Scar types and treatments:
These are referred to as ‘hypertrophic’, they are often post surgical or from an accident. They can look uneven, lumpy and feel quite fibrous. There are a number of ways that we can ‘soften’ and flatten these scars. Growth Factor Induction Therapy
is an excellent new technology which has been extremely effective at softening and flattening these types of scars.
Self Harm Scars: These scars are found most commonly on the arms and thighs, they are usually raised and quite fibrous due to repeatedly damaging the same tissue. Self-harm most often occurs during adolescence and the scars, once healed, can be extremely difficult to live with and cover in later years. We have been working extensively to find the most effective treatments for this type of scar and recent developments in technologies have made it possible for us to significantly reduce or remove self-harm scars using Growth Factor Induction Therapy and scar camouflage.
Depressed Scars: These scars are indented rather than raised, they are often a result of an accident, childhood diseases (such as chickenpox), or following acne (ice pick, boxcar). There are a number of methods which will improve the look of these scars. Hyaluronic Acid can be injected directly into the scar to raise the area and ‘plump’ up the scar. Growth Factor Induction Therapy and chemical peels are excellent at smoothing the texture of the skin and reducing these scars.
Pigmented Scars: Hyperpigmentation often clients with an olive skin tone and darker will heal with dark scars. Traditional methods to reduce the scarring are not appropriate as this will often cause Post Inflammatory Pigmentation (PIH) which will usually lighten on it’s own within 3-12 months. We are now able to lighten this pigmentation safely using the PRX Reverse Peel. It’s a 3 stage peel which is safe to use on all skin tones and is one of the only peels which does not make you photosensitive in the sun.
Light Scars – Hypopigmentation: These scars are often present following surgery and mostly occur on people with olive tones skin or lighter. The scar will heal with no pigment, leaving a white or translucent area of scar tissue. We can custom blend a pigment to completely match your skin tone and implant this pigment in the skin using Micropigmentation techniques, the effect is incredibly natural and lasts around 24 months at which point we can ‘refresh’ the colour for you. This is a great option for anyone who is using camouflage makeup and would like a more long term solution.
Keloid scars: These are raised, smooth scars, often looking more like a blister than a scar and very common in darker skins. Keloid scars respond very well to steroid injections and silicone therapy to ‘flatten’ the scar down. There have been some exciting new reports documenting the efficacy of muscle relaxers to treat keloids (in trial). Steroid injections are available with Dr Paul Charlson at the clinic.
Contractures are an abnormal occurrence that happens when a large area of skin is damaged and lost, resulting in a scar. The scar formation pulls the edges of the skin together, causing a tight area of skin which can affect the muscles, joints, and tendons causing a decrease in movement, mobility and flexibility.
There are many different surgical treatment options for contractures, including the following:
- skin graft or skin flap
Skin grafts or skin flaps are done after the scar tissue is removed. Skin grafts involve replacing or attaching skin to a part of the body that is missing skin. Skin grafts are performed by taking a piece of healthy skin from another area of the body (called the donor site) and attaching it to the needed area. A Z-Plasty can be performed, making a ‘Z’ shaped incision to release the surrounding skin and allow more movement.
Treatments at Borciani London
- Skin Needling is an effective treatment for scars (other than hypertrophic and Keloid). Skin is punctured with micro holes from a digital or manual roller device, triggering the skin’s natural healing response. Collagen and elastin are produced which in turn flatten the scar tissue and pigment is often returned to light scars.
- Scar Camouflage is an option for fully healed scars (although cannot be used on Hypertrophic or Keloid scars). Microdots of colour are custom blended and impregnated into the dermal layer of the skin to camouflage the area. This treatment is particularly effective on surgical scars, caesarean incisions, stretch marks and burns.
Scars can often be a mixture of these categories, we ideally like to see patients for a consultation to check the scar tissue and discuss the best treatment options but if you have a scar that you would like to discuss please contact us on 0207 792 9132 or book your consultation by clicking the button below: