’s Medical Center provides world-class medical and surgical outpatient dermatologic care. Patients are seen for common conditions such as acne, eczema, dermatitis, psoriasis, rosacea, hair loss, warts, actinic keratoses, and common skin infections, as well as patients with more complex disorders, including vitiligo, genetic diseases that affect the skin, dermatological manifestations of systemic illnesses, and skin cancer. In addition to the general dermatology outpatient service, the Center has several units devoted to specialized care in various subspecialties, including the Laser Unit, which provides Vascular Laser (Pulsed Dye Laser), Hair Removal (Alexandrite Laser), Pigment Laser treatments.
Label:
acne scar,
collagen,
dermatitis,
eczema,
laser treatment,
pigment,
rosacea,
skin,
tissue,
treatment
Kamis, 25 Februari 2010
Acne scar treatment options
Acne scarring is an acute problem especially for those who have experienced ugly flare ups of acne in the past. Nearly 80% of all people are affected by acne when they are in their teens and twenties. Though many are left unscathed by acne attacks, some may have life-long scars which can be a constant source of embarrassment. There are many treatment options for treating acne scars ranging from topical skin creams to surgical intervention. Of course the importance of preventive measures can not be undermined especially if you want to avoid a life-long problem.
Preventions is the best way to avoid any future problem with acne. To prevent acne breakouts, it is important to know what causes acne in the first place. One of the easiest ways to prevent acne is to wash your face daily with a mild antibacterial soap and avoid using heavy lotions and creams in areas which are prone to acne.
To hit the right treatment option for acne scars you must know the different classifications of acne scars. You will then know which treatment will suit which type of scars. For instance the ice pick acne scars are sharp and narrow where the skin appears to have been sliced or punctured. Acne scar resurfacing options can not work with such deep scars. Boxcar acne scars on the other hand are round or oval in shape and if they have not penetrated too deeply they can respond to some treatments. Conventional acne scar treatments can not work on rolling scars which are spots just beneath the surface of the skin. These need breaking up the fibrous tissue under the skin.
While there are plenty of acne scar treatment methods , more often, these methods are combined to get the desired results. Dermal fillers is a treatment option where some substances are injected into the scar areas to give the skin a smoother and even look. Fat, bovine and human collagens are some of the substances used in dermal fillers which can not offer a permanent solution and have to be repeated to maintain the results obtained. Deeper acne scars like ice pick and boxcar scars, are usually treated with punch excision. This is a method where the entire scar area is removed and the skin round it is sutured. This method also leaves a scar, which is less noticeable.
Punch excision is used for skin grafting as well. Here in place of suturing the skin together a skin graft is used. Skin from behind the ear is usually the chosen skin. If the color and texture of skin grafting is noticeable after the procedure is complete, it can be rectified using skin resurfacing. Punch elevation is the procedure used for deep boxcar acne scars. Here the scar is removed using a particular tool and then elevating the skin to the level of the normal skin layer and then suturing the skin together. Here there is less risk of color and texture mismatching. It also reduces the visible scars left from punch incision. The method used for breaking the fibrous bands caused under the skin by rolling scars is subcutaneous incision. One of the most popular choices for any skin conditioning or repairing is laser resurfacing. It works by burning the top layer of the skin which is replaced soon by new and healthy skin as it heals with time.
Though there are plenty of ways for treating acne scars prevention is the best way to avoid this problem of scar removal. In case you feel that you need treatment for your acne scars, you must first consult your physician, who will refer you to a dermatologist who will help you with your acne scar treatment. While you are going to choose the best method for your acne scar treatment you must also pay equal attention to its efficacy and the cost involved. Sometimes you might have to choose a combination of therapies like combining punch elevation with laser resurfacing.
These complementary methods could result in minimal scarring caused by surgical intervention. It is important to get professional advice from doctors who are adequately qualified with the right credential. Also important to note is that there are plenty of over the counter products which promise complete acne scar removal. Though these may reduce the ugliness of the scars temporarily, your doctor is the best judge to offer remedial actions when it comes to a permanent solution.
Preventions is the best way to avoid any future problem with acne. To prevent acne breakouts, it is important to know what causes acne in the first place. One of the easiest ways to prevent acne is to wash your face daily with a mild antibacterial soap and avoid using heavy lotions and creams in areas which are prone to acne.
To hit the right treatment option for acne scars you must know the different classifications of acne scars. You will then know which treatment will suit which type of scars. For instance the ice pick acne scars are sharp and narrow where the skin appears to have been sliced or punctured. Acne scar resurfacing options can not work with such deep scars. Boxcar acne scars on the other hand are round or oval in shape and if they have not penetrated too deeply they can respond to some treatments. Conventional acne scar treatments can not work on rolling scars which are spots just beneath the surface of the skin. These need breaking up the fibrous tissue under the skin.
While there are plenty of acne scar treatment methods , more often, these methods are combined to get the desired results. Dermal fillers is a treatment option where some substances are injected into the scar areas to give the skin a smoother and even look. Fat, bovine and human collagens are some of the substances used in dermal fillers which can not offer a permanent solution and have to be repeated to maintain the results obtained. Deeper acne scars like ice pick and boxcar scars, are usually treated with punch excision. This is a method where the entire scar area is removed and the skin round it is sutured. This method also leaves a scar, which is less noticeable.
Punch excision is used for skin grafting as well. Here in place of suturing the skin together a skin graft is used. Skin from behind the ear is usually the chosen skin. If the color and texture of skin grafting is noticeable after the procedure is complete, it can be rectified using skin resurfacing. Punch elevation is the procedure used for deep boxcar acne scars. Here the scar is removed using a particular tool and then elevating the skin to the level of the normal skin layer and then suturing the skin together. Here there is less risk of color and texture mismatching. It also reduces the visible scars left from punch incision. The method used for breaking the fibrous bands caused under the skin by rolling scars is subcutaneous incision. One of the most popular choices for any skin conditioning or repairing is laser resurfacing. It works by burning the top layer of the skin which is replaced soon by new and healthy skin as it heals with time.
Though there are plenty of ways for treating acne scars prevention is the best way to avoid this problem of scar removal. In case you feel that you need treatment for your acne scars, you must first consult your physician, who will refer you to a dermatologist who will help you with your acne scar treatment. While you are going to choose the best method for your acne scar treatment you must also pay equal attention to its efficacy and the cost involved. Sometimes you might have to choose a combination of therapies like combining punch elevation with laser resurfacing.
