Scars are formed as the effect of damage to the deeper skin layers due to different factors including trauma, diseases, or surgical procedures. Scars are classified into different types depending on the way of formation. Scar healing is a long and complicated process, with damaged skin being replaced by connective tissue. Healing may be divided into th stages: the inflammation stage lasting 48-72 hours, the proliferation stage lasting about 3-6 weeks, and the remodeling/scar maturation stage lasting up to several months.
Acne scars are defined as atrophic scars, i.e. skin depression scars. They are formed as a result of acne with inflammation and purulent lesions which favor abnormal healing.
Burn scars are characterized by uneven texture and abnormal collagen distribution. The skin within the defect area is hard and discolored.
Surgical scars are deeps scars formed following surgical interventions.
Trauma scars are formed following a mechanical or chemical injury, cut, or accident. In most cases, wounds must be cleansed and therefore the treatment may take longer.
Keloids are types of hypertrophic, thickened, and elevated scars. They are irregular in shape and may spread quickly. In contrast to regular scars, they do not disappear over time.
In some cases, the healing takes on an abnormal course despite proper wound/scar care. Hypertrophy may occur in scars characterized by high tissue tension (joints, chest). Genetic predisposition is an important risk factor. Scars may cause additional pain, burning, itching, and increased tension of integuments.
In case of patients presenting with scars, physicians at Medicus Self develop a treatment plan aimed at the maximum aesthetic effect. The basis for implementation of this treatment plan consists in the evaluation of the scar itself, its stage, and size, as well as the analysis of the history of treatment performed during the medical consultation. Treatment plans include combined techniques so as to stay true to our corporate standard of meeting patients’ expectations as quickly as possible, and most patients expect the results of treatment to be evident as quickly as possible.
One of the methods widely recommended by dermatologists is compression or topical (creams, ointments)/focal (injections) administration of glucocorticosteroids.
However, not all scars may be eliminated by the above methods. In such cases, the Medicus Self treatment plan may include platelet-rich plasma, carboxytherapy, or laser therapy. The methods may also be combined for optimum effects. Depending on the intensity of the problem, the number of procedures may vary: sometimes, 3 procedures are sufficient, while in come cases, up to 8 procedures may be required.
Appropriate treatments are selected for defects of different origins and different times that may have elapsed since wound healing. These may include:
RF microneedling, in which skin is punctured using a special probe featuring a number of thin needles. The electric current which flows through the needles elicits controlled skin burning. The procedure remodels collagen to “push” the tissue outwards. It is associated with quick skin healing (up to 2 days). The technique minimizes the risk of infections and complications.
CO2 fractional laser penetrating deep into the skin to damage collagen and thus stimulate neocollagenesis. In the case of the CO2 laser, the recovery may require more time (about 1 week).
Dermapen microneedling for mechanical stimulation of skin. It stimulates collagenesis and tissue repair processes, resulting in the reduction of scar.