Scar: Deep Acne
A scar is with you forever.
Mark: Surface Acne
A mark will go away on its own after 6-9 months.
Scars are forever. So, you need to do treatment for it. The acne scars when you see it with light shining directly they are not so prominent. But when a light is shining tangentially that means from an angle then the scars are visible.
Types Of Scars
So there are 2-3 types of scars and they require different treatments.
So, I want you all to do if any of you’ll have scars I want you to stretch your skin between your index finger and the thumb and if the skin is stretched and the acne scars disappear that is the box scars or rolling scars that means with the treatment you will get great results.
Then there is another type called the icepick scars, it’s like somebody has taken an icepick and has poked your skin so those are a little more difficult to treat but nonetheless, we do have treatments for it.
Then there are some scars that we call hypertrophic scars or keloids. Those are commonly seen on the back, on
the jawline, on the back, on the shoulders, and on the chest. So those are scars which are raised so when they are raised, that will be a different treatment.
Common Acne Scars Treatments
Now the principle in these scars is that there is a dent that is left behind. The Principle is we have to make collagen
develop, so there is a purity here, so we induce collagen to grow here so that it is now cross-section. So when the collagen is increased it gives you skin hope in the 1st session, 2nd session, and 3rd session, which is the end result we want. So the principle is to increase collagen to stimulate collagen.
Retinoid creams which I told you which you will be applying at home they cause collagen stimulation, the rapid turnover of the skin cells and but this will take a minimum of two to three years. So now we want something very quick, we are in the 21st century, so we want something very quick. So now quick would be treatments
of course in the doctor’s clinic in the dermatologist’s clinic.
We can start first with chemical peels, now chemical peels we have retinol containing peels that are we call them
yellow peels or TCA peels. These peels go a little deeper, remember we have to go the dermis we have to go the collagen. When these peels are applied you go home with the peel and for the next 5-6 days you’ll get scaling of the skin, you’ll get a little peeling, and the precautions you have to take is that no other creams are to be applied
and you have to apply sunscreen because your skin can get sensitive.
Your skin is peeling its scaling so you have to take care of the sun, sunscreen has to be applied. So this is for chemical peeling.
Then of course we do have what we call micro-needling. Microneedling is that means with a derma roller a roller which has 540 needles, the needles go in, stimulate your collagen and a lot of products which stimulate your collagen are also put, this can be done with a derma roller, it can be done with a derma pen and now we have micro-needling machines so this can be done with the micro-needling machines this has to be done in the clinic.
Derma roller can be done once a week but the micro-needling machines can be done once a month and the depth of the needles is about 1 to 1.5 mm it goes below the skin. So this is the micro-needling.
Then we have lasers. These are fractional lasers. The fractional lasers cause pinpoint like needles the beam of light goes down again stimulates your collagen for it to grow, but the difference between micro-needling and lasers is that in micro-needling you can get a little oozing you can get a little bleeding, and a little raw surface but in the lasers, you will only get scabs. The next day right away and again there is what we call the downtime of about 5 to 6 days.
So this is about the fractional CO2 laser which we have. And there are other lasers, Nonablative lasers which don’t cause marks but of course they are not as effective.
Next, we have P.R.P. All of you’ll have heard about this, that is Platelet Rich Plasma. So that solution is almost like liquid gold it has growth factors and those growth factors are injected by itself. It’s your own blood that is taken, platelets are isolated and the growth factors are extracted from the platelets and these growth factors are injected under your skin or they can be combined with micro-needling or with the fractional CO2. So this is combined and that is additional for improving your collagen Regrowth. so this is P.R.P then
Then, there is one I would like to mention over here Subcision. What is subcision? a needle is put in under your skin. And you know whenever there is a scar remember there is a fibrous band which is tethering your skin below. So it is pulling your scar to the base of the scar below. So subcision what it does is the needle will break that tether. It will break it and once that is done we can inject P.R.P into it and that also gives great results.
Last Minute Treatments
Now when somebody will tell me, doctor! I don’t have time because I am getting married next month. Okay, we have the solution. As I said this is the 21st century. So what we do is that we can put a cannula, the cannula will remove blocks, fibrous bands and at the same time we inject P.R.P, however, it takes time or we inject dermal fillers.
Dermal fillers are hyaluronic acid fillers and they are temporary. They last for about 8 months to 1 year and with that, we can fill in the fillers wherever the gaps are. So this will give you instant results in 2-3 days.
And here I want to mention the new kid on the block called Nano Fat. Nano fat treatment, this is the latest thing. So belly fat is removed by the lipo cannula and it is broken down into nano fat. Injected into the nanoparticles and under your own fat scar. Into nanoparticles and that, your own fat is injected under the scars.
Remember I told you about IcePick Scars? They are literally like as if a needle has gone in, now, that treatment for that scar all the others what I have mentioned may not work, we have to take a toothpick and we have a chemical called TCA that is trichloroacetic acid and that is poked right in that ice pick scar so that it causes a little trauma and that makes your collagen grow. So this is the treatment for the ice pick scars.
I also talked to you about scars that are a little above the skin. That is the hypertrophic scars or keloids for that
also, we have treatments. These other treatments would not work for it there are some lasers that can. But we inject in these hypertrophic scars, we inject Intralesional Corticosteroids this will help to flatten that hypertrophic This is done once a month maybe 3 sessions.