- Natalia Gennadievna, and what is the scar? How is it formed?
- This is a coupling education, a kind of "answer" of the skin for damage. Such a peculiar "patch", consisting of collagen, like healthy skin, but with reduced functional properties. For example, it does not have sweat and sebaceous glands, no hair follicles. The scars may be more sensitive to UV rays, so in color they are usually different from normal skin.
- All scars look different. Can they be divided into groups?
- Absolutely right. The most harmless scars are normal. They look like thin strips of whiskers or bodily color. Such scars have elasticity close to normal tissues and, as a rule, do not need correction. Atrophic or drawn scars are usually formed after transferred folliculites, acne and other inflammatory processes. To the touch, they are soft, resemble cigarette paper, and in color lighter than surrounding fabrics. Atrophic scars are located below the skin level, so often "west." The remaining two species are the most problematic: these are hypertrophic and keloid scars. They represent the formation of the surface of healthy skin, but if the size of the hypertrophic scar is limited to the edges of the wound, the keloids often "come out" for its borders. Such scars deliver the most trouble. In addition to aesthetic discomfort, their presence can be accompanied by a strong itching, a feeling of burning and tingling, sometimes severe pain. The reasons for excessive growth are usually several: hereditary factor and even skin color. It matters and location of the scar. The most problematic zones are a face, an ears, neck, shoulder belt and sternum area.
- Is it possible to remove the scar so that it does not remain from it and the trace?
- It is possible, but it depends on the set of factors. It is extremely important how long you "wear" this scar, what kind of view is located, and most importantly - why it was formed. For example, traces from acne heal much faster and leave the minimum of traces, if they are not touching their hands and do not sink their crusts. The same applies to postoperative scars, which requires the most careful care, including a regular visit to the doctor. In general, cosmetologists will do everything possible so that your skin look perfect. All types of scars require correction, if only because they cause moral discomfort.
- Probably, for each type of scar, there is a method of treatment.
- Yes, everything is purely individually. Very often, patients come to me who have suffered surgical interference, where the scar is inevitable. But if you follow certain rules, it is formed correctly and looks like a light strip. And it really can be removed so that the trace will not remain. To do this, you can conduct a course of mesotherapy with drugs that improve tissue trophic, to beat ozone or drugs with hyaluronic acid, which are commonly used for biorevitalization. They allow you to smooth out the surface of the scar, make it more elastic, almost completely carved with the skin surface. For drawn scars, where the lack of tissue is observed, similar techniques are used, which are combined with the use of hyaluronic acid fillers. They are selected individually, depending on the density of the scar. The drug itself is absorbed during the year, but in any case, the skin in the scar region will become much better.
- And if the scars are too big and fat?
- In this case, you can use hormone therapy, which is an injection course directly to the scar area. From the doctor in this case, special attention is required and, of course, the availability of experience. The scar can "lead" absolutely unpredictable. It is very important to competently calculate the dose of drugs so as not to cause the opposite effect, that is, to prevent tissue atrophy. For complex cases, our clinic also includes a grinding of a neodymium laser. In this case, the initial healing lasts up to 20 days, the final recovery is completed no earlier than in 3-4 months. During this time, it is necessary to hide from the exposure to sun rays to avoid pigmentation.
- Natalia Gennadievna, how to deal with keloid scars? They say they are almost impossible to remove. If only with the help of the operation ...
- Indeed, this type of scars is considered the most difficult. First of all, because it is completely unpredictable, such scars can grow literally in the same place. So the surgical intervention is not always justified. Much more preferable hormonal therapy, with a rather long course. I appoint my patients and home care, for example, the drug "Medherma", as well as wearing grazing silicone bandages.
- Is it possible to cope with the "grandmother's methods" scars, at home?
- depending on what scars. The speck, which was formed on the spot of the pimple, most likely disappear itself, but in general, without a specialist can not do. Scar need to "lead" correctly before he began to cause discomfort. If education is already noticeable, with him, alas, do not cope with homework. Kellooids are generally impossible to control their own.