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  Scar Removal  
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Surgical and traumatic scars can be improved with laser treatment. We use the pulsed dye, carbon dioxide, erbium YAG laser, and CoolTouch for this purpose. The color and texture of scars is often improved with this technique. Treatments are performed with topical or no anesthesia in the office setting. The cool touch laser, collagen and Dermalogen help to improve the appearance of scars. 

Scars resurfacing using dermabrasion is usually performed under anesthesia, with additional medications to control pain and help you relax. A medical-grade sanding device is used to remove damaged skin tissue and literally does skin resurfacing. The procedure creates a raw area on the skin that heals within two weeks. Deep scars remains almost unaffected. Scarring tissue types are almost always a determinant factor in efficacy of various treatments for scarring. The procedure is only advisable to people whose skin has been scarred from acne for long time or pigmented.

Scars removal with collagen implants or fat injection may be associated with allergy or incorrect positioning. Superficial and atrophic scars may do well. Keloids and Ice-pick scarring tissue do not benefit. Collagen or fat injection results are temporary and the injections must be repeated every six months. 

Various forms of scarring could be well treated with scars removal creams or serums such as Hippocrates Acne Treatment, advisable for people who still have active breakouts, or Hippocrates scarring serum, suggested for those who stopped having breakouts for at least six months. Highly individualistic nautre of scars, people decide to continue this treatment for different period of time. These treatments provide you with a moderate peeling (skin resurfacing) that can be incorporated into your skin care regimen at home. However, extreme care must be exercised in use of these high-potency serums, because they are highly potent with therapeutic effects. Serums are also more advisable to patients whose skin is still acne prone and are likely to develop blemishes from time to time. This approach will efficiently help with scars resurfacing without any side effects. In addition, you will be enjoying a nourishing retexturizing serum, which not only root out facial scars but also revitalize and protect your skin against free radicals and aging process.

Scar revision, a hype or reality?

The first thing one think of when it comes to scars is that whether his/her skin tissue can be returned to its original state. If you have gone through our pages you might have realized that there are invasive and non-invasive approaches to scarring treatment. Invasive methods such as laser resurfacing typically cost more than non-invasive methods such as Hippocrates at-home scarring treatment. Let's first take a look at the costs and recovery time, which basically are two important factors when considering any of these scars-reducing procedures.

Recovery time 4-6 weeks

Now another factor comes into play, that is efficacy of each approach. This is highly dependent to scar type and depth. None of these methods can eliminate deep scars completely. However, all improve their appearance and make a scar more superficial. There are some other considerations when you are to decide which one works for you such as skin color and type. However, you should first decide whether you want to go for an invasive or non-invasive procedure. If your decision is an invasive procedure then a plastic surgeon can help you with the rest of your questions. 

Among non-invasive procedures there are two main categories. Silicon sheets and cell turnover accelerators. Silicon sheets are only indicated for either hypertrophic scars or a scar remained as a result of surgery. Silicon sheets may not have any effect on acne scarring. Among cell turnover accelerators, alpha hydroxy acids or AHA, beta hydroxy acids or BHA and retinoids can be named. Alpha-Hydroxy Acids or AHA is a compound found naturally in many common fruits such as pineapple, berries, grape, sugar cane. Among them glycolic acid, found in sugar cane and sugar beets, have been used more prominently in cosmetics. AHA main action is to accelerate shedding of skin cells in the topmost layers of the skin by decreasing their cohesiveness. Continued use of glycolic-acid-based products may result in a smoother epidermis and to some extent elimination of comedones (blackheads and whiteheads). In doing so AHA generally can enhance the penetration of other agents and nutrients such as Vitamin C, Zinc, amino acids, essential fatty acids and ceramids. Simultaneously Glycolic acid helps to restore the barrier function of the skin, thereby increasing tissue own moisture content. There are evidences that suggest increase in collagen production in dermis layer with use of AHA. Glycolic acid can make the skin more sensitive to the effects of the sun’s UV rays; therefore use of effective sunscreen is essential. Having said all that can AHA alone be used for treatment of a scar? How significant is the effect of AHA's in reducing a scar. The answer is pH and concentration of AHA determine success of glycolic acid products. However, glycolic acid products in their highest concentration available and in in lowest pH tolerable by skin can not treat scars by themselves. 

Beta hydroxy acids are another group of cell turnover accelerators which are derivative of aspirin and naturally can be found in willow bark. The most well-known BHA is salicylic acid. Some authors claim that BHA's are stronger exfoliants than AHA's and interestingly more gentle to the skin. Salicylic acid is also pore-clearing and can help with treatment of blackheads and comedone clearance. Use of BHA's alone for treatment of scarring is not very promising, even though overall somewhat smoother skin is the result.

Retinoids are derived from Vitamin A. Retinoids could be found in alcohol form (retinol) or acid form ( retinoic acid). Unlike their close structures, retinol and retinoic acid seem to act very differently on epidermal tissue. Retinol by helping to restore the barrier function of the skin is very hydrating to the skin. On the contrary, retinoic acid is very drying and irritating to the skin. Keratolytic effect of retinoic acid is different from that of retinol. Retinoic acid causes desquamation of skin tissue, so dead cells get separated more readily (smoother skin ). It also appear to help collagen synthesis (firmer skin and fewer wrinkles), as well as redistribution of melanin (skin pigment) by which even-tone the skin.

 

 

 

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