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Skin Scars Tips

How Does Lasers Lighten Pigmentation & Scars?

ISAAC
Dermatologist, Delhi
How Does Lasers Lighten Pigmentation & 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. 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 hemoglobin 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 short 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 requires 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.
2 people found this helpful

Tips To Say Goodbye to Acne, Scarring and Pigmentation!

Dr. Laxmidutta Shukla 86% (275 ratings)
MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Thane
Tips To Say Goodbye to Acne, Scarring and Pigmentation!

With high level of pollution, now-a-days, most of us suffer from a number of skin allergies and acne is one of the most common ailments, which affects us all. With acne it is very difficult to have a clear and blemish free skin. 

Acne appears when a pore in our skin clogs. This clog begins with dead skin cells. Normally, dead skin cells rise to surface of the pore, and the body sheds the cells. When the body starts to make lots of sebum (see-bum), oil that keeps our skin from drying out, the dead skin cells can stick together inside the pore. Instead of rising to the surface, the cells become trapped inside the pore.

Sometimes bacteria that live on our skin also get inside the clogged pore. Inside the pore, the bacteria have a perfect environment for multiplying very quickly. With loads of bacteria inside, the pore becomes inflamed (red and swollen). If the inflammation goes deep into the skin, an acne cyst or nodule appears

How do you know that you are suffering from acne?
Many people think that acne is just pimples. But a person who has acne can have any of these blemishes:

  1. Blackheads 
  2. Whiteheads
  3. Papules
  4. Pustules
  5. Cysts
  6. Nodules

Acne often affects your face, but it can appear on other areas of the body. Acne can appear on the back, chest, neck, shoulders, upper arms and buttocks.

How you can keep acne at bay?

  1. Wash twice a day and after sweating: Perspiration, especially when wearing a hat or helmet, can make acne worse, so wash your skin as soon as possible after sweating.
  2. Use your fingertips to apply a gentle, non-abrasive cleanser: Using a washcloth, mesh sponge or anything else can irritate the skin.
  3. Be gentle with your skin: Use gentle products, such as those that are alcohol-free. Do not use products that irritate your skin, which may include astringents, toners and exfoliants. Dry, red skin makes acne appear worse.
  4. Scrubbing your skin can make acne worse: Avoid the temptation to scrub your skin and rinse with lukewarm water
  5. Shampoo regularly: If you have oily hair, shampoo daily.
  6. Let your skin heal naturally: If you pick, pop or squeeze your acne, your skin will take longer to clear and you increase the risk of getting acne scars.
  7. Keep your hands off your face: Touching your skin throughout the day can cause flare-ups.
  8. Avoid sun: Tanning damages your skin. In addition, some acne medications make the skin very sensitive to ultraviolet (UV) light, which you get from both the sun and indoor tanning devices.
7 people found this helpful

Post Acne Scars And Their Treatment!

Dr. Pankaj Chaturvedi 88% (19 ratings)
MD, MBBS
Dermatologist, Delhi
Post Acne Scars And Their Treatment!

The skin is known as the largest organ in the human body. It covers us from top to toe and has three layers: 

  1. Epidermis: The outermost layer
  2. Dermis: Lies just beneath the Epidermis 
  3. Hypodermis: It holds the fat and connective tissue

Our skin requires constant care and protection because it is exposed to the ravages of pollution, dust and harmful UV rays. Let us consider the following reasons for taking care of the skin.

  1. Free Radicals: The particles or molecules that escape from dust, pollution and other such factors in everyday urban living, settle on the skin and clog the pores. It is important to clean the skin every single day and exfoliate at least once a week with a trip to the salon or with a facial scrub at home, so that these can be removed.
  2. Dead Cells: The skin throws up dead cells on a daily basis, which may not be obvious to the naked eye. These need to be cleared daily as they can also clog the pores and give rise to acne, skin infection and other skin conditions, that can take a turn for the worse with ailments like Melanoma and skin cancer.
  3. Elasticity: One must keep the skin clean and use anti aging products in a timely manner along with a good moisturiser and sunscreen, so that the supple quality and glow is kept intact with a regular cleanse of the collagen, which can be prevented from slipping away due to neglect. This collagen keeps the elasticity of the skin which makes the skin look firm and young.
  4. Prevention: One must clean the skin and use skin care products that prevent premature aging and accumulation of free radicals. Prevention is better than cure and this stands true in the case of skin care as well. 
  5. UV Rays: The powerful UV rays can hit your skin persistently and cause long term damage and sun spots. In order to lessen the damaging effect, it is important to use protective skin care products that will help in keeping freckles, age spots, brown spots, skin peeling and excessive sunburn and tanning at bay. 
  6. Skin Problems and Allergies: Bug bites, injuries and other allergies must be taken care of instantly with a visit to the doctor or medicated creams and medication. This will ensure that the delicate texture of the skin does not get marred by possible infection.

