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Scarred Skin Tips

Acne Scars - Know Ways Of Tackling It!

Acne Scars - Know Ways Of Tackling It!

Acne scars are not just embarrassing, but in some cases are painful as well. However, with these below mentioned derma treatments you can easily get rid of these scars. 

  1. Derma rollers: Derma rollers are small rollers that contain dozens of needles 0.25 mm in diameter and up to 2 mm in length. They reach the papillary dermis of the skin (deeper than the lasers and peels). Derma roller rips the fibrous connections intergrown by scars and strongly stimulates the healing processes, that is, the collection of macrophage and growth factors. The results are visible six weeks after the treatment. They are especially suitable for people with a darker complexion.
  2. Laser Treatment: A dermatologist is the best option if the acne scars don’t reduce or fade away with time. Collagen is one of the building blocks of your skin and is an essential protein. Fractionated laser is a new technology that can smooth the surface of your skin and promote new collagen formation. Laser treatment can obliterate the scar and help smooth skin to form in its place instead. Filler injections help fill any indentation resulting from deeper acne scars. The only drawback to this is that fillers need to be redone after every 6 months or so as it gets reabsorbed over time into the skin.
  3. Time heals all wounds: Patience is very important when you want to see scars fade away. Newly formed blood vessels, a few weeks after the scar is formed, nourish the skin. Most scars in their early stages look pink for this reason. Collagen starts forming months later and fills in the injuries on the skin. Fat cells and skin are destroyed in cystic acne; so for the scars to vanish completely, it might take a year or more.
  4. Prevention Tips: The best preventive method for scar formation is not to squeeze pimple. Popping a pimple leads to deeper infiltration of bacteria and pus. This damages the collagen further. A common skin care myth is that Vitamin E helps scars in healing faster. Contrary to prior belief, the direct application of Vitamin E on a scar might hinder the healing process instead of facilitating it.
  5. Use a sunscreen: Use a sunscreen with a high SPF over 30. The middle of the day is the worst time to step out in the sun. Reapply the sunscreen every two hours, if you sweat profusely.
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Burn Reconstruction Surgery - Know Procedure Of It!

Burn Reconstruction Surgery - Know Procedure Of It!

A burn scar on your skin does not only spoil your appearance but also hampers your self-confidence. You can undertake plastic surgery in order to eliminate burn scars and burn marks. Burn reconstruction surgery is an effective way to fix any previous or fresh burn scars. Although a burn scar cannot be totally eliminated, this surgery helps in improving basic functions and makes the scar less prominent or noticeable.

About Burn Reconstruction Surgery: There are two types of burn reconstruction surgeries. An acute burn surgery is carried out immediately after a burn injury has been inflicted. It is undertaken in a hospital by a team of surgeons who specialize in acute burn reconstruction surgeries.

A reconstructive burn surgery is usually carried out after the initial burn scar heals. Reconstructive burn surgery aims at improving both the functional appearance and the cosmetic appearance of a burn scar. This form of burn surgery incorporates the modification of the scar tissue. The treatment procedure for scar tissues requires several months to be successful. New scar contractures may appear for a long time after an injury. Facial burn scars, which cause problems with the eyes, lips, nose and cause hair loss can be rectified. Abnormally thick, white and discoloured scars can also be lightened by undergoing a burn reconstruction surgery.

Procedure: The surgical procedure for burn reconstruction surgery primarily involves scar release methods. After a tight scar has been released, the opening or incision made in the skin is repaired. Several techniques are applied for the purpose of closing the wounds. These include skin grafts and skin rearrangement or Z-plasty. Sometimes, more advanced flaps are required. This depends on the location of the scar and the desired results. Minor procedures are performed in the form of outpatient surgery, but in case of larger grafts and flaps, inpatient facility is required.

Tissue expander also plays a vital role in burn reconstruction procdure. This process stretches the skin and tissue, preparing the area for the final reconstructive procedures.

After undergoing the surgery, you must follow your surgeon's care instructions properly for effective healing. This would also enable you to have a long-term effect and improved appearance of burn scars. Follow-up appointments with your surgeon after the surgery are essential.

Before deciding on undergoing a burn reconstruction surgery, you must consult an efficient cosmetic surgeon and discuss the surgical procedure. You should know all the important facts regarding the surgery and also have an idea about the results which would be obtained. Non-surgical therapies can also be undertaken for repairing burn scars, which include scar massage, application of pressure garments and some other topical therapies.

