Methods for treatment and correction of atrophic scar
Methods for hypertrophic scar and keloid treatment
Treatment and correction of stretch marks
Normatrophic scar treatment

Scar, cicatrix, strie, stretch marks, scar revision, acne scar, atrophic scar, hypertrophic scar, rolling scar, boxar scar, ice pick scar, keloide, peeling, microdermabrasion, laser treatment, corticosteroids, cryotherapy, silicone sheeting, compression.

Treatment and correction of scars

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METHODS FOR TREATMENT AND CORRECTION OF ATROPHIC SCAR

  • Microdermabrasion
  • Rotational dermabrasion
  • Topical therapy
  • Subcision
  • Mesotherapy
  • Laser therapy
  • Peeling
  • Hydration
  • Ferment therapy
  • Surgical excision

Microdermabrasion is a process of skin polishing in the scar localization using aluminium microcrystal. Throughout vacuum aluminium fillings are delivered to the outer surface of skin and after knocking the particles out of the problem zone they are sucked in other container. Such method does not need anesthesia. Restoration period is within 4-10 days. The patient is able to live their usual social life. This method is also called “the day-off procedure”. 3-7 procedures through 3-4 weeks each are to be taken to achieve some visible results.

Deep rotational dermabrasion.
Zone of application is papilla layer of derma. Surgical dermabrasion with use of rotational discs was first described in 1905 by Kromayer. In 1960s of 20th century high speed (20-60 r.p.m.) polishing milling cutters were first introduced. They were named after their inventors Schumann and Shrews. Nowadays this device is being effectively used for correction of hypertrophic, atrophic and normatrophic scar.

Photo: Atrophic scar before and after deep dermabrasion

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Topical therapy.
Liniments, creams and gels are used according to their functional purpose. They are divided into the following groups: antibacterial, for normalization of blood circulation, increasing or reducing collagen synthesis, diluting injury medium, strengthening immunity in scar region etc. The following creams and gels shall be applied: Cordran, Dermatix, MedGel, Kelofibrasa, Scarguard, Contractubex, Aldara etc. As some drugs can make condition of scars worse advice is necessary in this case or another.

Liniments, creams and gels are used according to their functional purpose. They are divided into the following groups: antibacterial, for normalization of blood circulation, increasing or reducing collagen synthesis, diluting injury medium, strengthening immunity in scar region etc. The following creams and gels shall be applied: Cordran, Dermatix, MedGel, Kelofibrasa, Scarguard, Contractubex, Aldara etc. As some drugs can make condition of scars worse advice is necessary in this case or another. As a rule, liniment therapy is used along with the other methods or after them.

Subcision.
If translated from Latin “subcision” means “chopping off”. This method was developed by American dermatologist David S. Orentreich. The mechanism of this method is following. As cicatrix goes through maturing period the connective fibres are developed inside of it. These fibres fix the cicatrix bottom by sinking it into skin. By means of needle connective tissue cords are to be chopped off and the bottom of atrophic cicatrix liberated goes up to the outside. As a result, the cicatrix becomes much smoother.

Photo: Atrophic scars before and after subcision.

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Mesotherapy.
In its wide social context this method is known as a process involving injection of cosmetic or pharmacological drugs into the middle layer of skin (mesoderm) in order to improve the outside of the cicatrix. So called fillers are used in this method. They can be natural, synthetic or semisynthetic. Apart from fillers fibroblasts (collagen synthesized cells), different microelements (for stimulating wound healing as well as cicatrix formation), a series of ferments etc. can be used for injections.

Laser therapy.
Atrophic cicatrix is well curable by means of carbonate (CO2) and vascular laser. Carbonate laser (ablative) vaporizes the upper layers of skin. Vascular laser (non-ablative) put vessels inside the cicatrix together. Carbonate laser treatment can be followed by different sequelae such as long-lasting redness, pigmentation or transformation of atrophic cicatrix into keloid. At vascular laser treatment no sequelae have been observed so far.

Photo: Vascular laser treatment with Sclero Plus laser.

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Peeling


Peeling means “removing”, “removing skin”, or “separating”. Therefore, any process referred to as “epidermis removing” or”outer layers of derma removing” is considered as peeling. According to the depth of exposure peelings are divided into 3 groups:
    1. superficial ( several layers of keratinized cells);
    2. middle ( throughout keratinized layer);
    3. deep ( throughout epidermis up to the basal layer and papilla derma with penetration into retina derma.

Photo: Small cicatrices before and after a series of middle peelings..

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Hydration.
Recently fresh wound was cleansed with potassium permanganate. Such treatment often caused formation of crust with scar under it. Besides, the scar got rough. It’s essential that wound is to heal in humid medium so that cells could migrate, divide and receive necessary information. A series of synthetic and semisynthetic coatings are being applied to moisturize wound.

Ferment therapy.
Ferments are used to cleanse off necrosis cells, normalize the process of healing as well as form smooth cicatrix. A number of liniments and gel applications with fermentative drugs are available along with electrophoresis, phonophoresis, injections etc.

Photo: Posttraumatic scar before and after ferments therapy and hydration..

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Normatrophic scar treatment    
BEFORE AFTER
Atrophy scars    
BEFORE AFTER
Scars of hypertrophies    
BEFORE AFTER
Keloid scars    
BEFORE AFTER
Stretchings    
BEFORE AFTER