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SCARING

Our most common scar revision is for acne scaring, followed by stretch marks, injury, or post-surgical scar support or revision. 

Scar formation is a natural part of the skin’s healing process. The body attempts to repair any damage, producing fibrous tissue forming a scar or scar tissue. Scar tissue forms due to collagen fibres aligning in one direction rather than the crisscross linking, like a weave that normally gives skin its suppleness and strength.

Did you know scar tissue does not re-grow sweat glands and hair follicles? They present as depressed, elevated, pink, red, or shiny and you can experience itching, tenderness, pain, and a decreased range of motion if severe.

There are two common types of scarring seen in the skin; hypertrophic and keloid scarring. Both are caused by excess collagen growth during the healing process, which can result in a raised, firm, red, or purple scar. Hypertrophic scars are raised scars compared to the surrounding skin. Keloid scars are hypertrophic scars that grow larger and extend outside the original wound area and are most common in darker-skin clients.

There are some factors that increase the risk of hypertrophic scars, age, location of trauma, client heritage, and nature of the injury. Such scars are more common in young adults and are more likely to occur on the chest, shoulders, back, and jawline areas. Hypertrophic/keloid scars are more common in Asians and dark skin types and common in acne clients, burns, and post-surgical.

TYPES OF SCARS

Macular scarring

Characterised by flat areas of increased and decreased pigmentation because of acne.

Boxcar scars

Superficial punched-out scars that have sharp vertical edges on cross-sections and can be round or oval-shaped when seen from above.

Rolling scars

Appear as waves in the skin and are usually caused by tethering of the skin to underlying structures

Deep divots

Deep scars that involve loss of subcutaneous tissue volume and result in a large divot.

Ice-pick scars

Deep but small holes in the skin, like the indentation left by an ice-pick.

Hypertrophic scarring

Where there is a raised and often pigmented scar as a result of acne.

Keloid scars

Where the size of the scar is significantly raised, red/purple, and inconsistent with the size of the initial trauma caused by the acne.

Stretch Marks

Atopic Scar | Can appear pink. purple, blue, grey, or white in colour. Typically from rapid growth. Commonly found on the abdomen, upper arms, thighs, breasts, and buttocks.

GRADE OF ACNE

Grade 1

Macular scarring or flat scarring is characterised by flat areas of increased or decreased pigmentation visible from greater than 50cm.

Grade 2

MILD | Visible at a distance of less than 50cm and can be covered by make-up. Examples can include mild rolling acne scars that make the texture uneven.

Grade 3

MODERATE |Visible at 50cm or greater and is not easily covered with make-up or shadow of a shortened beard hair. Stretching the skin can flatten the scar. Can include more significant rolling scars, shallow boxcar scars, and mild to moderate hypertrophic scars.

Grade 4

SEVERE | Scarring is not flattened by stretching the skin. Examples can include severe boxcar scars, deep divots, ice pick scars, and hypertrophic/keloid scarring (raised/pigmented scars).

SKINCARE FOR SCARING

Acne commonly induces changes to the skin, including pigmentation and skin tone and texture.

  • Hyperpigmentation (increased pigmentation) can occur after trauma to the skin such as acne lesions and is usually a result of inflammation caused by acne and is called post inflammatory hyperpigmentation.
  • Hypopigmentation (loss of pigmentation) can also occur as a result of acne, and can often be permanent.
  • Redness of the skin is common after an acne lesion has passed and is healing.

Changes in skin pigmentation tend to resolve themselves with time, once the active acne has subsided. But many clients like the opportunity to speed this process up, as natural regression of this problem can often take more than a year, if not longer.

The priority is to treat active acne first using medical grade skin care, including vitamin A, which can help skin turnover and keratinisation (blocking pores) and reduce acne.

Using non-comedogenic sunscreen is an absolute must! 

Skin-brightening agents are used to help treat hyperpigmentation caused by acne with pigment inhibitors and lightening properties.

Healthy skin is the key as Acne is a symptom of skin not behaving as it should. Book a free 15-minute appointment for a Skin Prescription and learn what active ingredients will work best for your skin.

TREATMENTS FOR SCARING

  • Medical micro-needling is an effective method of treating superficial scars by inducing micro channels in the skin with surgical needles stimulating the production of collagen to strengthen and lift any indentations or atrophic acne scars. The advantage of this treatment is the fact that it can be used on all skin types and anywhere on the body.
  • Phi-Ling Needling is another form of manual skin needling that utilizes 1-6 needles attached to a surgical pen, using a tapotement technique, the technician targets moderate to severe scars to induce a controlled injury to the skin that triggers regeneration and breaks down the density of scar tissue. This treatment is used for target areas only, not the full face.
  • Advanced DMK Remodelling Procedures (RP & PA Peel), an effective method of improving acne scarring stimulating the production of new collagen and remodelling skin.
  • pH Resurfacing is another DMK treatment that is suitable for scar revision, including acne, post-surgical, stretch marks, burn scars, and more.
  • Skin Peels are another method of treating more superficial scarring to help achieve some improvement in milder acne scarring without significant downtime.
  • Laser Resurfacing focuses light on the top layers of your skin to break up scar tissue. At the same time, the treatment encourages new, healthy skin cells to grow and replace damaged tissue.

If you are new to SKN | Pamper Me MediSpa, we recommend booking a ‘First Time Enzyme’ to review your skin goals and discuss the revision or maintenance options available. The therapist will complete skin imaging, a skin prescription, and introduce you to your first Paramedical Treatment. This allows us to accumulate the information we need to support you best and introduce and educate you on your skin health.

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