These complementary methods could result in minimal scarring caused by surgical intervention. It is important to get professional advice from doctors who are adequately qualified with the right credential. Also important to note is that there are plenty of over the counter products which promise complete acne scar removal. Though these may reduce the ugliness of the scars temporarily, your doctor is the best judge to offer remedial actions when it comes to a permanent solution.
Label:
acne,
boxcar scar,
collagen,
laser resurfacing,
rolling scar,
scar,
scar removal,
scarring,
surgical,
tissue,
treatment
Prevent and heal acne scars
Acne scars are easily recognized by the red skin of an area formerly occupied by a pimple. The initial form, while not actually a scar, will lead to one in some cases. Unfortunately, the only way to know for sure that it is a scar is if the red skin persists for longer than 6-12 months. It is often better, therefor, to treat all acne lesions as potential scars.
Acne scars are caused by an overabundance of the connective tissues your body uses to heal itself. These tissues work to provide a temporary framework for your skin cells to regrow on. But if there is too much of this connective tissue, it is not broken down when the healing is complete, but rather stays permanently. This causes a discolored or unpigmented section of skin to form.
Since the root cause of acne scarring is acne, preventing acne in the first place is the best way to avoid scars. But even if you already have acne, it is still possible to prevent acne scars from forming. The way this is done is by speeding the healing process as much as possible. The faster your acne lesion heals, the less time the connective tissue framework has to overgrow and leave scars.
There are 2 main treatments dermatologists use to facilitate the rapid healing of acne lesions. The first is Tretinoin, an acid derivative of Vitamin A, also known as all-trans retinoic acid. This chemical speeds the skin's healing, reducing inflammation and preventing acne scars from forming. The second method involves the use of various Alpha- and Beta-Hydroxy acids, which perform much the same function as Tretoinin, speeding healing and reducing the chance of scarring.
Even if you don't or can't see a dermatologist, there are several different things you can do yourself that can help prevent acne scars from forming. The biggest thing is to treat your skin well. Avoid over-exposure to the sun, as sunburns can dramatically slow the healing process. Always wear sunscreen when going out in the sun. Don't pop your pimples, and if there are scabs from lesions, do not pick at them. Picking at any wound as it heals causes more damage, extending healing times and increasing the likelihood of scar tissue forming.
Removing Existing Acne Scars
Even with the best of care, scarring still sometimes occurs. But even if a scar does form, there are several options available that can reduce or eliminate your visible scarring.
Dermal Fillers
Fillers such as collagen can be injected into the site of an acne scar, raising the skin surface to reduce the appearance of pockmarks. These are not permanent treatments, however, and will require re-injection every 3-6 months.
Laser Resurfacing
An extremely popular and fast treatment for acne scars, laser resurfacing works by burning a precisely measured upper layer of skin. New skin then grows over the wound, leaving mostly unscarred skin visible. But as with the initial acne healing process, care must be taken to insure that this new skin does not scar as well.
Punch Excision
This procedure is only effective on certain types of scars. A surgical punch is made to precisely the dimensions of the scar to be removed. The scar is then punched out, similar to a cookie cutter, and the wound sewn together. If there is any scarring left after the wound heals, it can be more easily treated with laser resurfacing than the original larger scar.
Acne scars are caused by an overabundance of the connective tissues your body uses to heal itself. These tissues work to provide a temporary framework for your skin cells to regrow on. But if there is too much of this connective tissue, it is not broken down when the healing is complete, but rather stays permanently. This causes a discolored or unpigmented section of skin to form.
Since the root cause of acne scarring is acne, preventing acne in the first place is the best way to avoid scars. But even if you already have acne, it is still possible to prevent acne scars from forming. The way this is done is by speeding the healing process as much as possible. The faster your acne lesion heals, the less time the connective tissue framework has to overgrow and leave scars.
There are 2 main treatments dermatologists use to facilitate the rapid healing of acne lesions. The first is Tretinoin, an acid derivative of Vitamin A, also known as all-trans retinoic acid. This chemical speeds the skin's healing, reducing inflammation and preventing acne scars from forming. The second method involves the use of various Alpha- and Beta-Hydroxy acids, which perform much the same function as Tretoinin, speeding healing and reducing the chance of scarring.
Even if you don't or can't see a dermatologist, there are several different things you can do yourself that can help prevent acne scars from forming. The biggest thing is to treat your skin well. Avoid over-exposure to the sun, as sunburns can dramatically slow the healing process. Always wear sunscreen when going out in the sun. Don't pop your pimples, and if there are scabs from lesions, do not pick at them. Picking at any wound as it heals causes more damage, extending healing times and increasing the likelihood of scar tissue forming.
Removing Existing Acne Scars
Even with the best of care, scarring still sometimes occurs. But even if a scar does form, there are several options available that can reduce or eliminate your visible scarring.
Dermal Fillers
Fillers such as collagen can be injected into the site of an acne scar, raising the skin surface to reduce the appearance of pockmarks. These are not permanent treatments, however, and will require re-injection every 3-6 months.
Laser Resurfacing
An extremely popular and fast treatment for acne scars, laser resurfacing works by burning a precisely measured upper layer of skin. New skin then grows over the wound, leaving mostly unscarred skin visible. But as with the initial acne healing process, care must be taken to insure that this new skin does not scar as well.
Punch Excision
This procedure is only effective on certain types of scars. A surgical punch is made to precisely the dimensions of the scar to be removed. The scar is then punched out, similar to a cookie cutter, and the wound sewn together. If there is any scarring left after the wound heals, it can be more easily treated with laser resurfacing than the original larger scar.
Label:
acne scar,
heal,
inflammation,
pimple,
scar tissue,
scarring,
skin,
tissue,
treatment,
vitamin
Minggu, 21 Februari 2010
Acne scar treatment tips
Acne scar treatment tips
1. Using tretinoin speeds up the skin's remodeling process and helps heal post-inflammatory changes.
2. Surgical removal (or excision) of acne scars is especially effective for ice pick and boxcar scars.
3. Accutanea may be prescribed for severe cases.
4. Acne staining can be treated with exfoliating creams and facials.
5. Skin grafting may be necessary under certain conditions.
6. Lasers of various wavelength and intensity may be used to recontour scar tissue and reduce the redness of skin around healed acne lesions.
7. Hippocrates serum for treatment of acne scarring is a high potency resurfacing serum to retexturize your skin.
8.Cellex-C is yet another acne scar removal cream that is recommended by many.
9.Elicina cream is a natural day and night protein cream for all ages and skin colours.
