Archived

This topic is now archived and is closed to further replies.

**FAQ: SUMMARY of SCARS and TREATMENTS**

68 posts in this topic

Frequently Asked Questions - Scar Treatments

Disclaimer: The information below is provided as a courtesy to address general questions. As we are not medical professionals, we cannot be held responsible for the accuracy of this information. By reading this information, you agree not to hold us liable for any damages that may result in your use of this information. This information should not replace information that your Doctor or Plastic Surgeon provides you. Please keep in mind that this is for general information only and results will vary for each individual.

Q: How can I prevent my acne from scarring?

A: The best way to prevent scarring is to prevent the acne that causes it. For moderate to light acne, see

For severe acne, please see your Dermatologist for recommendations, as different treatments are required for different situations.

Q: What is the Lemon & Vinegar Method?

A: This is a method that may improve the appearance of shallow, rolling scars. Drink either Robinson, Lemon Barley Water or plain water with half a teaspoon of lemon juice to a full glass of water throughout the day. It is best to use fresh lemons if possible. Use any diluted vinegar (organic apple cider if possible, malt or white are also acceptable) in warm water to splash onto the face day and night. You may have to experiment to find the right combination of water to vinegar. Try diluting it 1 part vinegar to 4 parts water to start with. First wash your face with your normal cleanser, and then apply the vinegar (dab the solution on with cotton balls and leave on) before other topicals/moisturizers (apply topicals 20 minutes later). You should see an improvement within a week or two.

For more information, read this thread:

Q: Can you describe the different types of scarring? scar types:

·Icepick: Looks like an ice pick has been pressed into the skin. It is generally small in diameter, but can be shallow or deep.

·Boxcar: Looks somewhat like a chicken pox scar with more rounded edges. It can be small or large in diameter and is fairly deep, though not usually as deep as icepick scars.

·Rolling: Looks like a smooth indentation in the skin. These scars can be deep or shallow, but are generally shallower.

·Macules: These are most common on the back, chest and arms. They are small areas of hairless scar tissue that will initially be red but will usually fade to pale ivory within 1-2 years. They can be raised (hypertrophic) or indented (atrophic).

For further information on scar types see:

There are two basic types of Raised scar types:

* Hypertrophic scars - are scars that are raised above the skin surface but remain within the boundaries of the original injury.

* Keloid scars - which are raised scars that extends BEYOND the boundaries of the original sore, blemish or injury. It is scar tissue gone wild. It can continue to grow. Some people are genetically prone to keloid scarring. There is a specialist forum for keloid scars:

Q: What is Skin Needling (aka needle dermabrasion, aka dry tattooing or tattooing without pigment)?

A: This is a technique whereby a Dr. or Tattoo artist uses either a hand tool or a tattoo machine to “needle or “tattoo the skin without using pigment (water can be used in place of ink). This is said to "break up" the scar tissue thereby smoothing the appearance of the skin.

NOTE: It is possible to “needle yourself, but there are risks associated with this. Also, results are generally not as pleasing. It is best to see a specialist whenever possible.

For more information, read this thread:

Q: Is Elicina effective in reducing the appearance of scars?

A: There are varying reports on this but it appears that a majority of users who have tried it have said “no. In general, topical solutions are not sufficient to affect moderate to deep acne scarring.

Q: Can I get rid of my scarring through the use of topical solutions alone?

A: As mentioned, most people with moderate scarring do not find that topical solutions have a significant effect on their scarring. However, they can help lessen scars if used in the healing stage. Please read this thread for more information:

Q: What is the difference between ablative and non-ablative lasers?

Definition of ablate from dictionary.com: "To remove by erosion, melting, evaporation, or vaporization."

Ablative lasers are much more invasive than non-ablative lasers. Ablative lasers are not recommended for use on darker skin colors.

Examples of ablative lasers:

- CO2

- Erbium: Yag

Non ablative lasers do not remove layers of skin, but instead penetrate through the skin in an attempt to stimulate collagen growth from underneath the surface of the skin. Non-ablative lasers are detailed later in this document.

Q: Will ablative lasers (CO2 or Erbium) reduce the appearance of my scarring?

