Many people have scars that they find unattractive. In addition, the presence of the scar may continue to remind the person of an experience from the past that was upsetting such as a particular treatment, a traumatic injury, or a medically required surgery. Scars like these can occur on any part of the body. Other times, the scars are simply the result of an earlier childhood ailment or teenage skin condition such as acne or chicken pox. Thanks to modern health care and medicine, there are now many ways that scars can be cosmetically improved without needing to resort to plastic surgery.
Scars come in several different types
Hypertrophic scars: Hypertrophic scars are raised, firm, thick, and red.
Atrophic scars: Atrophic scars are depressions in the skin that result from the loss of collagen.
Keloid scars: Keloid scars are raised reddish nodular scars that are quite firm and relatively large. With a keloid scar, the size of the keloid is actually larger than the size of the original surgery.
Acne scars: Acne scars are very common. Although they may occasionally be hypertrophic or keloidal, they are usually atrophic. The most common type of atrophic acne scar is referred to as an “ice-pick” scar. Ice-pick scar formation display as narrow scars with sharply demarcated tracts that can reach deep into the skin.
Options for improving the appearance of scars
The good news is that with modern dermatology practices there are a lot of treatment options available that can help with the appearance of scars. It’s worth noting that when it comes to over-the-counter solutions these are not always effective. It is better to seek the assistance of a professional dermatologist who can provide a treatment plan for you based on the type of scar that you have. Some of the best treatments that we use in our NYC offices include the following:
Steroid injections are often used to treat hypertrophic scars and keloid scars. With a series of steroid injections, the inflamed raised scar should flatten out and become less inflamed and less irritated as the healing process progresses. Although steroid injections may be used alone, combining steroid injection with laser treatment can enhance scar treatment.
Vbeam laser therapy is an excellent choice for hypertrophic scars, red scars and keloids. In research studies, there has been significant improvement in scar redness and in reduction of bulk following Vbeam laser treatment. Generally, after three or four treatments, the scars are flatter and less red. The Vbeam laser procedure is very well tolerated, with patients only feeling a mild snapping sensation. There is no downtime after a Vbeam laser treatment.
Female 35 – Vbeam, chemical peel & botox
The two Fraxel lasers will improve all types of scars and they are the most commonly used lasers to improve the appearance of scars. The most common scars treated with the Fraxel resurfacing lasers are atrophic acne scars and surgical scars. However, even traumatic scars resulting from injury to the skin can be improved with the Fraxel lasers. Often, Fraxel laser treatment is combined with steroid injection to provide optimum improvement of the scar.
Patients undergoing Fraxel laser treatment of scars may choose between traditional Fraxel laser treatment and Fraxel Repair laser treatment. With traditional Fraxel laser treatment, patients undergo a series of 4 or 5 Fraxel laser procedures at monthly intervals, with no downtime, to improve the scar. The improvement in the scar results from the new collagen that is formed as a result of the laser treatment. This procedure is FDA approved for the treatment of acne scars and surgical scars, and it will also improve all other types of scars as well.
With Fraxel Repair laser treatment, patients generally need only one or two treatments; however, depending on the size of the treated area, there may be a few days of downtime with Fraxel Repair laser treatment. The improvement in the scars following treatment with the Fraxel Repair laser results from immediate shrinkage of the scar tissue followed by new collagen growth. Like the traditional Fraxel laser, the Fraxel Repair will improve all types of scars, including acne scars, surgical scars, keloid scars, and atrophic scars.
Surgical Scar Revision
Occasionally, a scar that healed poorly needs to be surgically removed and stitched using very precise and careful surgical technique. In properly selected patients, with good wound care this will result in a much-improved scar. However, surgical scar revision is only rarely necessary, and nearly all patients can have the appearance of a scar improved without dermatologic surgery, using lasers and steroid injections. Other options for scar treatment include chemical peels which can work well for certain types of acne scars.