Whenever there is significant damage to the skin, there is a possibility of scarring. Generally, skin scar result from trauma, surgery, acne, burns, chemical injury, and also there are some skin diseases which leave a scar after healing. Broadly speaking scars are either atrophic or hypertrophic and, sometimes mixed type is also seen. There are multiple treatment options for scars. The line of treatment is dictated by the scar type, size, number, location, and, skin phototype.
Treatment options for scar include drugs (topical and injectable), surgery, Microneedling, Lasers, chemical peels, fillers, fat transfer, compression garments.
1. Drugs:-Many creams and gel are now available which improve the scar in terms of its texture, softness, and appearance. They have an additive effect when combined with other treatments. They contain different agents like Allantoin, Extractum Cepae, Heparin sodium, Silicon, steroids and Vitamin C and E. Steroid injections are required for treating keloids, and hypertrophic scars.
2. Surgery:-Scar revision surgeries help in restoring the appearance of the scars by reducing its size or changing its orientation. Surgery is generally followed by other resurfacing procedures.
3. Microneedling:-It leads to the deposition of new collagen and thereby smoothening and lifting up of the atrophic scars.It is a very simple, safe, and effective means of improving the scar appearance with the advantage of a very little downtime.Mildly depressed acne scars give a very good response to this treatment. Dermafrac is a modification of microneedling treatment.
4. Lasers:-They cause controlled damage to the dermal tissue and subsequently, when healing occurs, the new scar is better in terms of cosmesis. Ablative lasers including CO2 and Erbium YAG work well for scars. Sun protective measures should be followed strictly in the post-procedure period. Non Ablative lasers Like Erbium Glass have the advantage of shorter recovery time post-treatment. But, more number of sessions are required when compared to ablative lasers to deliver the results.
5. MNRF:- This is again an energy-based device to treat the scars. A controlled dermal injury done at a deeper level in the skin results in repair and cosmetically better scar at the end.
6. Dermafrac:-In this, microneedling is combined with the administration of meso solutions into the skin at the same time using the Dermafrac machine.
7. Fillers and fat transfer are done to give quick results to patients with atrophic scars.
8. Compression garments:-Required primarily for the management of post-burn scars, keloids, and hypertrophic scars.Which treatment option will be good for you can be decided by your dermatologist after examining the scars.
1. Exercise proper wound care- If you get skin injury, and wound then take proper care like cleaning of the wound immediately after the injury. Apply topical antibiotics or antiseptics, and oral antibiotics and consult consultation a doctor in case of a contaminated wound.
2. Do not scratch or fiddle with active acne spots.
3. Mild scars in the early stage can be improved with medications alone. Therefore seek treatment early.
4. Keep the scarred skin moisturized as this helps in better repair and eventually better scar.
5. If you have any keloidal tendency, discuss with the doctor before undergoing surgery as appropriate measures can be taken post-surgery to prevent the formation of keloid or hypertrophic scar at the surgical site.
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