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Scar Revision Surgery - All About It!

Scar Revision Surgery - All About It!

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 revisionsurgery 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.
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Acne Scars - How Do Dermatological Treatments Help?

Acne Scars - How Do Dermatological Treatments Help?

Possibly the most common skin problem in the world, acne is the inflammation of the skin pores when excess oil and dead skin cells clog them. Acne can manifest in many forms such as blackheads and whiteheads, and papules among others. More than the acne, the scars they leave behind tend to cause the most grief as they look quite unsightly. There are multiple modern dermatological treatments which can help you resolve this problem.

Some of the treatments that are commonly used are mentioned below –

  1. Chemical Peels: This is one of the most common methods used for the treatment of acne scars. Specially mixed chemical formulations are used to dissolve away the top layer of the skin which contains most of the scars. Once the top layer goes away, the new layer of skin which regenerates doesn’t have the scars.

  2. Light Therapies and Laser Treatments: There are many types of laser and light therapies which use a focused light to burn away the top layer of the skin to regenerate it and reduce the scar. Certain specialized lasers use high-intensity pulses to treat raised acne scars specifically.

  3. Dermabrasion and Microdermabrasion: One of the most popular and commonly found treatments, is dermabrasion. This method uses an electrical machine that removes the top layer of skin which is akin to sanding. However, this is a fairly invasive option and will require some time for recovery. A less invasive procedure is microdermabrasion which uses finer instruments for this purpose and tends to have lesser downtime.

  4. Dermal Filler Injections: These injections are used to plump up certain areas of skin which need to be treated. Most of them work on the principle of boosting collagen which is responsible for healing the skin. Once boosted, collagen works to fill gaps and regenerate new skin. However, most of these are temporary and only last for about a year or so.

  5. Incisions Under the Skin: Sub-cision or subcutaneous incision uses a tuned surgical probe to separate the scar tissues of acne from the normal skin. This will result in the skin to rise and thus flatten the dent of the acne scar.

  6. Autologous Fat Transfer: A form of therapy which is becoming popular very quickly, this method uses fat taken from one area of your body and injected into the scar area. This results in raising the depressed areas of the skin and flattening the scars. However, fat is easily absorbed within the body and thus the effect may diminish within some time. You may be needed to redo the procedure over regular periods.

  7. Cryotherapy: The area around the scar is frozen in a targeted manner which results in the scar tissue falling over and exposing newer skin which is smooth and devoid of scarring.

  8. Topical Creams: These are the most commonly available over the counter solutions for acne scars which help reduce their appearance.

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Acne - How Can You Treat It With Laser?

Acne - How Can You Treat It With Laser?

Human skin is prone to many problems like pimplespigmentationwrinkles and acne. Acne is the bane of an adolescent’s life. Yet it happens due to a common problem. Hair follicles on skin, arms and the torso, sometimes overproduce cells and become blocked. Due to this blockage, oil produced by tiny oil glands in the skin gets trapped and becomes a breeding ground for bacteria, giving rise to acne.

There are two main types of acne - non-inflammatory and inflammatory. Examples of non-inflammatory acne are whiteheads and blackheads. Blackheads form when a clog or plug develops in the opening of hair follicles in your skin. Each follicle contains one hair and a sebaceous gland that produces oil, called sebum, which helps keep your skin soft.

Dead skin cells and oils collect in the opening to the skin follicle, producing a bump called a 'comedone'. If the skin over the bump stays closed, the bump is called a whitehead. When the skin over the bump opens, exposure to the air causes it to look black and a blackhead forms. These are ugly but can be taken care of through common cosmetic procedures.

Inflammatory acne is not so easy to treat or hide. Usually, in this type of acne, the hair follicle wall ruptures and the fighter white blood cells rush into the spot, causing either a very prominent white, yellow or red sore to form or a pus-filled lesion which is damn ugly and leaves a lifelong scar on drying.

Acne Scar Removal-

That’s all about acne, now the treatment. Acne is partially a hormonally linked problem and it is also linked to inflammation. Adolescents suffer the most. Treatments include pills and creams.

But now lasers have become the treatment of choice for sufferers.