10. Mederma is a type of acne scar removal cream. It is actually a gel based medication and has been very helpful in many situations.
1. Using tretinoin speeds up the skin's remodeling process and helps heal post-inflammatory changes.
2. Surgical removal (or excision) of acne scars is especially effective for ice pick and boxcar scars.
3. Accutanea may be prescribed for severe cases.
4. Acne staining can be treated with exfoliating creams and facials.
5. Skin grafting may be necessary under certain conditions.
6. Lasers of various wavelength and intensity may be used to recontour scar tissue and reduce the redness of skin around healed acne lesions.
7. Hippocrates serum for treatment of acne scarring is a high potency resurfacing serum to retexturize your skin.
8.Cellex-C is yet another acne scar removal cream that is recommended by many.
9.Elicina cream is a natural day and night protein cream for all ages and skin colours.
10. Mederma is a type of acne scar removal cream. It is actually a gel based medication and has been very helpful in many situations.
Label:
acne scar,
heal,
healed,
inflammatory,
laser,
lesion,
medication,
resufacing,
scar removal,
scarring,
skin,
skin grafting,
tissue,
treatment
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.
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.
Label:
acne scar,
epidermis,
hypertrophic,
inflammatory,
keloid,
medication,
scar removal,
skin,
tissue,
treatment,
wrinkle
Tattoo removal cream
The use of a tattoo removal cream sounds like the cheap alternative to laser therapy or surgical excision. The market has recently been flooded by a huge number of topical products that claim to remove tattoos, but their efficiency is truly limited. First of all, you need to think of skin structure; if the pigment would be injected in the superficial skin layers, it would wear off in time, peeling together with the dead skin cells. Yet, this is not the case, and most tattoos are made at the level of the deep dermal layers where they become permanent.
Forced chemical exfoliation is the process based on which a tattoo removal cream acts, because it has to go deep in the skin to break the color pigment. Side effects and discomforts are often associated with the use of a tattoo removal cream, since topical removal products rely on acid as a main ingredient. Tingling and itching usually affect the area where you apply the tattoo removal cream, but symptoms alleviation is possible by the application of a soothing balm.
The ointment can be more easily spread on the skin if you use a massager, but not all kits contain such an accessory. As compared to finger-rubbing the cream, the application with a massager is considered superior. Results usually become visible within six weeks from the beginning of the treatment, but for advanced removal you need to apply the tattoo removal cream for at least six months.
Nevertheless, most reviews indicate poor results for the usage of different products in the tattoo removal cream category. By efficiency, most products in fact mean that the tattoo slightly wears off. Then, it is also important to carefully choose the product to apply on the skin, because it should carry an FDA certification as proof of its safety. Deep tissue damage, allergies, rashes and even scars could follow the irrational use of some topical tattoo removal cream.
Some tattoo removal creams are advertised as natural, meaning that they also contain some organic herbal extracts. Orange peel, aloe vera and rosemary leaf are common examples of natural ingredients used by some manufacturers. Such a tattoo removal cream will have very few side effects and a lower toxicity.
Forced chemical exfoliation is the process based on which a tattoo removal cream acts, because it has to go deep in the skin to break the color pigment. Side effects and discomforts are often associated with the use of a tattoo removal cream, since topical removal products rely on acid as a main ingredient. Tingling and itching usually affect the area where you apply the tattoo removal cream, but symptoms alleviation is possible by the application of a soothing balm.
The ointment can be more easily spread on the skin if you use a massager, but not all kits contain such an accessory. As compared to finger-rubbing the cream, the application with a massager is considered superior. Results usually become visible within six weeks from the beginning of the treatment, but for advanced removal you need to apply the tattoo removal cream for at least six months.
Nevertheless, most reviews indicate poor results for the usage of different products in the tattoo removal cream category. By efficiency, most products in fact mean that the tattoo slightly wears off. Then, it is also important to carefully choose the product to apply on the skin, because it should carry an FDA certification as proof of its safety. Deep tissue damage, allergies, rashes and even scars could follow the irrational use of some topical tattoo removal cream.
Some tattoo removal creams are advertised as natural, meaning that they also contain some organic herbal extracts. Orange peel, aloe vera and rosemary leaf are common examples of natural ingredients used by some manufacturers. Such a tattoo removal cream will have very few side effects and a lower toxicity.
Senin, 15 Februari 2010
Red scars
Most scars will be red during the healing phase and in most cases this will fade spontaneously. Persistent redness in scars may respond to Candela V-beam™ laser treatment, the same laser used to remove blood vessel blemishes and birthmarks.
Some people have a tendency to develop brown pigmentation in areas of damaged skin. It is usually transient but if it persists beyond nine months, treatment with the Q-Switched YAG laser or the Q-switched Ruby laser may help fade the pigmentation. Treatment with a prescription "fading" cream such as Hydroquinone 3% may be helpful.
Raised (hypertrophic) scars and keloid scars. In extreme cases, scar tissue may "over grow" causing thickened, raised scarring. This condition is known as hypertrophic scarring. It will usually settle spontaneously over 12 months. This improvement can be accelerated with treatment. Unfortunately, in some individuals, these changes do not settle and treatment may be required.
In some people this scarring reaction is so severe that even a scratched mosquito bite results in a thick scar. People who are prone to this type of "over healing" are usually aware of the problem and this is one situation where early intervention is appropriate. After taking a history and inspecting other scars, a dermatologist is able to abort the over growth of scar tissue with regular micro-injections of cortisone solution. If the problem is not identified until after scar formation, the tissue may still respond to micro-injection treatment. Silicone sheeting designed to flatten scars may also have a role in the treatment of raised scars.
Keloid scars are a more severe problem and the tendency is often genetic. It is more common in darker skin types. The classic feature of keloid scarring is that it grows and invades beyond the site of the actual injury. It is also often exquisitely sensitive and prone to itching. Keloids scarring commonly occurs in acne scars on the chest and back. Treatment for keloid scarring is similar to that outlined for hypertrophic scarring. It also has the tendency to recur over the years and require repeated courses of treatment. People prone to keloid scarring should consider preventative treatment as early as possible following injury and avoid unnecessary surgery.
Some people have a tendency to develop brown pigmentation in areas of damaged skin. It is usually transient but if it persists beyond nine months, treatment with the Q-Switched YAG laser or the Q-switched Ruby laser may help fade the pigmentation. Treatment with a prescription "fading" cream such as Hydroquinone 3% may be helpful.