A: It is possible that it will reduce the appearance of your scarring but it can come with a hefty price tag, a signficant amount of downtime and a risk of new scarring.

Q: What are the different types of non-ablative lasers and how can they reduce scarring?

A: There are several different types of non-ablative lasers. There is some controversy as to whether or not the appearance of scarring can be greatly reduced by the use of them. It is best for you to speak to your Dr. and to research the various laser treatments available to you. Here are examples and links to information about them:

SmoothBeam:

thread on acne.org:

PLEASE READ THIS THREAD FOR MORE INFORMATION ON SMOOTHBEAM ON DIFFERENT SKIN TYPES: -

N-Lite: http://www.wrinklereduction.com thread on acne.org:

CoolTouch II:

IPL:

Q: Will dermabrasion reduce the appearance of my scarring?

A: It is possible that it will reduce the appearance of your scarring but it may come with a hefty price tag, a significant amount of downtime and a risk of new scarring. We suggest that research should be done before proceeding with such an invasive procedure. In addition, this is generally not a good option for darker skin tones.

See these thread for more information:

Q: What is subcision? Will it improve my scars?

A: Subcision is a method whereby a Dr. uses a "Nokor" needle to break up the scar tissue underneath the surface of the skin. It is said to be best for “rolling scars that are “bound down. Bound down scar tissue looks smoother when the skin adjacent to the scar is pulled tight. Some peoples’ scarring has improved by this method, others have had minimal or no improvement, and others have had their scarring deepen (though this seems to be more rare). Please see your Dermatologist for further information on this procedure.

For more information, check the following thread:

Q: Is there anything I can do to optimise my healing responses following invasive scar procedures?

A: Yes. Through a healthy diet and safe supplementation, you can improve your body's wound healing response effectively. Please read the following thread for more information:

The following site may also be of some interest:

Q: What is the "Dermaroller". Can it improve scarring?

A: The Dermaroller is an instrument that has tiny needles embedded in it that is rolled across the surface of the skin. It is mainly used for better absorption of topical treatments and does not appear to actually break up scar tissue. For more information, read this thread: .

Q: Can "Copper Peptides" improve scarring?

A: Copper Peptides may be able to improve the appearance of scarring by stimulating collagen production after a more ablative procedure such as needling. Copper Peptides are a topical treatment and therefore results will vary for each individual.

See this thread for more info:

.

Q: How can I get rid of my red marks / hyperpigmentation / brown marks / dark marks?

A: There are several different approaches to help this process. You may have to experiment to find which works best for you. The effectiveness of these treatments varies and they may have to be used in conjunction with other treatments for best results:

Prescription approach:

* Generally recommended: A Retinoid (i.e. Retin-A) & Hydroquinone*

Non-prescription approaches:

The tape method of exfoliation

The vinegar method of exfoliation

Apply an Alpha Hydroxy Acid peel (i.e. Lactic Acid, Glycolic Acid, TCA, etc.)

Apply a Beta-Hydroxy Acid solution

Vita-K for Blotchy Skin

Mandelic Acid Serum

All about lasers:

Chemical Peels explained:

Q: Will Microdermabrasion reduce the appearance of scarring?

A: It is generally thought that Microdermabrasion cannot penetrate the skin deeply enough to affect the appearance of moderate to deep scarring. It is a great method of exfoliation, however and it is possible to reduce very shallow scarring by repeating this procedure in a series of several treatments.

For more information, check out this thread:

Q: What are injectable fillers and how can they reduce the appearance of scarring?

A: There are many types of injectables used for augmentation. It has been shown that once they are injected into the skin, they can raise the surface of the scar. Unfortunately, most of the injectables widely available are not considered permanent. In addition, some are not available in all countries. Here is a list of some of them to get you started in your research:

Isolagen: thread on acne.org -

Fat (harvested from your own body) - See your Dr. for further info

Fascian:

Restylane:

Collagen (Zyderm/Zyplast):

Artecoll:

Aquamid:

AlloDerm:

Here is a thread on various types of fillers:

Q: What is the TCA CROSS Method?

