I've read that, but I'm not sure that's always the case. I have a few scars that flatten when stretched but there is visible, white scar tissue in the center of them that looks denser than the rest of my skin, if that makes sense.

Hey guys,

When you stretch your skin and the scars are able to completely smooth out does this mean they are less tethered? I've read about somethin like this mentioned here before but can't seem to find it.

Thanks!

It means the exact opposite

Hey guys,

When you stretch your skin and the scars are able to completely smooth out does this mean they are less tethered? I've read about somethin like this mentioned here before but can't seem to find it.

Thanks!

It means the scar is likely not tethered. If it's completely smooth, then you are likely dealing with tissue loss.

Like Inspired said, if the scar flattens completely by lightly stretching the scar, then it is not tethered and can be filled by some kind of filler immediately. If it doesn't flatten, then it requires subcision to release the tethers first.

Hey guys,

When you stretch your skin and the scars are able to completely smooth out does this mean they are less tethered? I've read about somethin like this mentioned here before but can't seem to find it.

Thanks!

It means the scar is likely not tethered. If it's completely smooth, then you are likely dealing with tissue loss.

This might be a daft question, but what do you mean by 'tissue loss'? Is it like loss of collagen? So you would treat it with things like needling etc to encourage collagen production?

I have shallow scarring on my cheeks, like rolling scarring but they're small, and when I stretch my skin they completely disappear (except the redness) and my scarring is still new so this may change as they 'mature' so I do want to start treating them asap while they're still fresh. And fillers probably aren't an option because I have multiple scars on each cheek.

Thanks for asking this question pinapplexpress as I have been wondering the same this for a while.

Tissue loss includes collagen and everything else that makes up tissue. Scars are made up of collagen too but it is a different type. As a result, I don't really know how to answer your question.

I have no idea if stamping can magically regenerate a chunk of missing tissue. Based on my research, stamping is good for texture, topical penetration, tightening and shallow scarring. If your indents are deep, I honestly don't think stamping can correct that kind of damage. For example, if you cut off the tip of your pinky and as a result lose tissue, I don't believe needling the missing chunk will make it reappear. As another example, if you tried liposuction and too much fat was extracted from one spot, creating a dimple (tissue loss), I don't see how stamping could cause the lost fat to regenerate. I would think a fat transfer or filler would be needed to fill the void.

Untethered tissue loss is best resolved with a filler.

If your scarring is still new, I would give your body a chance to heal naturally. It is possible it will recover without any tissue loss.

Sorry if this doesn't help.

I think this gives a good mental picture of what tissue loss entails. This is also what I don't get about rolling evenly across a surface area. Playing devil's advocate, if rolling causes collagen production, shouldn't every part that is rolled raise up? In effect does't the skin thicken everywhere and there is no net change in the depth of the indented parts to the normal skin?

If so, I can see how stamping and and single needling scars, the indented parts only, would help to raise it flush to the surrounding normal skin. That is the same idea as TCA Cross since the procedure involves only the scar and not treating a wide swath of skin.

Just thinking out loud.

Tissue loss includes collagen and everything else that makes up tissue. Scars are made up of collagen too but it is a different type. As a result, I don't really know how to answer your question.

 

I have no idea if stamping can magically regenerate a chunk of missing tissue. Based on my research, stamping is good for texture, topical penetration, tightening and shallow scarring. If your indents are deep, I honestly don't think stamping can correct that kind of damage. For example, if you cut off the tip of your pinky and as a result lose tissue, I don't believe needling the missing chunk will make it reappear. As another example, if you tried liposuction and too much fat was extracted from one spot, creating a dimple (tissue loss), I don't see how stamping could cause the lost fat to regenerate. I would think a fat transfer or filler would be needed to fill the void.

 

Untethered tissue loss is best resolved with a filler.

 

If your scarring is still new, I would give your body a chance to heal naturally. It is possible it will recover without any tissue loss.

 

Sorry if this doesn't help.

Just after writing this I just saw that Dr. Rahimi recently blogged about a new JAMA study that shows 41% improvement in scars from dermarollers.

http://archderm.jamanetwork.com/article.aspx?articleid=1879091

Just after writing this I just saw that Dr. Rahimi recently blogged about a new JAMA study that shows 41% improvement in scars from dermarollers.

http://archderm.jamanetwork.com/article.aspx?articleid=1879091

Exciting stuff. Just 'Favorited' that article for later reading.