I understand that the body considers scars to be healed, so in order to acheive remodeling some additional injury has to occur. What I don't understand is how the additional collagen formation would be any different from that which caused the scarring to begin with. Why do we assume that new collagen will be organized in a healthy, normal way rather than as another scar?
The theory behind this is:
There is scar tissue formed due to acne infection, causing tissue loss. Scar tissue is the same thing than normal tissue, but the collagen is desorganized and hasnt the normal architecture.
You need try to dissolve the scar tissue, and you can do this with acids (glycolic, TCA, lactic, etc) and needles (dermaroller, dermastamp)
You need to slowly dissolve the scar tissue. If you try to completely remove the scar tissue at once you will end with a big hole.
Simultaneously, you need to apply something that can produce new organized collagen. e.g A wound healing agent.
So, while you dissolve the scar tissue, at the same time you apply a product to ensure that the new collagen will grow organized.
Doing this every day for weeks, months, and maybe years, you will be able to completely remove the scar tissue and replace with normal tissue.
This is the idea behind the copper peptides website, they think almost any scar, stretch mark,or blemish can be greatly improved or removed with acids, needles, and copper peptides.
will this work??? I dont know, is possible, it is true that acids remove the scar tissue with time, but I dont know if their copper peptides have the healing properties they assume, they said that their cps have decorin, and will prevent new scar tissue formed.
This is basically.
To be perfectly honest, they DON'T know if it'll reform the right way or not. It's basically an educated guess based on prior experience and the situation.
From what I understand, the reason scars are scars are because collagen loss occurred in a disorganized fashion, hence it looks random and ugly. The idea of collagen reformation is that even inducement of injury should result in even recovery, but it is not always the case, especially if it's done incorrectly.