For more information, read this thread:

Here is a link to the TCA cross article in full text on Rapaports website:

TCA Localized Peeling:

Q: What is the difference between TCA CROSS and a TCA peel?

TCA CROSS is a method whereby a Dr. or skilled practitioner uses a high percentage of TCA Acid and spot treats each scar. This procedure is especially beneficial for ice pick scarring. TCA CROSS is something that should be done by a skilled practitioner because the risk of damage to your skin can be great. TCA peels are of a much lower percentage than TCA CROSS. TCA peels are done by Dermatologists and Aestheticians and affect hyperpigmentation and more shallow scarring.

Q: What is Punch Excision & Dermal Grafting?

A: Punch Excision is a procedure whereby a Dr. will use a tool to “punch out the scar and then sew the remaining skin together. Dermal grafting is a procedure whereby a Dr. removes skin from a different part of your body (usually from behind the ear) and places it into the scar. Ice picks are often treated this way.

Q: How can lighting effect the appearance of acne scarring?

A: Lighting can have a tremendous effect on the appearance of acne scarring. For further information, please see this thread:

Q: My scars are raised, not indented. What type of scarring is this and how can it be treated?

A: This is called hypertrophic (aka keloid) scarring and can be treated with silicone sheets (OTC) or cortisone injections (provided by Dermatologist).

Q: Is it okay for me to treat my scars while I am on Accutane?

A: No, it is suggested that you wait at least 6 months to a year to treat your scars after taking Accutane. Some individuals have reported that they seem to scar more easily while taking Accutane.

Q: What is the tape method of exfoliation?

A: This is a method whereby a piece of scotch/gift tape is applied to the surface of the skin and then gently removed. Once the tape is removed there may be pieces of dead skin that remain on the tape. Take care in using harsh topicals when this method is employed, as they will most likely irritate the skin moreso than if tape were not used.

For more information, check out this thread:

Q: What is exoderm and will it help with my scarring?

A: [Edit: Many recent exoderm patients have complained about lack of effectiveness of this treatment with the side effects of more scarring and larger pores] Exoderm is arguably the most extreme form of scar treatment that you can undergo, and consequently, some people that have undergone the procedure have reported tremendous improvement in their scarring, as much as 90%. Other's have said it did not do anything even for their shallow scarring. However, the procedure is extremely intense. Here is a description:

Exoderm Lift is the result of medical research over many years and is composed of 12 components, including phenol, resorcin, citric acid and a variety of natural oils ... The procedure is based on liquefaction of the skin, followed by stimulation of new collagen and elastic fibers growth which creates the "internal lifting". A new lifted skin is generated which gives the patient a 10 year younger appearance.

You may be left with dramatic improvements in your scarring, but you will have to be dilligent with application of sun-block following the procedure as your skin may have lost its ability to tan.

Please look into this procedure very carefully if you are thinking of having it done.

Here is a link to the exoderm website:

and here are links to interesting threads detailing posters' experiences with the procedure:

Q: I have scarring on my body. Can I treat this in the same way as one would treat facial scarring or are there different procedures?

A: Body scarring is typically more difficult to treat than facial scarring, as less research has been carried out into this area. The following thread details some of the procedures and information that may be helpful:

List of helpful acne scar webpages:

Before posting a new thread, please go to the top of this page and try doing a search for the information you need. It's quite possible that the information you want is already on this board. Alternatively, follow the link below and it will take you right to the search facility.

This is the search link: Type in a key word for what you are looking for and it will bring up all the threads here that topic was discussed.

(Last edited by Rossignol, 29th September 2005 - updated pictures of scar types)

(Last edited by Rossignol 27th September 2005 - added link to 'holistic recovery from scar treatments')

(Last edited by Rossignol 21st September 2005 - updated links)

(Last edited by Rossignol 21st January 2005 - added questions about nutrition and wound healing post-surgery, and OTC treatment of scarring)

(Last edited by Rossignol 18th January 2005 - added link to smoothbeam thread)

(Last edited by Rossignol 30th November 2004 - added question about body scarring)

(Last edited by OursFan 29 November 2004 - added link to list of helpful acne scar webpages)

