Scar formation is a natural response to injury and severity of scar formation age, depth/severity of injury, association of infection, heredity and ethnicity. Common types of scar are surgical scars, traumatic scars, burn scars, acne scars, and stretch marks.
Scars and acne scars are fibrous tissues which are formed during wound healing. The wound-healing process begins with inflammation, progresses to tissue formation and ends with modifying specific factors in the anatomy – such as collagen, the main protein found in connective tissue that supports the skin, bone, cartilage and blood vessels. Scarring occurs when the wound-healing process is disrupted by certain factors such as too much or too little collagen .Since everyone heals differently, everyone scars differently. These scars can range from small icepick scars to gigantic hypertrophic and keloid scars. Any scar on the face and especially acne scars are difficult to camouflage and can greatly effect ones self-esteem. The choice for different scar/acne scar removal for all skin types is fractional lasers and multiple sessions are required. Laser treatment reduces the appearance of scars by 50 to 80 percent and helps prevent recurrence. Today's laser scar removal techniques can reduce the appearance of several types of scars, including:
Icepick scars these scars are common amongst those who had acne. These scars lie deep in the dermis and hence microdermabrasion would not help much as it regenerates only the superficial layers of skin. Fractional lasers are the choice of treatment since it penetrates very deep
. Boxed scars these scars are usually larger have a flat base and sharp edges. These scars could be the result of any sort of injury and appear like a box in shape and form.
Rolling scars these scars are usually associated with acne. These scars are often wide but shallow in appearance.
Hypertrophic Scar these scars usually form as a result of surgical procedure, severe injury or burn. These scars protrude the skin and are often red in appearance. These scars respond extremely well to laser treatment.
Keloid Scar These scars appear as a hard lump that extend beyond and or remain within the initial wound area and build over time. These types of scar are difficult to treat since most cosmetic procedures induce a small injury to the skin in order to force the body to repair itself and produce new tissue. Stimulating these type of wound healing in the skin for those with keloid scars could make the scar appear worse than its original form due to the body’s need to over heal the area.
The CO2 and Er:YAG lasers are best suited for superficial or deep acne/surgical/ burn scar and stretch marks. Now days both CO2 and Erbium YAG lasers are fractionated and act by producing thousands of tiny deep microscopic columns in the skin which are referred to as microscopic treatment zones. These tiny treatment zones are surrounded by uninjured tissue. In other words, only a fraction of skin is targeted, therefore, the skin is left intact which allows for quick wound healing. Finally a layer of skin is removed and a more natural-looking skin layer appears which heals over time thus minimizing scar appearance. We have the best Co2 fractional laser that can analyze the skin and narrow treatment options.