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Types of Scars
There are generally three main types of scars hypertrophic scars, keloid scars, and atrophic scars. Hypertrophic and keloid scars are raised scars that extend beyond the boundaries of the original wound. Keloid scars tend to be larger and firmer than hypertrophic scars. Atrophic scars are sunken and pitted due to a loss of collagen during the healing process. Understanding the type of scar you have will help determine the most suitable treatment approach.
Scar Treatments
Topical Ointments and Gels
For newer and minor scars, over-the-counter topical mark treatments may provide benefit. Creams containing silicone, vitamin E, cocoa butter, and other moisturizing agents can help improve the appearance and texture of scars. As the skin repairs collagen fibers, these ingredients help hydrate and soften scar tissue. Products from Mederma, Cicatricure, and Scar Away are popular options. Consistent daily application is important for best results.
Steroid Injections
For raised, thickened scars like keloids, a corticosteroid injection straight into the scar tissue may help flatten and soften it. Steroids tamp down inflammation and the overgrowth of collagen. Multiple treatments a few weeks apart are usually needed. Injections typically yield the best results when paired with other treatments like compression garments. However, there is a risk of the scar worsening after treatment stops.
Pressure Therapy
Wearing compressive garves, pads, or sheets over scars applies constant pressure. This helps reshape and compress scar tissue as it matures. Compression is thought to minimize the inflammation and stretching of new collagen growth. Products from ScarMD and Mederma are specially designed to safely and comfortably apply steady pressure over time. Compression is most effective on new scars still in the remodeling phase.
Laser Treatment
A pulsed dye laser (PDL) targets the red and purple pigments responsible for discolored scars. The laser heats and breaks down the pigment without significantly harming surrounding skin. This allows the scar to blend in more naturally over multiple treatments. Fractional lasers work similarly but also improve collagen and elastin levels for a smoother texture. Lasers can significantly improve many hypo-pigmented and hyper-pigmented scars. Results may take more than one treatment.
Micro needling
Also called collagen induction therapy, micro needling uses a device with tiny rollers covered in miniature surgical needle points. As it rolls across the skin, the needles cause controlled micro-wounds that stimulate collagen production without damaging the epidermis. The resulting regeneration and thickening of collagen fills and remodels scars. Most see the best results after 4 to 6 monthly treatments. Micro needling is effective for atrophic scarring.
Surgery
In some cases, pitted or severely raised scars cannot adequately be improved through non-invasive means. For these, surgical treatments like scar revision or excision may be the best approach. A dermatologist or plastic surgeon will carefully remove and reshape stubborn scar tissue, then close the wound for a less noticeable revision. Several suturing techniques can tighten and flatten problematic scars. Recovery times will vary based on the extent of the procedure.
Integrating Treatments
For optimal scar treatment, it’s best to use a combination of methods. Massaging silicone gel or cream into a new scar while also wearing a compressive garment at night, for example. Or blending steroid injections with pulsed dye laser treatments months apart to reshape a raised scar from all angles. Consistency is key—most experts recommend continuing some form of scar management for a full year or more after injury. With patience and the right multi-modal approach, even old scars can be significantly improved.
In Summary, discover the latest advancements in scar treatment, where innovative techniques offer hope for smoother, more natural skin. From laser therapy to silicone gel sheets, explore the diverse options available to diminish the appearance of scars and restore confidence.