Post Acne Scars and their treatment

When you have a pimple, it is very tempting to burst it. While this may provide temporary relief, it can often leave scars behind. In many cases, these scars may be permanent and can mat your beauty. Thankfully, there are ways to treat acne scars. Treatment for acne scars depends largely on the type of scars.

 

Treatment for Indented Scars
Indented scars can be seen in the form of shallow pits on the skin. They are caused by the release of insufficient collagen during the healing phase. Microdermabrasion is the most popular form of treatment for such acne scars. This is a noninvasive technique that exfoliates the outer layer of skin and helps renew skin. In the case of shallow indented scars, this treatment may completely eliminate the scar while in the case of deeper scars; it can make them less visible. Deep indented scars may also be treated with lasers to reduce the size of the scar mad erase persistent marks. If neither of these techniques work, surgery may be advised. This involves removing the scarred area and inserting skin grafts in its place.

Treatment for Raised Scars
An excessive production of collagen during the healing phase can raise the scar. These may also be termed as keloid and hypertrophic scars. Injecting corticosteroids or silicon into the skin can help flatten the scar and level your skin. Cryotherapy may also be used to treat such scars. This therapy involves exposing the skin to extremely low temperatures so as to freeze the skin cells and make them peel off. In some instances, surgery may also be required.

Treatment for Discoloured Scars
Acne can often leave behind discolored patches of skin. In cases of excessive melanin production, the skin may appear darker than normal. On the other hand, if the melanin production is compromised, hypopigmentation may occur which makes the area look lighter than the surrounding skin. Pigmentation scars are easier to treat as compared to raised or indented scars. Topical ointments may be prescribed as the first form of treatment for these scars. Exfoliation can also be very helpful. Addition treatments could include microdermabrasion, laser treatment, and chemical peels.

When it comes to acne scars, prevention is the best remedy. Most scars are created by picking zits and trying to drain them yourself. This should be avoided. If a zit is painful, consult a dermatologist who can drain it for you. It is important to look after your skin with a proper routine of cleansing, toning and moisturising.  In case you have a concern or query you can always consult an expert & get answers to your questions!

 

4202 people found this helpful

Know More About Acne Scar Removal!

Dr. Audumbar Borgaonkar 87% (65 ratings)
MBBS, MS - General Surgery, MCh - Plastic Surgery
Cosmetic/Plastic Surgeon, Navi Mumbai
Know More About Acne Scar Removal!

With the current self-obsession of the need to look good all the time, acne is seen as a major problem by the teenagers and adolescents. It is related to the hormonal changes but also aggravated by food habits. During their active phase, acne causes a lot of pain and burning. There is a constant tendency to pick at them to get rid of the pain and the itching.

They dry over a period of time and leave scars which are not as painful but are esthetically a major concern. For someone with oily skin who are more prone for developing acne, these scar marks could be very traumatic emotionally.

There is good news for these people as cosmetic advancements give multiple options for getting rid of these scars. Read on to know some of the most effective ones.

  1. Laser: A beam of light is aimed at the scar tissue, which does not affect the surrounding tissue but gets rid of the scar tissue. In addition to acne, laser is used in multiple skin ailments (whiteheads, cysts, blackheads, etc.) There is an intense bacterial presence in the acne, and when the laser beam is aimed at the acne, the bacteria are killed. This also reduces further incidence of acne and amount of sebum produced. The number of sittings required would depend on the severity of acne, and most people would require 2 to 3 sittings for complete removal of the scars.
  2. Photofacials: The outer layer of the skin (epidermis) is cooled and the inner layer (dermis) is heated. This stimulates the production of collagen and fibrous tissue, which replaces the acne tissue, giving a fresher, youthful look.

In both cases, remember to:

  1. Avoid use of irritants like perfumes and deodorants in the affected area
  2. Avoid waxing or shaving for at least 10 days before the procedure
  3. Avoid exposure to harsh sun for about a week prior to the procedure
  4. Avoid medicines which increase the risk of bleeding, aspirin for instance

Post treatment: In both treatments, the skin may appear red, swollen, and inflamed for the first day. There also may be a prickly sensation, similar to a sunburn. Cool packs or moist cloths and a good moisturizer can be used to soothe the skin. Avoid makeup until the skin is back to normal appearance. Depending on the type of skin and acne, the appearance will take about weeks to months after the procedure.

