Acne is irritating not only when it is active, but even after it heals. This is because it leaves behind unpleasant scars and pigmentation. Laser therapy is the best-known way of dealing with these scars and pigmentation issues. It is a misconception that laser treatment is a new form of skin therapy. The laser is being used to treat pigmentation scars since 1964, however, the procedures have evolved significantly and become much more improved and effective.

How does laser therapy work?
Lasers direct intense amounts of monochromatic light at precise points on the skin. This light is emitted in short pulses. When this light hits the skin it heats the haemoglobin cells. The precision with which lasers direct this light ensures that surrounding cells are not affected. By changing the amount of light, lasers can be used to address cells at varying depths of the skin. In the case of scars, they can destroy the excessive melanin deposits causing a scar. It can also boost collagen production.

In most cases, lasers used to treat skin issues are carbon dioxide or argon lasers. These are known as CW lasers. Laser therapy may be shortly pulsed or long pulsed. The difference between the two lies in the rest period between emitting bursts of light. The type of laser therapy used depends largely on the degree of scarring or hyperpigmentation.

Advantages and Disadvantages of Laser treatment

One of the biggest advantages of this form of therapy is its precision. Laser therapy does not affect the surrounding cells. It is also a bloodless form of therapy that does not require any hospitalization. As compared to other forms of skin therapy for scarring such a dermabrasion, laser therapy does not increase a person s risk of infection.
On the flip side, laser treatment does not work well with all types of scars or all skin types. Also, some people may require multiple sessions for results to be noticeable. In cases of scarring on dark skin, laser lights can wound the capillaries in the skin. As the skin in this area heals, it may become lighter than the surrounding skin. Laser treatment can also cause raised scars known as keloids when used to treat dark skin. These scars cannot be treated with laser therapy and require additional treatments. Laser treatment is also a little more expensive as compared to other forms of therapy.
If you choose to undergo laser treatment to remove scars and pigmentation, it is important to have realistic expectations. Do not expect your skin to be perfect after the procedure. While there will be an improvement, do not assume that 100% of scarring will be removed.
In case you have a concern or query you can always consult an expert & get answers to your questions!

Hyperpigmentation & Scars - Ways Laser Treatment Can Help!

Who wouldn't want a seamless, spot free skin without having to undergo the trouble of enduring the endless assails by ointments, creams, oils and what not. Rashes, burns, abscesses, injuries, wounds, keloids and other skin traumas make the skin unsightly and rather troublesome. While skin eruptions like acnes and pimples are related to the hormonal balances in the body and the blood circulation, there are other skin blotches, which are caused due to external factors. For the formers, blood purifying medicines or palliative creams often abate the same significantly.

However, for the latter group of scars, specific treatments need to be meted out. A large variety of treatments are available for this purpose, however it is wise to first infer the nature and the source of the scar before adopting a given curative method. One practice that one needs to be mindful of is that the scars must be allowed to heal before being treated with any remedial procedures. While a large number of products and medical procedures are available for minimizing the scars, one needs to be discrete while choosing a particular product. Some of the common tactics of reducing or removing scars have been enlisted below.

    Silicone based ointments: Silicone is laden with skin healing properties and is extremely effective as an antioxidant. Thus silicone based ointments, gels or serums can prove advantageous for mitigating scars. One must use it for a prolonged period of time while at the same time taking adequate care to protect the scar from sunrays using SPF based sunscreen. 
    Laser treatments: On certain occasions, one may need more than gels or creams to cure the scars. In that regard, there are a large array of surgical procedures available for grappling with specific types of skin ailments. These are most effective on indented scars. Dermal fillers, fraxels and fat grafting are skin treatment methodologies which can effectively remove scars and rejuvenate the skin. 
    Letting the wounds breathe: Since a lot of wounds have an occlusive texture, piling them up with creams, oils and capsules often block the wounds and deter their healing process. Therefore, it helps to use a gentle cleanser to clean the affected area and letting air to circulate freely.

All About Scar Removal Treatment

While some scars are negligible, others can mar your beauty. With cosmetic surgery, today, it is easy to remove scars and make them less prominent. Scar revision surgery can range from invasive procedures, such as scar excision to non invasive procedures like cryotherapy, laser therapy and topical silicone therapy. However, none of these have perfect results. The main aim of scar revision surgery is to make the scars blend in as much as possible with the surrounding skin in terms of colour, texture and elevation.

Picking a scar revision procedure is a matter of weighing the pros and cons of each type of procedure and the cause for dissatisfaction: 
1. Functional limitations of the scar and likelihood of functional impairment after surgery
2. Patient's expectations
3. Location of the scar
4. Quality of skin type and surrounding tissue

Scars are formed due to a number of reasons, such as acne, cuts, burns, surgery and infection in a wound. Scars created by an overproduction of collagen are the most difficult to treat. In most cases, a patient requires multiple surgeries for scar revision.

Some of these surgeries are:
1. Surgical Excision: This procedure is usually performed on large scars that do not respond to medication. Here the surgeon shaves and cuts down scar tissue to minimize the size of the scar.
2. Laser Surgery: This is used to smoothen the scars with raised or uneven surfaces. It involves the removal of the top layer of skin and tightening of the layer below it.
3. Z plasty and W plasty: These surgical treatments aim to reduce the visibility of the scar by repositioning them along the natural lines and creases of the skin. All topics that sent after editing should be considered as approved.

All About Scar Revision Surgery

Acne vulgaris, commonly known as acne is a type of chronic skin condition which occurs when the hair follicles of the skin become clogged with oil and dead skin cells. Characterized by blackheads, pimples, whiteheads and greasy skin, acne can also cause scarring. Typically, acne which cause pimples tend to develop on the back, chest, shoulders but mostly on the face and neck.

Causes and symptoms of pimple scars

Although the actual cause of acne is uncertain, medical professionals have reason to believe that an increase in the level of androgen triggers pimples. On the other hand, scarring due to pimples are a result of the presence of inflamed lesions. Such inflamed lesions when gorged with surplus oil, bacteria and dead skin cells cause swelling and an eventual rupture in the follicle wall which leads to scarring. The extent of the scar has a direct relationship with the rupture. That is to say, the deeper the rupture, the bigger the scar.

In actuality, the formation of scars is involved in the normal healing process of the skin. The skin cells in order to mend the damage caused by the ruptured pimples, forms fresh collagen fibers which are fibrous proteins that impart flexibility and strength to the skin. The resultant repair which are very rarely smooth and unblemished are referred to as scars.

Treatment of pimple scars

1) fractional radiofrequency treatment is a highly effective method of reducing or removing pimple scars from skin. The radio frequency does not cause much damage to upper layers of skin, but effectively breaks down the scar tissue.

2) lasers are alternative and are little less painful. This treatment involves the use of skin resurfacing lasers.

3) fillers are another form of treatment which fill the indentations left remaining from dense pimple scars. Hardly any down time with this but are expensive in the long run.

4) scar reduction surgery is meant to minimize the scar so that it is more consistent with your surrounding skin tone and texture.

Procedures for Removal of Pimple Scars

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Dr. Priyanka Agarwal

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Dr. Vivek Mehta

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Dr. Raghuvir Mathur

Dr. Shirish Kulkarni

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