(Last edited by Rossignol 3rd August 2004 - added info on exoderm and added links to threads about smoothbeam, N-lite and isolagen)

(Last edited by OursFan 20th June 2004 - added Q/A on Lighting)

(Last edited by OursFan 30th May 2004 - edited/verified all links)

(Last edited by OursFan 28th May 2004 - links/content)

(Last edited by Maya 19th April 2004 - added a link to Dr Rappaports TCA CROSS document and a link to a chemical peels slide show)

(Last edited by Maya 18th April 2004 - added info about raised scars - to the types of scarring section)

(Last edited by OursFan 22nd Feb 2004 - added info to TCA CROSS section)

(Last edited by OursFan 15th Feb 2004 - added pics of scar types,

added difference between ablative/non-ablative lasers, added prescription treatment section to Red Marks).

(Last edited by Maya 25th Sept 2003 - updating links)

Share this post


Link to post
Share on other sites

I am trying to figure out a way to create temporary swelling of the face. Even if I have to do it everyday that is fine by me. I've had two fraxels so far and of course the results are great untill the swelling goes down. Even the smallest amount of microswelling is a huge improvement. I'm thinking of investigating endermologie and/or mesatherapy. I know there are some endermologie machines for home use. I just don't want to buy them unless they atleast create temporary swelling. There is a home use endermologie machine I found on Ebay for $800. My freind is a makup artist in LA - a lot of the stars will have facial endermologie before an event because it temporarily plumps the face.

I'm now coming to the conclusion that there is no permanent fix or even permanent improvement for depressed scars - onlt temporary fixes. I've also had perlane and restalyne injections, which usally end up lumpy and making the scars look worse. Acouple of months ago I got a black fly bite right next to a scar. The minimal amount of swelling from that bite made my scar disapear for two days! There has got to be a way to get a similar effect!

Share this post


Link to post
Share on other sites

just to say some of your links need updating, i checked the links for the scars pictures and some of them don't work.

Thanks

Share this post


Link to post
Share on other sites

Hi Guys,

I am 21 year old australian. I have a few pitted scars on my cheecks. I recently went and saw a a cosmetic surgeon about laser skin resurfacing. After I did research I wanted to enquire about the Erbrium laser however when I had my appointment, the surgeon recommended the new PEARL FRACTIONAL LASER by Cutera. Now I have been trying to google to see if anyone has used this laser before but I havent been able to find anything except actual surgery places recommending it. I dont want to fork out Australian $3,000 for a laser that wont even minimalise my acne scarring.

You can view the site if you google "pearl fraction laser by cutera"

If anyone has used this laser before or know someone who has your comments would be greatly appreciated. I am booked in to get it done next month so i need some advice ASAP.

Thanks

Share this post


Link to post
Share on other sites

I have a small acne scar on my nose. It looks like a hole but it's not that deep and if I stretch the skin, it looks fine.

Is it safe to use a lower solution of TCA on these type of scars or is TCA Cross only used for really deep scars? I'm also wondering; would chemical peels perhaps be better for these type of shallow, pit/hole scars?

Any helps is greatly appreciated.

Share this post


Link to post
Share on other sites
Hi Guys,

I am 21 year old australian. I have a few pitted scars on my cheecks. I recently went and saw a a cosmetic surgeon about laser skin resurfacing. After I did research I wanted to enquire about the Erbrium laser however when I had my appointment, the surgeon recommended the new PEARL FRACTIONAL LASER by Cutera. Now I have been trying to google to see if anyone has used this laser before but I havent been able to find anything except actual surgery places recommending it. I dont want to fork out Australian $3,000 for a laser that wont even minimalise my acne scarring.

You can view the site if you google "pearl fraction laser by cutera"

If anyone has used this laser before or know someone who has your comments would be greatly appreciated. I am booked in to get it done next month so i need some advice ASAP.