Benefits:

  1. Minimally invasive
  2. Reduced pain
  3. Completed in one appointment
  4. Reduced recovery time
  5. Can be clubbed with other acne therapy modes
  6. Good results with reduced recurrence and sebum production

With so many advancements, acne marks are sure to go away!!

1 person found this helpful

Breast Augmentation Scars: How Can They Be Treated?

Dr. Garima Sharma Jha 88% (10 ratings)
MBBS, MD - Dermatology
Dermatologist, Raipur
Breast Augmentation Scars: How Can They Be Treated?

A breast augmentation surgery can leave you with bigger and fuller breasts, but can also leave you with a few scars. These scars typically appear on the lower half of the breast, under the arm or around the areola. Scarring depends on the type of skin, as well as how well your skin heals after the surgery. Like any other, the scars caused by breasts augmentation surgery can be treated in a number of ways. Some of these are:

  1. Silicone gel scar treatment: This involves applying silicone gel onto the scar and allowing it to dry. For best results this needs to be applied daily and left on, for as long as possible. Silicone gel shrinks the scar while simultaneously flattening it and lightening it.
  2. Silicone sheeting: Silicone sheeting is a strip of silicone available in a variety of shapes depending on the type of surgery undergone. It is a self-adhesive and can be reused. This is typically used to treat scars on creases or areola scars. Both silicone gel and silicone sheeting are most effective when used within 6 months of the surgery.
  3. Cortisone creams: Cortisone is a hormone that helps fight inflammation. Creams that contain cortisone when applied on a scar can help lighten it and reduce its size. If you plan to use cortisone creams to treat scarring, ensure that the wound has healed completely before applying the cream.
  4. Dermabrasion: This is a minor surgical process through which the upper skin layer is removed. This is especially useful in cases of raised scars but not suitable to sunken scars.
  5. Massaging the affected area: A soft circular massage of the operated area can help drain the lymph nodes beneath the skin. This helps reduce inflammation and softens the skin. This also helps break down dense collagen and prevents the formation of a raised scar. However, do not attempt to massage your breasts without consulting your doctor first.
  6. Laser treatment: Lasers can be used on new as well as old scars. The number of sittings required for laser treatment depends on the size and type of scar. When used on keloid scars, laser treatment can help flatten the scar and reduce redness. Lasers can also be used to stimulate the production of collagen to help the body heal itself. Further, ablative lasers can be used to vaporize scars and are the preferred form of treatment for sunken, irregular shaped scars.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2508 people found this helpful

Top Derma Treatments For Acne Scar Removal!

Dr. Anil P. Trimbake 84% (21 ratings)
MD - Dermatology, Venereology & Leprosy, MBBS Bachelor of Medicine and Bachelor of Surgery
Dermatologist, Karad
Top Derma Treatments For Acne Scar Removal!

Acne scars look bad and often interfere with your bright looks, as they make you feel embarrassed and unfresh. You use more makeup to cover them or avoid going out in order to hide them. However, instead of hiding your face or the scars, you may try these treatment options to remove the scars instead and feel brighter and better.

  1. Chemical peels: This method involves the application of a chemical peel on the skin. The acid in it removes the superficial skin layer to improve the appearance of the scar. This works well on lighter scars, and a licensed medical practitioner, nurse or cosmetologist can do this procedure.
  2. Dermabrasion and Microdermabrasion: This technique involves using a high-speed brush on the skin to polish the portion of the scar and make that part of the skin even, so that the scar looks lighter. If your skin doctor feels that you don't need serious dermabrasion, then he may use a microdermabrasion where small crystals are sprayed onto the skin surface to remove the skin cells over the scar and improve appearance.
  3. Fillers: Fillers are used on the skin which gets depressed due to the acne or scars. There are some binding materials like collagen or Hyaluronic acid, which can be injected through an injection, and this keeps the skin smooth, scar free and elevated for some time after which the injection has to be repeated. This has to be a continuous treatment until your skin starts to appear normal again.
  4. Retinoid creams: The retinoid creams are especially beneficial on scars if applied patiently for a prolonged period. These creams come with little side effects like burning, drying or peeling of the skin, but over a medium to long-term application, all scars do get removed.
  5. Laser treatment: A combination of a few types of laser treatments or just one type depending on the acne stage or redness is used. This smoothens the skin and removes the acne scars by removing skin cells from the area.
  6. Punch Excisions and Skin grafting: This is a surgical technique. The acne scar can be removed by cutting a portion of the skin, and removing it. Normally, this procedure is combined with skin grafting, where the hole created by the acne is filled up either through stitches, or through grafting of the skin. This is actually the most invasive process to remove scars and only done when you have a serious, permanent and stubborn scar which can't be effectively removed by other techniques.
1 person found this helpful

Acne Scars - How Professional Treatments Can Be Of Help?