Lasers are the magic wands of plastic surgery. They work by emitting a ray of light which produces certain effects in the skin leading to the removal of acne and its scars, as well as skin tightening, and hair removal. Laser treats acne by shrinking oil glands and killing the bacteria that cause acne. They, apparently work on ’porphyrins’, compounds which are present inside acne-causing bacteria. So when porphyrins are targeted, they damage the bacterial wall killing the bacteria.

The kinds of lasers that doctors use for treating acne include Diode, Nd:YAG, IPL, Glass, and Pulsed Light and Heat Energy (LHE), as well as a new "vacuum" laser called ‘Isolaz’ which is extremely effective. There are reports that laser treatment may also reduce sebum (skin oil) levels in the skin which trap bacteria and cause acne in the first place.

The lows of laser for acne treatment are that it’s expensive and usually, requires multiple trips to the dermatologist. Doctors usually recommend three treatments, about a month apart. This can go up if you have stubborn acne.

Laser resurfacing, a process that smoothes the top surface of the skin is also used for getting rid of acne scars. But once again it’s expensive and takes multiple sittings.

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Fractional Co2 Laser For Acne Scars!

Fractional Co2 Laser For Acne Scars!

Acne scars can be a very stubborn thing to get rid of. Additionally, this can also cause you to feel very conscious about your physical appearance. The best thing to do in such a scenario is to go for fractional Co2 laser treatment, which can remove your acne scars for good.

What is fractional Co2 laser treatment?

Fractional Co2 laser treatment is a kind of ablative laser procedure that helps in getting rid of thin layers of the skin. This mode of treatment reduces the appearance of acne scars along with wrinkles and fine lines. It can also work towards improving your skin tone by clearing out the acne scars and scars caused due to sun damage.

How can you prepare for a fractional Co2 laser treatment?

Before you go for a treatment like this, you will need to do a few things in order to prepare yourself for the procedure. This includes the following things-

• Consider your medical history - Prior to going for this treatment make sure that you consult your dermatologist. Inform him/her about your current medical condition and medical history, so that they can help you through the process.

• Go for a physical exam - A thorough physical examination will help your dermatologist ascertain the areas where your acne scars need to be removed. This will also help them determine to what degree the treatment should be carried out, in order to avoid any kind of adverse effects on the skin.

• Stay away from sun exposure - Make sure that you do not step out very often in the sun two months prior to the treatment. This might make you end up with unnecessary pigmentation on your skin. If you must, then always use sun protection before stepping out in the sun.

• Go for appropriate medicines - When you consult your dermatologist, he might give you a few oral medicines to avoid any potential complications. Such medications will help you avoid any kind of bacterial infection around the time of the procedure.

• Be sure - Finally, be sure yourself whether you want to go for this treatment or not. Keep in mind that fractional Co2 laser treatment is not dangerous by any means. As long as you are getting it done in a reputed hospital and by a reliable dermatologist, nothing will go wrong.

How is the treatment done?

Since this is an outpatient procedure, the surgeon will administer local anaesthesia to numb the affected area of your skin. After this, he/she will direct an intense beam of laser or light energy at the affected region to get rid of the epidermis (outer layer of the skin). The laser then heats up the dermis (underlying skin), which results in the collagen fibres shrinking. As your acne scars heal, new skin starts forming that is smoother and tighter in nature. This type of treatment normally takes 30 minutes to 2 hours, depending on the area of the affected region and the treatment technique.

Post-procedure, your skin will be itchy, swollen and raw but do not worry, because this is completely natural. Your dermatologist will cover the affected area with a thick coat of ointment, which will get rid of the redness, itchiness, and swelling. In order to handle the pain, you can apply ice packs to the treated region.

Fractional Co2 laser treatment might sound serious and scary, but in reality, it is not. Therefore, if you are someone who is looking to get rid of your stubborn acne scars, you can go for this procedure without a second thought.

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Melasma vs Hyperpigmentation - What Is The Difference?

Melasma vs Hyperpigmentation - What Is The Difference?

Dark patches on the skin are a common cause for concern. These patches may not be very harmful but they can affect a person’s self-confidence and emotional health. Patchiness is usually the result of excessive sun exposure. Hyperpigmentation is usually used as an umbrella term for all such skin conditions. However, not all dark patches are the same.