Thanks

Share this post


Link to post
Share on other sites

All I can say from my experiance is DON"T DO IT !! I had erbrium laser in 07 and have been dealing with all the problems I received from it since. New and bigger scars, dents, brown spots and red for months and months. Had to get ipl treatments to help with all the broken blood vessels & redness. Going through laser treatments to help with the new scars that are worse than the old ones!!! Rolling scars all over on both cheeks and dents. I wouln't wish this on anyone. changed my life!!! Spending thousands to repair the damage. If you do decide to go, do not touch your face at all!!!! every little touch takes the skin off and your left with a scar. Even when you sleep. Skin changes too. Sensitive to everything. I would go for treatments that don't take a layer that deep of skin off your face. You have no idea how your skin is going to react. I don't go out anymore & makeup doesn't cover scars. Only seems to make them look worse. Try affirm or needling. I've gotten better results from having them. As for pearl, haven't heard anything great about it, just that it's new. One place offered me it for half price so i guess they want to get the word around. Don't have anything done by someone who isn't a Board Plastic Surgeon or a specialist. Do not go to a neighborhood skin center that does things like facials & microdermabrasion treatments. The aren't doctors who studied for years and has experiance. I went for glasses and found out they have someone there that does lasers!!!! Can you imagine that!!! their popping up all over but you need someone who has experiance in working with lasers alone for years!!!!

Share this post


Link to post
Share on other sites

Your following link is not working Q: Can I get rid of my scarring through the use of topical solutions alone?

A: As mentioned, most people with moderate scarring do not find that topical solutions have a significant effect on their scarring. However, they can help lessen scars if used in the healing stage. Please read this thread for more information:

https://secure.lf.com/drug/ce/spring_2001/c...cars_lesson.htm

I was looking forward to reading the info

Share this post


Link to post
Share on other sites

I had acne REALLY bad, I seriously tried everything from baking soda to even proactive and none of it worked. The way I figured out how to get rid of it was by actually figuring out what type of skin you have on your face. There are so many different types it was crazy. I learned how to figure out the type I had from http://3bc412fzyw4y2r7xv49tow933g.hop.clickbank.net/?tid=ACNE . This was the product that really saved my social life and im finally all cleared up. Hope it helps!

Share this post


Link to post
Share on other sites

More FAQ

What are scars?

Scars are marks left on our skin from burns, trauma, acne and surgical incisions, and are a part of the body’s natural healing process in response to bodily injury. Normally, the body stimulates collagen production in an organized matrix to mend the injury. However, scars are created when the healing process is overwhelmed and the collagen is created in a disorganized manner, causing thick scar tissue to form.

How do you treat scars?

The best treatment for scars involves treating the full dermal thickness of the scar with DeepFX to create new tissue from within and improve flexibility, and treating the surface with ActiveFX to improve color and texture.

What is ActiveFX?

ActiveFX uses a high-energy beam of laser light that interacts with the skin’s surface causing the upper layer to peel off and regenerate a layer of new skin resulting in improved scar color and texture. The laser beam is applied in a fractional pattern, leaving “bridges†of untouched skin. This technique makes the healing process much faster and enables you to return to normal activities sooner.

What is DeepFX ?

DeepFX uses laser microbeams that precisely target the deep dermal layers of the skin. Each laser pulse removes a narrow column of scar tissue and simultaneously creates a controlled narrow band of surrounding injury which stimulates new collagen production deep in the dermis (inner layer of skin). The new collagen is produced in an organized manner, rather than the disorganized collagen matrix of a scar, resulting in the softening and smoothing of scars and improved texture and mobility.

UltraPulse CO2 Fractional Treatments

What is UltraPulse?

UltraPulse is the most powerful fractional CO2 laser system available.

How does the UltraPulse technology work?

UltraPulse combines the abilities of ActiveFXâ„¢ to treat fine lines and DeepFXâ„¢ to treat deeper wrinkles and scars. Through this versatile system, the laser eradicates damaged and discolored tissue quickly, and results in more collagen formation and long-term remodeling.

Is it safe?

Yes, UltraPulse is safe for most people and is considered the gold standard of CO2 lasers. It has been proven for more than 34 FDA-cleared indications and referenced in more than 90 peer-reviewed publications.

How does DeepFX work?

The laser uses a beam of light smaller than a human hair to create tiny holes in your skin. The holes are placed using a computer scanner to control depth of treatment as well as the amount of tissue treated. Only a fraction of the skin is treated in any one treatment, leaving surrounding, untouched areas of the skin to expedite the regenerative process.