Raised (hypertrophic) scars and keloid scars. In extreme cases, scar tissue may "over grow" causing thickened, raised scarring. This condition is known as hypertrophic scarring. It will usually settle spontaneously over 12 months. This improvement can be accelerated with treatment. Unfortunately, in some individuals, these changes do not settle and treatment may be required.
In some people this scarring reaction is so severe that even a scratched mosquito bite results in a thick scar. People who are prone to this type of "over healing" are usually aware of the problem and this is one situation where early intervention is appropriate. After taking a history and inspecting other scars, a dermatologist is able to abort the over growth of scar tissue with regular micro-injections of cortisone solution. If the problem is not identified until after scar formation, the tissue may still respond to micro-injection treatment. Silicone sheeting designed to flatten scars may also have a role in the treatment of raised scars.
Keloid scars are a more severe problem and the tendency is often genetic. It is more common in darker skin types. The classic feature of keloid scarring is that it grows and invades beyond the site of the actual injury. It is also often exquisitely sensitive and prone to itching. Keloids scarring commonly occurs in acne scars on the chest and back. Treatment for keloid scarring is similar to that outlined for hypertrophic scarring. It also has the tendency to recur over the years and require repeated courses of treatment. People prone to keloid scarring should consider preventative treatment as early as possible following injury and avoid unnecessary surgery.
Label:
birthmark,
blemishes,
hypertrophic scar,
injection,
injury,
keloid scar,
laser treatment,
pigmentation,
red scar,
scar,
skin,
surgery,
tissue,
treatment
Breaktrough natural acne
Pitted acne scarring is caused by a loss of tissue that results from damage to underlying skin tissue. Depressed scars have an "ice-pick" appearance, with sharp jiggered edges, or can be softer scars, looking much like scars left over from chicken-pox. Pigmented scars are red or brown marks left behind after an acne blemish has disappeared. Pigmented scarring is the most common and while it is not permanent, it can take weeks or months for it to clear if left on its own.
Often, the scar has not faded away before a new set of blemishes arrive - causing a perpetual cycle of disfigured skin that can leave many sufferers of acne depressed about the condition of their skin. Some people may have found a treatment that keeps their blemishes under control - only to discover that the red or brown marks remain - preventing their skin from looking completely clear and acne-free. Both for pitted acne scars and pigmented tissues our acne scars treatment with acne scar cream can result in a much improved skin texture and looks.
Just apply a little cream for acne scar removal on the areas affected, with discipline twice a day every day. It may take 2 to 3 months to see improvements depending on how deep and old are the acne marks. Yes, disciplined use for several months will be necessary to get rid of acne scars that have resulted in deep loss of tissue, specially if damage to tissues is very deep or has been going on for too long.
To remove acne scars that have resulted in deep pits, or for those that are old and have made the skin to feel rough and coarse, we recommend to start treating them with our home microdermabrasion cream for acne scars. If they are old and too deep other remedies for acne scars may be necessary and options are: professional dermabrasion, deep chemical peelings, fat injections, cosmetic fillers or laser surgery.
Often, the scar has not faded away before a new set of blemishes arrive - causing a perpetual cycle of disfigured skin that can leave many sufferers of acne depressed about the condition of their skin. Some people may have found a treatment that keeps their blemishes under control - only to discover that the red or brown marks remain - preventing their skin from looking completely clear and acne-free. Both for pitted acne scars and pigmented tissues our acne scars treatment with acne scar cream can result in a much improved skin texture and looks.
Just apply a little cream for acne scar removal on the areas affected, with discipline twice a day every day. It may take 2 to 3 months to see improvements depending on how deep and old are the acne marks. Yes, disciplined use for several months will be necessary to get rid of acne scars that have resulted in deep loss of tissue, specially if damage to tissues is very deep or has been going on for too long.
To remove acne scars that have resulted in deep pits, or for those that are old and have made the skin to feel rough and coarse, we recommend to start treating them with our home microdermabrasion cream for acne scars. If they are old and too deep other remedies for acne scars may be necessary and options are: professional dermabrasion, deep chemical peelings, fat injections, cosmetic fillers or laser surgery.
Treat unsightly acne scars
As if the unsightly appearance of acne pimples is not enough for all too many people once the pimples disappear they are left with frequently equally unsightly scarring. The first thing to realize is that some conditions which look very much like scars are not in fact scars at all but are macules and other bumps which can occur following acne treatment. The redness which often accompanies macules and other bumps can last for up to a year but this is not permanent and these are not true scars.
True scars are produced by the healing process itself (often resulting from the creation of fibrous tissue) and represent a permanent change to your skin tissue. Permanent scarring often results from the action of your white blood cells as they attack the bacteria which causes acne and this 'battle' can produce permanent changes to the underlying cells of your skin.
Such damage is not however just limited to the cells below the skin surface and you can be left with such things as so-called icepick scars which are small pinholes formed in the surface of the skin. They are called icepick scars because they look as if the skin has been attacked with an icepick and they are often quite deep and thus unresponsive to such things as dermabrasion and laser resurfacing treatment.
Another common form of acne scarring are boxcar scars, which are similar to icepick scars but tend to be flatter on the bottom instead of narrowing to a point as icepick scars do. Boxcar scars are shallower than icepick scars and can be treatment using skin resurfacing techniques. Finally, keloid scars, which tend to extend beyond the site of the original pimple injury, result from an excess production of collagen and are usually seen as a firm shiny pink or red scar.
In all cases the best way to avoid acne scars is to prevent then from developing in the first place but, where this has not proved to be effective, then there are several standard treatments including dermabrasion. Dermabrasion is a form of treatment used to treat a wide range of different skin conditions, including mild (and sometimes moderate} acne scarring. After the application of a local anesthetic, a high speed brush is used to remove layers of skin. In many cases, once the skin heals naturally, acne scar disappear altogether and, where this is not the case, they are usually very much less evident.
A commonly alternative to dermabrasion today is microdermabrasion in which, instead of using a high speed brush, aluminum oxide crystals are moved rapidly across the surface of the skin using a form of vacuum hose. This is a little bit like a form of medical 'sand blasting' and is less invasive than dermabrasion and causes less trauma to the skin. Microdermabrasion can be effective in cases of very mild acne scarring but generally does not produce as good results as are seen with dermabrasion.
