A scar on the skin is a dense formation of connective tissue that has arisen from regeneration after damage to the skin or its inflammation. Damage to the skin can be caused by injury or surgery. Inflammation can be associated with various skin diseases, such as acne, dermatitis, furunculosis, etc. Scar tissue consists mainly of collagen and differs from the tissues that it replaces, a decrease in its functions and a visible cosmetic defect. Scars on the skin are noticeable, less elastic than surrounding tissues, are more sensitive to ultraviolet radiation, they do not restore sweat glands and hair follicles.
Most often, scars appear with extensive or deep tissue damage. Especially the risk of scarring arises with prolonged wound healing. Completely it can be formed in a period of up to one and half year.
There are several main types of scars:
- Keloid (characterized by convex formations that are unhealthy in color and shape, can change color from red to dark blue during intervention).
- Atrophic scars (they are “hollows”).
- Hypertrophic scars (slightly elevated, have a light color).
The effectiveness of treatment is influenced by such factors:
- Skin type.
- It’s regenerative abilities.
- Condition of scars.
The choice of a method of treatment is carried out by Dr. Kristina, dermatologist of “Skin Clinic”, being guided by the following factors:
- Features of the patient’s body condition.
- Depth of scars.
- Their size.
- Location on the body and face.
- The initial condition of the skin.
Fractional photothermolysis (microperforation). The influence is performed by means of laser beams. This method is suitable for combating both scars and other effects of acne (enlarged pores and pigment spots). Age of scars does not matter. The course depends on the size of the area of exposure, usually 3-6 procedures. The recovery period is 3-4 days.
Mesotherapy. The struggle with a problem zones in the epidermis occurs with the help of complex preparations, which contain amino acids, vitamins and other active substances. They improve metabolic processes, have a positive effect on the skin and reduce the visible appearance of scars. Treatment is aimed at their atrophic variety. The flaw of the method is the short-term result: in 4-6 months, a procedure needs to be repeated, since all substances can be assimilated by the body. The positive side of mesotherapy is the presence of a quick result, which does not require a recovery period. Usually this method is used when an urgent effect is needed. If there is a need to treat keloid scars, then injections of corticosteroids are added to this therapy.
Injection of intradermal fillers. The struggle with atrophic scars is carried out with high-density hyaluronic acid, collagen or own fat cells (lipofilling), they fill the cavities. Treatment takes a long time, while it needs to be repeated periodically, as there is absorption of fillers.
Ozone therapy. Under the skin, point-wise, medical ozone is injected, which facilitates the healing of wounds and reduces inflammation. The course of ozonotherapy – 5-10 sessions. The disappearance of scars requires a long time and periodic recurrence of treatment. Such methods can be used only to combat hypertrophic and atrophic scars, because they are based on causing controlled damage to the skin and scar tissue with their subsequent regeneration. Keloid scars cannot be treated this way, because there is a risk of recurrence with an increase in scar tissue.