Where can DeepFX be applied?

DeepFX is commonly used to provide soft and smooth skin on the face, around the lips and eyes, on the upper chest, neck, hands and arms.

Is it safe?

DeepFX is safe for most people, however it should not be used if you have taken AccutaneTM in the past 12 months, have a history of keloid formulation, poor wound healing or demonstrate excessive or unusually prolonged erythema (i.e., redness of the skin resulting from inflammation), hyperpigmentation or hyperpigmentation upon laser test patching. Consult your doctor and ask if DeepFX is right for you.

How long does the procedure take?

The treatment takes approximately 20 minutes. However, an hour should be allotted as some physicians may apply an anesthetic cream prior to treatment to aid with comfort.

What is the healing process for DeepFX treatment?

Since only a small portion of skin is touched by the laser, healing time is typically about a week depending upon treatment protocol. Over the course of this time, patients should avoid direct exposure to sunlight and follow a gentle washing and moisturizing regimen. Patients can also expect some skin to flake.

How long does it take to see results?

Deep wrinkles, skin texture and scars are dramatically improved with just a single treatment with DeepFX. The skin may then continue to firm even months after the procedure.

How does ActiveFX work?

The laser beam is applied in a fractional pattern in order to create columns of thermal damage on the surface of the skin to stimulate new collagen. The columns are spaced out so that the remaining tissue is spared, which results in a faster healing process.

Where can ActiveFX be applied?

The procedure can be used to effectively to treat fine lines, wrinkles, and discoloration, as well as other effects of aging and sun damage.

Is it safe?

ActiveFX is safe for most people.

How long does the procedure take?

The ActiveFX treatment typically lasts less than 20 minutes. However, an hour should be allotted as some physicians may apply a topical anesthetic cream prior to treatment to aid with comfort.

What is the healing process for ActiveFX treatment?

Patients experience warmth, similar to sunburn after treatment. During this time, a gentle washing and moisturizing regimen is recommended. Skin will then flake off within two days. After four to seven days, make-up can typically be applied. Pinkness is often gone after about a week.

How long does it take to see results?

ActiveFX delivers results after just a single treatment. Most effects of the treatment, such as the stimulation of new collagen and plumping of the skin occur right away.1 However, results will gradually continue to show improvement for up to six months after the procedure. If skin is properly taken care of, this can last for several years.

Share this post


Link to post
Share on other sites

I can't believe how much I learned from the first post. I'm on Claravis now, and I'm expecting some scarring, so this gives me a bit of hope that it can be fixed. :)

1 person likes this

My Claravis Blog:

ajourneywithclaravis.blogspot.com


Share this post


Link to post
Share on other sites

Posted · This comment is awaiting approval by a moderator · Report post

Please help me ... I'm in dire need of someone who could recommend me any effective product which could make these dark spots from my face and and from other somatic regions of my body disappear and which is relatively affordable . I don't know why but this happens to me that whenever a mosquito or anything bites me , it leaves permanent dark spots on my body though in normal situations these are temporary and disappears within a few days. These spots look so bad . I've my wedding in the next few months and i really want to get rid of them. I've gotten some suggestions from different websites , INVICIBLE SCARS and DR.MURAD’S VITAMIN C SUPPLEMENT.

Is any of them worth buying ? Or if you have any more suggestions then please you're welcome .

Share this post


Link to post

Posted · This comment is awaiting approval by a moderator · Report post

why don't you try invicible scars ? it's very much effective.I myself am experienced to that.it is a hypoallergenic acne scar treatment. Since it does not contain common skin irritants like preservatives and fragrances, it is far less likely to cause a break-out than most other scar care products do.. I’m really very much satisfied by it as it has really shown drastic effects in such sort span of time.Consult the website if you want any more details.it's great for all kinds of scars... would recommend to all ..good luck :)

Share this post


Link to post

Turns out I was right by drinking water with lemon. I didn't know this helps skin, but now that I think of it, that was the time when my skin improved.


Searching for perfect skin rainbow.png


Share this post


Link to post
Share on other sites