Laser Treatments. For some people laser treatment (often using CO2 lasers) is particularly effective and mild scarring can sometimes be removed with just a single treatment. When in the hands of a trained professional a laser can be used to remove scar tissue, or to alter the size of scars and change the contour of the skin to make scars very much less visible. This is however a fairly harsh treatment which effectively works by burning the surface of the skin and so it can produce redness which will persist for several weeks.
Surgery. Surgery, using a technique known as 'punching' is often used to remove some icepick scars. An icepick scar is cut out down to the subcutaneous fat layer and the resulting hole is then repaired either using sutures or a small skin graft. Scars can also be repaired using subcisions which involve lifting the scar tissue away from unscarred skin. This technique can be effective but at the moment results using this technique have been somewhat mixed.
Drug Treatment. Keloid scars do not respond well to any of the treatments described so far and indeed they will usually stimulate the formation of more keloids and make matters worse. In this case therefore it is common to either apply a topical retinoid cream or to inject steroid-type drugs directly into the skin around the site of the scar. Unfortunately, keloid scars are difficult to treat and results vary widely from one individual to the next.
Perhaps the most important advice which anybody can be given when it comes to treating acne scars is that you should start by getting a proper diagnosis from a professional dermatologist. Your dermatologist will not only be able to advise you about the treatments available for your particular type of scarring, but will also be able to advise you about both the benefits and risks of each type of treatment.
True scars are produced by the healing process itself (often resulting from the creation of fibrous tissue) and represent a permanent change to your skin tissue. Permanent scarring often results from the action of your white blood cells as they attack the bacteria which causes acne and this 'battle' can produce permanent changes to the underlying cells of your skin.
Such damage is not however just limited to the cells below the skin surface and you can be left with such things as so-called icepick scars which are small pinholes formed in the surface of the skin. They are called icepick scars because they look as if the skin has been attacked with an icepick and they are often quite deep and thus unresponsive to such things as dermabrasion and laser resurfacing treatment.
Another common form of acne scarring are boxcar scars, which are similar to icepick scars but tend to be flatter on the bottom instead of narrowing to a point as icepick scars do. Boxcar scars are shallower than icepick scars and can be treatment using skin resurfacing techniques. Finally, keloid scars, which tend to extend beyond the site of the original pimple injury, result from an excess production of collagen and are usually seen as a firm shiny pink or red scar.
In all cases the best way to avoid acne scars is to prevent then from developing in the first place but, where this has not proved to be effective, then there are several standard treatments including dermabrasion. Dermabrasion is a form of treatment used to treat a wide range of different skin conditions, including mild (and sometimes moderate} acne scarring. After the application of a local anesthetic, a high speed brush is used to remove layers of skin. In many cases, once the skin heals naturally, acne scar disappear altogether and, where this is not the case, they are usually very much less evident.
A commonly alternative to dermabrasion today is microdermabrasion in which, instead of using a high speed brush, aluminum oxide crystals are moved rapidly across the surface of the skin using a form of vacuum hose. This is a little bit like a form of medical 'sand blasting' and is less invasive than dermabrasion and causes less trauma to the skin. Microdermabrasion can be effective in cases of very mild acne scarring but generally does not produce as good results as are seen with dermabrasion.
Laser Treatments. For some people laser treatment (often using CO2 lasers) is particularly effective and mild scarring can sometimes be removed with just a single treatment. When in the hands of a trained professional a laser can be used to remove scar tissue, or to alter the size of scars and change the contour of the skin to make scars very much less visible. This is however a fairly harsh treatment which effectively works by burning the surface of the skin and so it can produce redness which will persist for several weeks.
Surgery. Surgery, using a technique known as 'punching' is often used to remove some icepick scars. An icepick scar is cut out down to the subcutaneous fat layer and the resulting hole is then repaired either using sutures or a small skin graft. Scars can also be repaired using subcisions which involve lifting the scar tissue away from unscarred skin. This technique can be effective but at the moment results using this technique have been somewhat mixed.
Drug Treatment. Keloid scars do not respond well to any of the treatments described so far and indeed they will usually stimulate the formation of more keloids and make matters worse. In this case therefore it is common to either apply a topical retinoid cream or to inject steroid-type drugs directly into the skin around the site of the scar. Unfortunately, keloid scars are difficult to treat and results vary widely from one individual to the next.
Perhaps the most important advice which anybody can be given when it comes to treating acne scars is that you should start by getting a proper diagnosis from a professional dermatologist. Your dermatologist will not only be able to advise you about the treatments available for your particular type of scarring, but will also be able to advise you about both the benefits and risks of each type of treatment.
Sabtu, 13 Februari 2010
Scar removal techniques
There are several types of scars, and the most common of which are keloids, hypertrophic scars, contractures, and facial scars. Keloid scars are tissues that grow or rise beyond the wound or incision. These itchy tissues develop after wound healing takes place, when the body produces collagen.
Hypertrophic scars are like keloids that also take in a raised appearance. Sometimes, differentiating one from the other is difficult. The untrained eye may refer to hypertrophic scars as keloids. A thing to remember is that hypertrophic scars do not go beyond the boundary of the wound; instead, they limit themselves on the wound area only.
Meanwhile, contractures are scars that usually develop when there is loss of a large area of the skin, as what happens in burns, and facial scars are scars that develop on the face. The sad thing is, scars are permanent. Certain surgical and non-surgical procedures, as well as natural remedies, may lessen the severity of the scar, but at present, there is no technological method that is so advanced to enable the complete removal of scars.
Ideally, a scar should be treated as soon as it develops as it increases its chance of responding well to the treatment of choice. There are a variety of treatment options for the different types of scars. For example, keloids and hypertrophic scars respond well to steroid injections. If you are having contractures, though, you will need a procedure called Z-plasty or skin grafting. In Z-plasty, the scar is relocated to the area where it can blend well with the color of the skin. In skin grafting, skin from the injured part of the body is removed to cover the area. You can also go for laser surgery and resurfacing, however, its effectiveness has not yet been established.
If you'd rather opt for something that is non-invasive, there are some natural remedies to flatten the scar, lighten it or disguise it so it becomes less noticeable. For instance, mix sandalwood paste with black gray paste and rub it on your affected area, or use ice cubs to rub your skin with. Also, mixing cucumber with lemon juice, as well as the vitamins C and E, fish oil, aloe vera gel, cod liver oil and coco butter are great alternatives to the surgical scar removal procedures.
Scars Home Remedies with Vitamin E in any form is and ideal solution for any skin related complexities. Whether it is as vitamin E capsules or plain and simple vitamin E oil, it is very effective in the treatment of scars on the skin. Smear a bit of vitamin E oil on the affected area everyday and get astonished by the results within a few days. Having a vitamin E capsule too would help in faster marginalisation of the scar.