What is Hyperpigmentation?
Hyperpigmentation refers to the presence of dark patches of damaged skin triggered by external stressors. Of these, sun exposure is the most common trigger. This triggers the overproduction of melanin in the lower layers of the skin that travels upwards and results in dark patches or spots. The deeper the melanin, the harder it is to treat hyperpigmentation. These patches can be seen in all skin types and tones. They can be big or small and be present in varying densities. Hyperpigmentation can also be caused by cuts in the skin or scars left behind by acne. Using a good sunscreen can help prevent hyperpigmentation. Chemical peels and laser therapy could also help.

What is Melasma?
Melasma is also characterized by dark patches on the skin. However, these are not caused by external factors but are the result of a hormonal imbalance. Women between the age of 20 to 50 years are most susceptible to melasma as an increase in estrogen levels causes this condition. Darker skin tones are more susceptible to this condition than lighter skin tones. It is often seen during pregnancy and may also be a side effect of certain types of birth control pills. Certain types of contraception could also trigger this condition. This condition can be aggravated by sun exposure. For this reason, in some cases, it is aggravated in the summers and reduces in the winter. Another difference between hyperpigmentation and melisma is that the dark patches seen in the latter condition tend to be symmetrical and concentrated around the forehead, cheeks, upper lip, arms and shoulders.

Unlike hyperpigmentation, melasma can be difficult to treat. This is because genetics play a large role in hormone-related conditions. As with hyperpigmentation, the use of a sunscreen is crucial to controlling this condition. This should be applied every two hours even if one is indoors. Some types of skin peels have been known to be beneficial for this condition. Phytic acid peels not only help lighten dark patches but also deactivate enzymes responsible for them.

Superficial melasma is light brown in colour. As the depth is increased it becomes dark brown to Coca-Cola and grayish in colour and becomes difficult to treat. Medicine are having good results in superficial melasma. For deeper once Iontophoresis and lasers gives better results. Deep melasma is difficult to treat.

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Burn Repair Surgery - How Can It Help To Reduce Deformities & Scars?

Burn Repair Surgery - How Can It Help To Reduce Deformities & Scars?

Burning your skin is a very traumatic experience and can leave behind scars that remind one of the traumatic incident. Scarring caused by burns may fade a little with time but are usually permanent. Apart from affecting your appearance severe burns can also affect the functioning of the body. Burns can make a person withdraw socially by making him or her afraid of how people will accept them with their scars as well as make them depressed about their appearance.

Burn repair surgery can be categorised under two headings: Acute and Reconstructive

  1. Acute repair surgery happens immediately after the burn and deals with large burns and deep burns that affect critical areas. The focus here is to aim for saving of life of burn patient with earliest wound healing with various surgical means.
  2. Reconstructive burn surgery addresses the deformities & scars after the initial burn wounds have healed. The goal here is to improve the appearance of the scars and ensure improvement of functioning. 

There are many types of reconstructive surgeries for burns and the type of surgery best suited to a patient is based on the location of the scar, the extent of scarring and the patient’s personal goals.

  • Skin grafts: This involves the removal of healthy skin from one part of the body and transplanting it to the burn site. This split thickness skin graft include only a few outer layers of skin & full thickness graft involve the entire dermis. This is used in cases of deep burns where full thickness of dermis is affected. Also skin grafts are used for defects following release of burn contracture . 
  • Flaps: These are thick skin tissues with its own blood supply, used to cover exposed vital structures like vessels , tendons, nerves, bones, etc especially in deep electrical burns of extremities. 
  • Free flap procedure: In this Microvascular Surgery , muscle, bone or skin is transferred from one part of the body to another to reconstruct huge defects after contracture release or for cosmetic improvement of ugly burn scars. 
  • Tissue expansion: This involves the insertion of a balloon expander under the skin near the burn scars & deformities. As the balloon is filled with saline, the skin stretches and grows. Once the skin has stretched enough, the expander is removed and the skin can then be used to replace the burn scars & deformities.

This procedure has many advantages as the skin colour and texture are a near perfect match thus reducing scarring to a large extent. However, it is a very slow procedure and can take a few months.

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Acne Scars - Dermatological Treatment Options For Them!

Acne Scars - Dermatological Treatment Options For Them!

Acne scars are caused when a pimple or cyst is popped and broken leaving a layer of damaged skin behind. These scars are caused by the excess oil, dead skin, and bacteria blocking the skin pores causing it to swell.

