Find the best cosmetic treatments to reduce you scars.
Sydney Plastic Surgeon Dr Naveen Somia says about scars:
Preventing a scar is the best cure. Once formed scars can never be removed completely but could be minimized in majority of patients.
Why do scars look ugly?
The amount of collagen in scar is more than that in normal skin
The Collagen in the Scar is oriented differently ( stacked in one direction) to collagen in normal skin ( criss cross basket weave pattern)
Treatments Available in Sydney for Scars
Silicone sheeting and gel – most commonly used method.
Silicone works. The mechanism of action is not fully understood . Studies have suggested that silicone restores the skin barrier and normalizes Transepidermal Water Loss (TEWL) the follows a surgical wound to the skin. This results decrease production of collagen by the fibroblasts thereby minimizing scar formation.
Constant gentle pressure on the scar works. It causes scars to flatten and become softer., but more importantly prevents them from becoming lumpy. Useful in treating ear keloids following piercing and breast and abdominal scars.
Over the counter topical remedies
There are numerous products with varying rates of efficacy.
Collagen Induction Therapy by Needling or Dermarolling
The scarred area is continuously needled to promote collagen formation. Topical vitamin A and vitamin C applied before and after needling helps.
The needles are very fine medical grade needles made of stainless steel or titanium . The needles are fixed onto a plastic barrel which rotates around an axle that connects to a handle for holding the device. Once needled the area is allowed to fully heal, and needled again at 6 weekly intervals if required depending on the intensity of the scar.
Steroid Injections (Kenacort)
Kencort is directly injectioned into the scar to help flatten and soften the appearance .It does cause thinning of the scar tissue This treatment is repeated at 4-6 week intervals.
Fillers can be used to raise sunken scars to the level of surrounding skin. If a temporary filler is used it needs to be regularly repeated. Permanent fillers can avoid this problem but they have a higher risk of complications when injected superficially.
Dermabrasion involves the abrading the of the surface of the scar using specialized equipment. It helps to reduce the bulk of the scar.
Vascular lasers have been proven to greatly reduce the redness of most scars 6-10 weeks after the initial treatment.
Fraxel is used to treat acne scarring.
Surgical Scar Revision
Scar revision is a process of cutting the scar tissue out. After the excision, the new wound is usually closed in multiple layers meticulously with fine sutures to heal by primary intention.
Low dose radiotherapy has a role in preventing recurrence of keloid formation.