Natural Treatments for Scars with Tea Leaves are also very effective in the treatment of scars. The alkaloids present in the tea leaves help heal the scars faster. Soak a handful of tea leaves and then wrap them in a bag and keep the same pressed over the affected area for sometime regularly. It is advisable to try these natural home remedies first before going for invasive procedures. They are less risky because natural methods are being employed, and they are definitely less expensive, too.
Hypertrophic scars are like keloids that also take in a raised appearance. Sometimes, differentiating one from the other is difficult. The untrained eye may refer to hypertrophic scars as keloids. A thing to remember is that hypertrophic scars do not go beyond the boundary of the wound; instead, they limit themselves on the wound area only.
Meanwhile, contractures are scars that usually develop when there is loss of a large area of the skin, as what happens in burns, and facial scars are scars that develop on the face. The sad thing is, scars are permanent. Certain surgical and non-surgical procedures, as well as natural remedies, may lessen the severity of the scar, but at present, there is no technological method that is so advanced to enable the complete removal of scars.
Ideally, a scar should be treated as soon as it develops as it increases its chance of responding well to the treatment of choice. There are a variety of treatment options for the different types of scars. For example, keloids and hypertrophic scars respond well to steroid injections. If you are having contractures, though, you will need a procedure called Z-plasty or skin grafting. In Z-plasty, the scar is relocated to the area where it can blend well with the color of the skin. In skin grafting, skin from the injured part of the body is removed to cover the area. You can also go for laser surgery and resurfacing, however, its effectiveness has not yet been established.
If you'd rather opt for something that is non-invasive, there are some natural remedies to flatten the scar, lighten it or disguise it so it becomes less noticeable. For instance, mix sandalwood paste with black gray paste and rub it on your affected area, or use ice cubs to rub your skin with. Also, mixing cucumber with lemon juice, as well as the vitamins C and E, fish oil, aloe vera gel, cod liver oil and coco butter are great alternatives to the surgical scar removal procedures.
Scars Home Remedies with Vitamin E in any form is and ideal solution for any skin related complexities. Whether it is as vitamin E capsules or plain and simple vitamin E oil, it is very effective in the treatment of scars on the skin. Smear a bit of vitamin E oil on the affected area everyday and get astonished by the results within a few days. Having a vitamin E capsule too would help in faster marginalisation of the scar.
Natural Treatments for Scars with Tea Leaves are also very effective in the treatment of scars. The alkaloids present in the tea leaves help heal the scars faster. Soak a handful of tea leaves and then wrap them in a bag and keep the same pressed over the affected area for sometime regularly. It is advisable to try these natural home remedies first before going for invasive procedures. They are less risky because natural methods are being employed, and they are definitely less expensive, too.
The pain after surgeon
The amount of pain experienced varies from person to person, and depends on the method used. In general, more extensive procedures can give better correction of scars, but at the cost of greater operating time, more risk, longer swelling, slower recovery, and greater cost. You should discuss your goals, budget, and pain tolerance with your surgeon in order to help him/her determine the procedure, or combination of procedures, that will produce the best results for you.
Dermabrasion Although there is some bleeding during this procedure, there is not a much pain during the procedure itself, which is usually performed under local anesthesia that is injected or sprayed on to skin.
Vascular laser treatments may be slightly uncomfortable. As mentioned earlier, the sensation associated with the treatment is that of a rubber band snapping on the skin. A cold compress, such as frozen Aloe Vera gel, may be applied during the procedure.
Laser skin resurfacing – Most likely, you’ll be awake during the procedure, and feel minimal discomfort. Most doctors use a local anesthesia or a local anesthesia with a sedative. This is similar to the anesthesia used by dentists.
Silicone gel sheets involve little or no discomfort.
Skin grafts, punch grafts and flap surgeries are performed under general anesthesia.
Steroid applications and injections and collagen injections – You will feel the pin prick of the needle and possibly pressure when the fluid enters the skin.
Tissue Expansion may be slightly uncomfortable. The surgery is often done under local anesthesia.
Z-plasty and related techniques are done under a local anesthetic.
Dermabrasion Although there is some bleeding during this procedure, there is not a much pain during the procedure itself, which is usually performed under local anesthesia that is injected or sprayed on to skin.
Vascular laser treatments may be slightly uncomfortable. As mentioned earlier, the sensation associated with the treatment is that of a rubber band snapping on the skin. A cold compress, such as frozen Aloe Vera gel, may be applied during the procedure.
Laser skin resurfacing – Most likely, you’ll be awake during the procedure, and feel minimal discomfort. Most doctors use a local anesthesia or a local anesthesia with a sedative. This is similar to the anesthesia used by dentists.
Silicone gel sheets involve little or no discomfort.
Skin grafts, punch grafts and flap surgeries are performed under general anesthesia.
Steroid applications and injections and collagen injections – You will feel the pin prick of the needle and possibly pressure when the fluid enters the skin.
Tissue Expansion may be slightly uncomfortable. The surgery is often done under local anesthesia.
Z-plasty and related techniques are done under a local anesthetic.
Jumat, 12 Februari 2010
New techniques scar improved
While most skin cancer patients would like nothing more than to put their experience behind them, the majority carry constant reminders of their battle with cancer in the form of surgical scars. In some cases, skin cancer surgical scars can cause serious disfigurement, particularly on facial areas that are hard to hide or camouflage. Now, thanks to pioneering research, dermatologists can offer patients more effective facial reconstruction options to reduce the appearance of scars following skin cancer surgery.
Dermatologists are improving patient satisfaction by using the newest innovations and techniques to minimize surgical scars from facial skin cancers. For years, dermatologists have used a number of tried-and-true healing options for wounds resulting from skin cancer surgery - from effectively allowing Mother Nature to heal wounds without medical or surgical intervention to various closure techniques, surgical flaps and skin grafts. While these methods have proven quite effective in minimizing surgical scars, dermatologists are drawing on their expertise in how the skin heals to expand the current treatment options and further enhance results.
Dermatologic surgeon threads a running "baseball stitch" through the wound - or a continuous stitch that weaves in and out similar to the stitching on a baseball - causing the barbs to catch onto the connective tissue of the wound. In essence, the barbs on the stitches anchor themselves to the deep tissue of the wound and gradually close the wound together without tying knots. The barbed stitch technique was recently introduced and, in my experience, the technique has proven successful in closing complicated wounds very quickly and efficiently. Since the patient's operation time is greatly reduced because multiple stitch knots are avoided, their risk of surgical complications is theoretically less - as longer surgeries are associated with greater risk of infection and other complications.