Acne scars can be categorized into three types:

  1. Ice Pick scars which are small but have deep pits.
  2. Boxcar scars have sharp edges, these can be shallow or deep
  3. Rolling scar have a wavy look as they are wide and shallow. This type of scarring is usually caused by damage to the skin.

Causes of acne scars
Acne and acne scars can be caused due to the following reasons:

  1. Hormonal imbalance during or after the onset of puberty
  2. Medicines that contains lithium, androgen or corticosteroids
  3. Oil and greasy food items and those rich in carbohydrates can trigger acne. In some cases, dairy products can worsen the condition.

Simple tips to prevent scarring
Some acne scars fade with time. In the early stages, the scars might look pink as blood vessels in the damaged area of the skin provide it with nourishment. With time the collagen in the skin would fill the injured or damaged portion of the skin. In some cases, it might take up to a year for scars to fade.

  1. Don’t pick or squeeze pimples or acne as they can get inflamed. This inflammation can cause the bacteria to go further into the skin which would result in deeper scars.
  2. Use mild cosmetic products as some products can increase the risk of acne and scarring. Non-toxic, paraben-free products free from synthetic dyes and colours should be used sparingly.
  3. Getting enough sleep is important and necessary for the body to produce collagen which is a protein necessary for skin elasticity. Sleep also helps the body and skin to repair itself.

Treatment of acne scars
Mild acne can be treated with simple home remedies such as the use of fenugreek extract and lemon juice. Face packs made from sandalwood and orange peel are also very effective in reducing acne scars. But in some extreme cases, you might need proper treatment at a hospital. Most of these treatments can be performed as an outpatient procedure. Some of them are:

  1. Skin resurfacing: where the damaged skin is removed to help new skin to grow. The damaged skin can be removed by the use of a laser, dermabrasion or a chemical peel.
  2. FillersIn this procedure, the doctor would inject a filler such as a collagen or fat into the damaged area. This helps the skin to become smooth.
  3. Rolling: Rolling also known as needling, is a procedure where tiny needles are rolled over the skin to stimulate it to grow
  4. SurgeryIn a few very extreme cases the scars would need to be cut away and the area repaired with the use of skin grafts obtained from another part of the body.

Any scars and especially acne scars can be unsightly. A skin doctor or dermatologist would help you choose the right treatment plan depending on the type of damage done to the skin.

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Microneedling Radio Frequency For Acne Scars!

Microneedling Radio Frequency For Acne Scars!

Radiofrequency micro-needling is a cosmetic procedure frequently used to remove scars from the face and surface of the body. It is nowadays also regarded as a procedure that combats acne.

There is a significant difference between the ways this and other conventional treatment procedures operate. Contrary to the traditional ways, this treatment focuses on the part of skin majorly responsible for the scar or skin issue and avoids disturbing the healthy surface of the skin. This provides it with an added edge, including a reduction in recovery time for the patient post-surgery.

How does this work?

The step by step procedure this treatment method follows is outlined as below-

• The problem causing part in the middle region of skin (dermis) is identified
• With the help of surgical devices, energy is channelled directly into those problem pockets, rebuilding deep laid scars and fault lines so that the top layer of skin (epidermis) above it is rebuilt to be healthier
• All the time, the epidermis is actually spared any rough treatment that may damage it, and care is also taken that the pigmentation of skin does not change
• Due to customization of treatment, according to the needs of the skin of the patient, the treatment yields better and long lasting results than generalized treatment.

How safe is this procedure?

The safety rate of this procedure is really high. During the procedure, local anaesthesia is required in cream form. As the speciality of this procedure is the small amount of recovery period required, no hospitalisation is required and the patients can leave the clinic immediately after the procedure.

During surgery, another attribute of this procedure that ensures maximum safety is the use of equipment that operates on the interior layers of skin and spares the sensitive upper layer. The major advantage of this procedure is that there is no down time unlike in lasers.

How many sessions should you get done?

Ideally, 3-4 sessions spaced out over a month is an ideal number. Your skin should not take more than 2-3 days to return to normal after each sitting that you have. Moreover, if you have skin lighter or darker than normal, or under or over sensitive to pigmentation, you may need to spend more or less time in the clinic after consulting your doctor accordingly.

After a general overview of this procedure, do you find micro-needling is for you? If yes, you need to read up on your skin requirements and visit a surgeon real quick. Wish you a safe and healthy procedure!

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