A scar is with you forever.
A mark will go away on its own after 6-9 months.
So this is a scar and those are forever.
So you need to do treatment for it.
The acne scars when you see it with light shining directly they are not so prominent.
But when a light is shining tangentially that means from an angle then the scars are visible.
So there are 2-3 types of scars and they require different treatments so I want you all to
do if any of you’ll have scars i want you to stretch your skin between your index finger
and the thumb and if the skin is stretched and the acne scars disappear that is the box
scars or rolling scars that means with treatment you will get great results.
Then there is another type called the ice pick scars, its like somebody has taken an
ice pick and has poked your skin so those scars are a little more difficult to treat
but nonetheless we do have treatments for it.
Then there are some scars what we call hypertrophic scars or keloids.
Those are commonly seen on the jaw line, on the chest, on the back and on the shoulders.
So those are scars which are raised so when they are raised, that will be a different
treatment.
Now let me come to the treatment.
Now the principle in these scars is that there is a dent which is left behind.
The Principle is we have to make collagen grow, so there is a hollow here so we stimulate
the collagen over here to grow so that this is now a cross section which I'm showing
you so that when the collagen grows it pushes the skin up in 1 session, 2nd session and
3rd session hopefully 4th session you get this, this is the end result which we want
which we all want so the principle is to grow the collagen to stimulate the collagen
Retinoid creams which i told you which you will be applying at home they cause collagen stimulation, rapid
turnover of the skin cells and but this will take minimum two to three years.
So now we want something very quick very we are in the 21st century, so we want something
very quick so now quick would be treatments of course in the doctor’s clinic in the
dermatologists clinic we can start first with chemical peels, now chemical peels we have
retinol containing peels that is we call them yellow peels or TCA peels now these peels
go a little deeper, remember we have to go the dermis we have to go the collagen when
these peels are applied you go home with the peel and for the next 5-6 days you’ll get
scaling of the skin, you’ll get a little peeling and the precautions you have to take
is that no other creams are to be applied and you have to apply a sunscreen because
your skin can get sensitive.
Your skin is peeling its scaling so you have to take care of the sun, a sunscreen has to be
applied so this is for chemical peeling then of course we do have what we call as microneedling.
Microneedling is that means with a derma roller a roller which has 540 needles, the needles
go in, stimulate your collagen and a lot of products which stimulate your collagen are
also put, this can be done with a derma roller, it can be done with a derma pen and now we
have microneedling machines so this can be done with the microneedling machines this
has to be done in the clinic.
Derma roller can be done once a week but the micro needling machines can be done once a
month and the depth of the needles is about 1 to 1.5 mm it goes below the skin.
So this is the microneedling.
Then of course we have lasers now we have lasers.
These are fractional lasers. The fractional lasers cause pinpoint like needles the beam
of light goes down again stimulates your collagen for it to grow, but the difference between
microneedling and lasers is that in microneedling
you can get a little oozing you can get a
little bleeding and a little raw surface but in the lasers you will only get scabs the
next day right away and again there is what we call as the down time of about 5 to 6 days
the doctor will tell you about the downtime of each so post laser
about 5 to 6 days you can wear make up and go to office you don't have
to stay indoors so this is about the fractional CO2 laser which we have and there are other lasers
Non ablative lasers which don't cause marks
but of course they are not as effective. Then next we have PRP all of you’ll have heard
about this that is Platelet Rich Plasma so that solution is almost
like liquid gold it has growth factors and those growth factors are
injected by itself its your own blood which is taken, platelets are isolated and the growth
factors are extracted from the platelets and these growth factors are injected under your
skin or they can be combined with microneedling or with the fractional CO2 so this is
combined and that is additional improving your collagen Regrowth so this is PRP then
there is one I would like to mention over here Subcision. What is subcision, a needle
is put in under your skin and you know whenever there
is a scar remember there is a fibrous band which is tethering your skin below
So it is pulling your scar the base of the scar below so subcision what it does is the
needle will break that tether it will break it and once that is done we can inject PRP
into it and that also gives great results.
Now when somebody will tell me doc I have a wedding one month later, I don't have time.
Okay, we have the solution as I said this is the 21st century so what we do is that
we can put a cannula, the cannula will remove the blocks, the fibrous bands
and at the same time either we inject the PRP but, of course, that will take time or we
inject Dermal Fillers.
Dermal fillers are high luronic acid fillers and they are temporary they last for about
8 months to 1 year and with that we can fill in the fillers wherever the gaps are.
So this will give you instant results in 2-3 days.
And here I would like to mention one new kid on the block is that Nano Fat.
Nano fat treatment , this is the latest thing.
So the fat from the abdomen is removed by a lipo cannula and that is broken down into
nano fat.
Into nanoparticles and that your own fat is injected under the scars.
So remember what I said 2 things at one time.
So you become slimmer and your face gets smoother.
So this is the latest that is Nano Fat treatment for the scars.
and remember I told you about Ice Pick Scars
Ice pick scars, they are literally like as if a needle has gone in, now, that treatment for
that scar all the others what I have mentioned may not work, we have to take a toothpick
and we have a chemical called TCA that is tri chloro
acetic acid and that is poked right in that ice pick scar so
that it causes a little trauma and that makes your collagen grow so this is the treatment
this is the treatment for the ice pick scars and I also
talked to you about scars which are a little above the skin that is the hypertrophic scars
or keloids for that also we have treatment these other treatments
would not work for it there are some lasers which can but we inject in this hypertrophic
scars we inject Intralesional Corticosteroids this will help to flatten that hypertrophic
scar and this is done once a month maybe 3 sessions.
Thank you