Since the barbed stitch is thick, it works best for large wounds in areas of thicker skin and with high resistance that are hard to stretch - such as the rigid scalp area. This procedure is not recommended in areas where the skin is thin, for instance on the nose or eyelids. He added that patients with thick skin on their cheeks may also be good candidates for the technique.
All surgeries will leave scars and a "scar less" surgery is unrealistic. One approach that comes close is immediate sanding (dermabrasion) of the incision line. In this method, which was developed by dermatologists, a wound is closed with deep stitches first to bring the skin edges together. Sanding is then performed with either a mechanical abrasive device or a laser (intense beam of light energy) to remove the epidermis (the skin's outer layer) all along the entire incision line. This sanding is done at the time of surgery rather than several months afterwards, which is when traditional dermabrasion is completed. Once the epidermis is sanded down, the dermatologist places the top stitches and seals the wound.
Over the course of about seven to 10 days, the cells in the area where the skin was sanded down or stripped migrate over the upper stitch line and effectively hide that line. The migrating cells effectively seal the scar and blend it in with the surrounding skin. Both of dermabrasion and lasers can be used immediately after surgery on almost any area of the face except the eyelids or lips. The best candidates for these procedures are fair-skinned patients and those without an abundance of oil glands along the stitch line itself.
In general, the smoother the skin and the fairer the patient, the better dermabrasion or lasers work together with traditional closure techniques to minimize a scar's visibility. In many cases, adding these methods into the mix can result in an almost scar-less outcome. In fact, these technologies can hide the stitches so well that even under magnification you cannot detect them.
While traditional skin grafts in which a person's own skin is removed from another part of the body and is then stitched over the wound are commonly used in skin cancer reconstruction surgery, a newer application of this technique involves using a skin substitute instead of a person's own skin to close the wound. The skin substitutes currently being used contain an animal protein matrix that the body integrates into the scar.
Skin substitutes are a good option for patients who don't have a lot of healthy skin to use for a graft, such as those with widespread sun damage. Another benefit is that skin substitutes eliminate the need for a second surgery site, and for very deep wounds skin substitutes can be used underneath the skin to plump and shape depressed areas. In the future of facial reconstruction looks bright, with more promising research on the horizon to minimize scarring following skin cancer surgery. Two frontiers in wound reconstruction will involve determining how to modify bad or abnormal scars that sometimes heal poorly and developing products - such as creams or injectables - that promote wound healing based on a greater understanding of how healing occurs at a cellular or biological level.
Dermatologists are improving patient satisfaction by using the newest innovations and techniques to minimize surgical scars from facial skin cancers. For years, dermatologists have used a number of tried-and-true healing options for wounds resulting from skin cancer surgery - from effectively allowing Mother Nature to heal wounds without medical or surgical intervention to various closure techniques, surgical flaps and skin grafts. While these methods have proven quite effective in minimizing surgical scars, dermatologists are drawing on their expertise in how the skin heals to expand the current treatment options and further enhance results.
Dermatologic surgeon threads a running "baseball stitch" through the wound - or a continuous stitch that weaves in and out similar to the stitching on a baseball - causing the barbs to catch onto the connective tissue of the wound. In essence, the barbs on the stitches anchor themselves to the deep tissue of the wound and gradually close the wound together without tying knots. The barbed stitch technique was recently introduced and, in my experience, the technique has proven successful in closing complicated wounds very quickly and efficiently. Since the patient's operation time is greatly reduced because multiple stitch knots are avoided, their risk of surgical complications is theoretically less - as longer surgeries are associated with greater risk of infection and other complications.
Since the barbed stitch is thick, it works best for large wounds in areas of thicker skin and with high resistance that are hard to stretch - such as the rigid scalp area. This procedure is not recommended in areas where the skin is thin, for instance on the nose or eyelids. He added that patients with thick skin on their cheeks may also be good candidates for the technique.
All surgeries will leave scars and a "scar less" surgery is unrealistic. One approach that comes close is immediate sanding (dermabrasion) of the incision line. In this method, which was developed by dermatologists, a wound is closed with deep stitches first to bring the skin edges together. Sanding is then performed with either a mechanical abrasive device or a laser (intense beam of light energy) to remove the epidermis (the skin's outer layer) all along the entire incision line. This sanding is done at the time of surgery rather than several months afterwards, which is when traditional dermabrasion is completed. Once the epidermis is sanded down, the dermatologist places the top stitches and seals the wound.
Over the course of about seven to 10 days, the cells in the area where the skin was sanded down or stripped migrate over the upper stitch line and effectively hide that line. The migrating cells effectively seal the scar and blend it in with the surrounding skin. Both of dermabrasion and lasers can be used immediately after surgery on almost any area of the face except the eyelids or lips. The best candidates for these procedures are fair-skinned patients and those without an abundance of oil glands along the stitch line itself.
In general, the smoother the skin and the fairer the patient, the better dermabrasion or lasers work together with traditional closure techniques to minimize a scar's visibility. In many cases, adding these methods into the mix can result in an almost scar-less outcome. In fact, these technologies can hide the stitches so well that even under magnification you cannot detect them.
While traditional skin grafts in which a person's own skin is removed from another part of the body and is then stitched over the wound are commonly used in skin cancer reconstruction surgery, a newer application of this technique involves using a skin substitute instead of a person's own skin to close the wound. The skin substitutes currently being used contain an animal protein matrix that the body integrates into the scar.
Skin substitutes are a good option for patients who don't have a lot of healthy skin to use for a graft, such as those with widespread sun damage. Another benefit is that skin substitutes eliminate the need for a second surgery site, and for very deep wounds skin substitutes can be used underneath the skin to plump and shape depressed areas. In the future of facial reconstruction looks bright, with more promising research on the horizon to minimize scarring following skin cancer surgery. Two frontiers in wound reconstruction will involve determining how to modify bad or abnormal scars that sometimes heal poorly and developing products - such as creams or injectables - that promote wound healing based on a greater understanding of how healing occurs at a cellular or biological level.