Dr. Raghuvir Mathur 87% (10 ratings)
MBBS, MD - Dermatology
Aesthetic Medicine Specialist, Kanpur
Acne Scars - How Professional Treatments Can Be Of Help?

We all know those skin clinics are there to help us with our skin problems. Visiting a skin clinic helps you in getting rid of those unsightly blemishes and also improves the texture of the skin. Complete skin care starts from within but when home remedies and other medications are not helping, then it is better to seek a professional treatment.

Acne is a common problem that most people suffer from these days especially teenagers and young adults. Acne is caused by increased hormones and clogged pores or bacteria. Most people treat it by cleansing, using topical ointments or even oral contraceptives. But when your acne becomes severe, it leads to scars that are not good in appearance and can become dark with time. When you visit a skin clinic, the skin care practitioner will identify your scar type and take steps accordingly.

  • There are many acne scar removal techniques present and not all treatment procedures may work for you, your skin care provider will choose the best procedure for you.
  • Basic skin care starts at home where you can wash your face twice a day with a mild face wash. Keep in mind that whenever you step out of your home in a day, sunscreen is a must.
  • It will not only protect you from harsh UV rays but also protect you from aging fast.
  • Glowing skin comes from healing your body from inside by eating nutritious and healthy food every day that is full of proteins and vitamins.

If you are facing severe acne scar problems, then it is best for you to visit a professional skin clinic and get yourself a laser or a light treatment. Laser treatment for scar removal is considered the best these days as it requires half an hour or so and leaves no scar after the treatment. During the treatment, the laser goes deep in the skin to remove the scar from inside and out which is quite effective. It has only temporary side effects which away after some time but you will have a healthy skin anyway after it. We should also exfoliate our skin to remove the dirt settled in the pores and provide it a clean and refreshing look. Skincare is all about giving proper attention to our skin and we should keep it in mind that by using every treatment or every cream will not nourish our skin rather make it rashed and pale. Thus, a little care with the proper regime is enough to have a glowing skin.  Always ensure that you take out time to make out what kind of treatment and repair your face requires. In case you have a concern or query you can always consult an expert & get answers to your questions!

2938 people found this helpful

5 Things You Must Know About Scar Removal!

Dr. Nishant Chhajer 89% (561 ratings)
M. Ch. (Plastic Surgery), MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Noida
5 Things You Must Know About Scar Removal!

Scars may mar the beauty and proportion of your face and its features. There are many reasons why we may suffer from scars starting from accidents to other causes like birth defects and other ailments. When we are injured or the skin is ruptured, the bruise or the wound usually heals itself by turning into scar tissue.

While much of this may disappear for smaller wounds, there are others that remain obvious and become scars. Many of these scars may be in a prominent location like the face, which can lead to loss of confidence and self-esteem. While make-up and creams can diminish the jarring effect of such scars, there is also a permanent way to deal with them cosmetic surgery. Here is everything you need to know about the same.

  1. Point of surgical techniques: While total scar removal will depend on the severity of the scar and its location, the point of most surgical techniques for scar removal involve making the skin as smooth as possible so that the scar becomes almost invisible.
  2. Skin resurfacing methods: Dermabrasion and laser resurfacing are some of the most popular methods employed for this process. While dermabrasion basically helps in scraping away the top surface of the skin in order to help new skin grow back, laser resurfacing does pretty much the same with the help of laser beams that will act on the problem areas. Dermabrasion usually helps when the scar is slightly raised and embossed on the skin, giving the appearance of a second skin with its defect. The laser light of the laser resurfacing helps by smoothen the rough patch of skin that forms the scar. This is done by running the beams on the rough or elevated patches until they are removed for the new skin to emerge eventually.
  3. Kelotoid scars: Most kelotoid scars are treated with the help of medicated injections that can be administered by a cosmetic surgeon. Hypertropic scars are also treated in this way.
  4. Surgical incisions: In case the above methods do not help in removing particularly stubborn or old scars, the cosmetic surgeon can also suggest using a surgical incision in order to join the skin together with very fine stitches. This process can help in making the scar less prominent to a great extent.
  5. Side effects: In all these methods, you would do well to discuss the possible side effects with your cosmetic surgeon. Some amount of bruising and redness of the skin is to be expected for a few days. Also, a little bit of swelling is normal. But if these side effects do not abate in a hurry and get progressively worse, then it would be a good idea to report the changes to the doctor for further treatment.

