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

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!

Do you know the sun is making your skin age faster? plus, 5 other reasons behind facial wrinkles

Facial wrinkling occurs when the skin develops creases, folds and ridges. The formation of wrinkles is a normal part of the process of skin ageing. However, certain factors may accelerate the process and lead to premature wrinkling of the face and other parts of the body.

The main causes of facial wrinkling are:

1. Skin ageing: as a person gets older, his/her skin becomes less taut and begins to sag. The production of natural oils and fat in the deeper layers of the skin gets reduced with age, which leads to the formation of wrinkles due to diminished skin elasticity.

2. Sun exposure: constant exposure of skin to the sun causes damage and speeds up the ageing process. The harmful ultraviolet rays of the sun break down collagen and collective tissue fibres, which is the primary cause of premature wrinkling.

3. Skin complexion: due to the absence of melanin, people with fairer (lighter) skin, experience more damage due to sun exposure. This causes them to develop wrinkles much earlier.

4. Facial muscle contraction: repeatedly making the same facial expressions and contraction of face muscles causes wrinkling. Those who constantly frown, smile or squint get facial wrinkles as it leads to reduced skin elasticity.

5. Smoking: smokers are more susceptible to premature wrinkling. This is due to the presence of nicotine, tar and other chemicals from the smoke in the bloodstream, which hamper the supply of blood and oxygen to the outer layers of skin.

6. Genetic factors: many people get facial wrinkling as a result of hereditary causes and family genetics.

However, the good news is that facial wrinkling can be prevented through these simple ways:

Sun protection

This is the most effective way of avoiding wrinkles. Keep yourself protected against sun exposure by staying out of the sun as much as possible and wearing sunscreen at all times.

Quitting the smoke

Kicking the habit will show a marked improvement in your skin quality and would help prevent further wrinkling.

Use of moisturisers

Dry skin is more prone to wrinkling. Keeping your skin supple and moisturised prevents wrinkles.

Leading a healthy lifestyle

The combination of following a nutritious diet, drinking plenty of water, getting enough sleep and regularly exercising keeps the skin young and wrinkle-free.

Treatment options:

There are several options to improve wrinkles by procedures which include botox, fillers, prp and lasers for skin tightening. The most suitable option can be chosen depending upon the severity and type of wrinkling.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Face Washing Mistakes that are Damaging Your Skin, Everyday!

Do You Know the Sun is Adding Wrinkles To Your FACE?

A skin tag is a diminutive, harmless, extension of skin that is usually attached from beneath the skin by a tiny support stalk. These skin tags are seen in places which are exposed to frequent friction with clothes or areas that have more skin to skin friction. They hang out from the skin surface. They commonly occur in the neck, underarms, groin, and upper chest. Medically a skin tag is termed as an acrochordon. Often skin tags are also identified as soft warts, fibroma pendulum, pedunculated fibroma, or soft fibromas. 

Reasons why they happen
Skin tags comprise of blood vessels surrounded by skin and loose fibers of collagen. Collagen is a kind of protein located all through the body. Anybody can develop a skin tag irrespective of gender and age, but elder people are prone to skin tags especially those who have type 2 diabetes. 
Skin tags tend to evolve in the layers of the skin folds, where the skin rubs against itself as mentioned earlier, but it is also observed that few individuals get skin tags without any such reason. This is also a reason why skin tags occur more in overweight people as they have more skin folds that are susceptible to chafing. 

Why should you get them removed? 
Most skin tags don't need treatment as they are harmless, but at times people do tend to discard them for cosmetic purpose or may be out of discomfort when they rub against skin or clothing. Checking with your physician in case you doubt the shape of the skin tag and suspect a cancerous element. In such scenario, you will be recommended biopsy for further proceedings if any. 

How is a skin tag removed?
A skin tag is removed through few procedures. Your doctor can consider any of the procedures mentioned below: 

 Cryotherapy: Cryotherapy requires chilling the skin tag with nitrogen fluid. Your physician may spray or swab a little amount of liquid nitrogen onto the skin tag. After the treatment, you may have a small blister which will heal by itself. 
Surgical removal: In the case of surgical removal, the skin tag is cut with a scalpel or scissors. The cut might sometimes be deeper in which case the cut will require stitches. Surgical removal has the advantage of obliterating the skin tag, but there is a risk of minor bleeding. Removal of skin tags doesn't require a full anesthesia. Local anesthesia is sufficient. 
Electro Surgery: Electro Surgery is another remedy where the skin tag is burned with electrical energy in high-frequency. The heat is applied through the narrow stem that holds the skin tag to the skin. 
Ligation: Ligation is yet another method where a surgical thread is tied up to remove the tag. 
There are also natural remedies, such as using lotions or essential oils over a period or also over the counter medicines but then a doctor s advice is always essential to prevent the scope of any scarring, to bleed or other such side effects.

Skin Tags - Get Rid Of Unwanted Extensions

What are dermal fillers + how different it is from botox?

Dermal fillers are an artificial or naturally-derived material used for directly injecting into the skin. These soft tissue fillers are used with the aim to restore your facial appearance to address issues related to facial aging. Depending on the kind of filler that you opt for, the effects can vary from 6 months to 5 years. Nonetheless, they are used for a number of problems associated with facial aging such as:

  for smoothen out and add volume to creases known as laugh lines

  for enhancing thin lips

  for providing shape and fullness to cheeks so as to provide a youthful appearance

  for enhancing the under eye areas to the point that depressions or hollows are no longer visible

  for merging scars from chicken pox or acne with surrounding skin

  for adding volume to your temple or lower cheek area when shifting of fat pads (masses of tightly packed fat cells) underneath your skin surface occurs.

How are these fillers different from botox?

Even though both these procedures involve the use of injections, they are completely different from one another. Botox or botulinum (a purified, natural protein) works by numbing muscles that contract to create facial lines. It is mostly used around the eye and forehead areas for stopping the movement of muscles that cause wrinkles to form. Moreover, it treats active lines, which are visible when you smile, frown or squint.

Dermal fillers, on the other hand, treat wrinkles that are very deep and static, which you can only be seen when the face is in a restful state. Furthermore, it serves to enhance the skin while lightly swapping the collagen (a protein that helps connective tissue in the body to remain strong) that gets lost as you age. When it comes to swelling and bruising, botox reports minimal effects and dermal fillers a certain amount of swelling and bruising that disappear within 7-10 days.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Face Washing Mistakes that are Damaging Your Skin, Every day!

For Your SKIN: What are Dermal Fillers + How Different it is from Botox?

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