Selasa, 09 Februari 2010
Remove scars and acne scars
Scars are fibrous tissue which replace normal skin after the dermis, which gets deteriorated following a wound or sore. A skin usually appears in the brownish, blackish or pinkish color. Scars though ugly looking are a natural way of the skin to repair itself from injury. The word scar owes its origin to the Greek word eschara' which means fireplace. An injury becomes a scar only after the sore or wound is completely healed. Let us see how you can treat and remove scars and acne scars from your body:
Apply vitamin E oil directly on the healing tissue two or three times a day. Vitamin E is used to help the skin regenerate, and the gentle massage that you do will help the tissue grow smoothly. You can even use Vitamin E capsules. Break the capsule and smear the oil of these capsule in the area which has scars. - Aloe vera paste can be combined with the oil of vitamin E capsules to remove the scars effectively.
Massage scars with water and little baking soda to gently shed off the dead issue on the top layer of the skin. Massage the scat with baking soda for atleaset one minute, twice daily. Rinse with warm water and apply some olive oil to revitalize the tissue. An expensive yet permanent form of scar removal is by using laser scar removal. The cost of the treatment will depend on the size and the area where the scar exists. Sandalwood paste can effectively get rid of scars. Soak sandalwood in night overnight. The next morning apply the paste on scar affected areas and you will find improvements in your skin tone.
Olive oil or aloe vera gel can also reduce the scar from intensifying. Apply lemon juice on the area where scars are present. Otherwise you can also trying rubbing lemon on the affected skin areas, by cutting the lemon into two halves. The citric quality of lemon helps in not only cleansing the pores but also removing the scars. Apply fresh tomato juice on the affected areas of skin to remove the scars. Rub your skin with ice-cubes to pale the scar. This is the simplest way to reduce scars on the face or other areas of skin. Fuller’s earth can also be used well to remove scars. Take two tablespoons of fuller’s earth and mix it with lemon juice. Mix them well, add rose water to the mixture. Apply the paste on the scars and the scars will reduce considerably. Allow it dry for 15 minutes before washing the area with cool water. If you do this twice a day, the scar will be completely cured.
Gently massage almond oil on the affected skin area to remove scars effectively. Fenugreek seeds are also useful in scar removal treatments in a herbal manner. Take fenugreek seeds and dissolve them in a glass of water. Let it boil for about 5 minutes or so. Then let the solution cool and wash the affected area of scar with this solution. Washing the face with fenugreek water solution can also work wonders to add glow to your face. Mash a ripe banana and apply the resultant paste on the scar. Leave on for ten minutes and then was the skin with cold water. You will be able to remove scars naturally this way. Apply an extract of cucumber on the scar affected area and leave it like that for 15 minutes. Rinse your skin with cool water after 20 minutes. This method can remove the darkest of scars.
Applying honey directly on the scar area can also completely remove the scar. You must apply honey regularly on the scar affected area, till it goes away. Dab some green tea on a cotton and massage it on the scar affected area. Oils like olive oil, coconut oil and the aforementioned almond oil , if regularly applied on the skin several times a day can reduce scars effectively. If the scar is due to an acne or pimple, do this: Mix a tablespoon of yoghurt, sour cream , a tablespoon of ground oatmeal and a some drops of lemon juice and mix together thoroughly. Apply this paste onto the face for ten minutes. Then rinse off with cold water. Do this several times a day. Se low fat sour cream if you have an oily skin. Cut a clove of garlic into two parts and massage it on the acne or pimple area. This helps to cure the scar and its traces effectively.
Apply vitamin E oil directly on the healing tissue two or three times a day. Vitamin E is used to help the skin regenerate, and the gentle massage that you do will help the tissue grow smoothly. You can even use Vitamin E capsules. Break the capsule and smear the oil of these capsule in the area which has scars. - Aloe vera paste can be combined with the oil of vitamin E capsules to remove the scars effectively.
Massage scars with water and little baking soda to gently shed off the dead issue on the top layer of the skin. Massage the scat with baking soda for atleaset one minute, twice daily. Rinse with warm water and apply some olive oil to revitalize the tissue. An expensive yet permanent form of scar removal is by using laser scar removal. The cost of the treatment will depend on the size and the area where the scar exists. Sandalwood paste can effectively get rid of scars. Soak sandalwood in night overnight. The next morning apply the paste on scar affected areas and you will find improvements in your skin tone.
Olive oil or aloe vera gel can also reduce the scar from intensifying. Apply lemon juice on the area where scars are present. Otherwise you can also trying rubbing lemon on the affected skin areas, by cutting the lemon into two halves. The citric quality of lemon helps in not only cleansing the pores but also removing the scars. Apply fresh tomato juice on the affected areas of skin to remove the scars. Rub your skin with ice-cubes to pale the scar. This is the simplest way to reduce scars on the face or other areas of skin. Fuller’s earth can also be used well to remove scars. Take two tablespoons of fuller’s earth and mix it with lemon juice. Mix them well, add rose water to the mixture. Apply the paste on the scars and the scars will reduce considerably. Allow it dry for 15 minutes before washing the area with cool water. If you do this twice a day, the scar will be completely cured.
Gently massage almond oil on the affected skin area to remove scars effectively. Fenugreek seeds are also useful in scar removal treatments in a herbal manner. Take fenugreek seeds and dissolve them in a glass of water. Let it boil for about 5 minutes or so. Then let the solution cool and wash the affected area of scar with this solution. Washing the face with fenugreek water solution can also work wonders to add glow to your face. Mash a ripe banana and apply the resultant paste on the scar. Leave on for ten minutes and then was the skin with cold water. You will be able to remove scars naturally this way. Apply an extract of cucumber on the scar affected area and leave it like that for 15 minutes. Rinse your skin with cool water after 20 minutes. This method can remove the darkest of scars.
Applying honey directly on the scar area can also completely remove the scar. You must apply honey regularly on the scar affected area, till it goes away. Dab some green tea on a cotton and massage it on the scar affected area. Oils like olive oil, coconut oil and the aforementioned almond oil , if regularly applied on the skin several times a day can reduce scars effectively. If the scar is due to an acne or pimple, do this: Mix a tablespoon of yoghurt, sour cream , a tablespoon of ground oatmeal and a some drops of lemon juice and mix together thoroughly. Apply this paste onto the face for ten minutes. Then rinse off with cold water. Do this several times a day. Se low fat sour cream if you have an oily skin. Cut a clove of garlic into two parts and massage it on the acne or pimple area. This helps to cure the scar and its traces effectively.
Label:
acne scar,
dermis,
injury,
laser,
natural,
remove scar,
scar,
scar removal,
scar tissue,
skin,
tissue,
treatment,
vitamin
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