How To Treat Scars Caused By Breast Augmentation?

Dr. Venu Kumari 91% (1823 ratings)
MD - Skin,VD & Lepxsy
Dermatologist, Hyderabad
How To Treat Scars Caused By Breast Augmentation?

A breast augmentation surgery can leave you with bigger and fuller breasts, but can also leave you with a few scars. These scars typically appear on the lower half of the breast, under the arm or around the areola. Scarring depends on the type of skin, as well as how well your skin heals after the surgery. Like any other, the scars caused by breasts augmentation surgery can be treated in a number of ways. Some of these are:

  1. Silicone gel scar treatment: This involves applying silicone gel onto the scar and allowing it to dry. For best results this needs to be applied daily and left on, for as long as possible. Silicone gel shrinks the scar while simultaneously flattening it and lightening it.
  2. Silicone sheeting: Silicone sheeting is a strip of silicone available in a variety of shapes depending on the type of surgery undergone. It is a self-adhesive and can be reused. This is typically used to treat scars on creases or areola scars. Both silicone gel and silicone sheeting are most effective when used within 6 months of the surgery.
  3. Cortisone creams: Cortisone is a hormone that helps fight inflammation. Creams that contain cortisone when applied on a scar can help lighten it and reduce its size. If you plan to use cortisone creams to treat scarring, ensure that the wound has healed completely before applying the cream.
  4. Dermabrasion: This is a minor surgical process through which the upper skin layer is removed. This is especially useful in cases of raised scars but not suitable to sunken scars.
  5. Massaging the affected area: A soft circular massage of the operated area can help drain the lymph nodes beneath the skin. This helps reduce inflammation and softens the skin. This also helps break down dense collagen and prevents the formation of a raised scar. However, do not attempt to massage your breasts without consulting your doctor first.
  6. Laser treatment: Lasers can be used on new as well as old scars. The number of sittings required for laser treatment depends on the size and type of scar. When used on keloid scars, laser treatment can help flatten the scar and reduce redness. Lasers can also be used to stimulate the production of collagen to help the body heal itself. Further, ablative lasers can be used to vaporize scars and are the preferred form of treatment for sunken, irregular shaped scars.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4019 people found this helpful

Acne Scar Removal - Top Derma Treatment Options!

Dr. Prakash Sajja 92% (17 ratings)
MD - Dermatology,Venereology & Leprosy
Dermatologist, Tirupati
Acne Scar Removal - Top Derma Treatment Options!

Acne scars look bad and often interfere with your bright looks, as they make you feel embarrassed and unfresh. You use more makeup to cover them or avoid going out in order to hide them. However, instead of hiding your face or the scars, you may try these treatment options to remove the scars instead and feel brighter and better.

  1. Chemical peels: This method involves the application of a chemical peel on the skin. The acid in it removes the superficial skin layer to improve the appearance of the scar. This works well on lighter scars, and a licensed medical practitioner, nurse or cosmetologist can do this procedure.
  2. Dermabrasion and Microdermabrasion: This technique involves using a high speed brush on the skin to polish the portion of the scar and make that part of the skin even, so that the scar looks lighter. If your skin doctor feels that you don't need serious dermabrasion, then he may use a microdermabrasion where small crystals are sprayed onto the skin surface to remove the skin cells over the scar and improve appearance.
  3. Fillers: Fillers are used on the skin which gets depressed due to the acne or scars. There are some binding materials like collagen or Hyaluronic acid, which can be injected through an injection, and this keeps the skin smooth, scar free and elevated for some time after which the injection has to be repeated. This has to be a continuous treatment until your skin starts to appear normal again.
  4. Retinoid creams: The retinoid creams are especially beneficial on scars if applied patiently for a prolonged period. These creams come with little side effects like burning, drying or peeling of the skin, but over a medium to long term application, all scars do get removed.
  5. Laser treatment: A combination of a few types of laser treatments or just one type depending on the acne stage or redness is used. This smoothens the skin and removes the acne scars by removing skin cells from the area.
  6. Punch Excisions and Skin grafting: This is a surgical technique. The acne scar can be removed by cutting a portion of the skin, and removing it. Normally, this procedure is combined with skin grafting, where the hole created by the acne is filled up either through stitches, or through grafting of the skin. This is actually the most invasive process to remove scars and only done when you have a serious, permanent and stubborn scar which can't be effectively removed by other techniques. In case you have a concern or query you can always consult an expert & get answers to your questions!
2487 people found this helpful
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