Scars

Scars arise for a variety of reasons, from simple as a skin bruise, a brand of vaccine, the (terrible) pimple-squeezing craze, to the most severe, such as burns, accidents, and surgeries.

The fact is that any injury that arises on the epidermis (the outermost layer of the skin) or the dermis (the layer under the epidermis) can result in a scar. Scientifically, scars are the final part of healing a trauma, formed by fibrous tissues that now occupy the injured site.

There are 4 main types of scars: atrophic, hypertrophic, keloid and normotrophic.

Atrophic scars are more common, do not depend on genetic factors and arise when there is loss of structures that support and firm the skin, such as muscle and fat. They usually leave a kind of relief on the skin. They are the result of acne cases, surgeries, accidents among others.

Hypertrophic scars arise when the body produces collagen in abnormal amounts and in a disorganized manner, which makes the scar look higher in texture than the surrounding skin. It is rarer to happen, has hereditary components and many people confuse it with keloids.

The keloid is the scar that keeps growing, surpassing the initial limits of the injury itself. This unregulated growth has to do with the overproduction of new collagen in place and is often related to genetic and race factors (most common in Orientals).

The normotrophic scar, on the other hand, is almost imperceptible, as the skin area is practically as it was before the trauma. It occurs in simpler injuries.

Today there are various treatments and procedures to erase and diminish scars, ranging from the simplest to microsurgery. Sometimes they can be really imperceptible, although very long and deep scars hardly disappear completely. The best indication of treatment should always be from a dermatologist, who is the most capable professional to make diagnoses and even resort to associated techniques.

WHAT THE DR. MACEDO AND ASSOCIATE OFFER OFFERS:

The OM&A Clinic offers its patients the latest scar treatment resources. There is state-of-the-art equipment and up-to-date techniques that, for effective results, can be used on its own or in combination with custom treatment plans Our doctors perform thorough examinations, provide accurate diagnostics, and then the next steps are indicated.

For scars, the type, extent and race of the patient (keloids are more common in Orientals), as well as habits, motivation and self-discipline for the necessary treatment. All of these factors do not escape the eye of our doctors, as they help define which resources and techniques may be necessary. See list below that can enhance the results.

Tratamentos:

Surgeries

In cases of wider and deeper scars, the doctor may resort to surgery.

Lasers

Clinical Dermatology > Scars

The scar skin may have its superficial layer and part of the dermis warmed, thus eliminating the damaged part and stimulating the formation of new cells with more collagen.

Micro-Needling

Clinical DermatologyScars 

It can be used with and without radiofrequency, and through micro-perforations that can purposely reach the dermis, triggering bleeding and an inflammatory process, in this case intended to produce richer collagen cells to repair previously traumatized tissue.

Microdermabrasion

Clinical Dermatology > Scars

It allows the dermatologist to sand the damaged skin in order to remove it, but always controlling the depth of action.

MMP

Clinical Dermatology > Scars

Technique used to facilitate the penetration of active ingredients through micro-perforations, which in turn overcomes the natural barriers of skin protection. With this technique, drugs are given in a concentrated way and reach their target more deeply. It is a treatment recommended  mainly for hypertrophic scars and keloids, which with MMP receive medicines that work reducing their height, stiffness and enlargement, even allowing the skin to return to natural color.

Post-treatment: No downtime.

Protocol: 4 sessions, monthly.

Result: 3 months after 1st session.

 

Peelings

Clinical Dermatology > Scars

Various: chemical, mechanical or laser – and also allow damaged skin to be exfoliated and removed, which requires dermatologist control and supervision. Instead of application, skin with more collagen and elastin will grow.

Fill

Clinical Dermatology > Scars

They are mostly used for atrophic scars and the most common substance in this procedure is hyaluronic acid. Over time it is necessary to redo the treatment, as it is temporary.

Tixel®

Clinical Dermatology > Scars

It is a thermal system that acts by fractional action, that is, by discontinuous emissions of heat. recommended  for rejuvenation, when applied to the skin, the emitted heat reaches only the upper dermis. Everything is very fast, resulting in two actions: the skin becomes more permeable to drugs and actives; and so starts producing new, better quality collagen.

Post-treatment: Redness lasting 6 to 12 hours; Small crusts form after 24 hours and last up to 3 days.

Protocol: 3 and 5 sessions, monthly.

Result: Gradual, 1 to 2 months after the first session.

Voluderm®

Clinical Dermatology > Scars

Radiofrequency treatment with micro-needling. There are 36 microneedles in a tip that, when applied to the skin, stimulates the production of hyaluronic acid and releases energy capable of retracting collagen fibers and thus stimulating their production. These fibers act directly to support the skin, helping to fill scars with ridges.

Post-treatment: No downtime.

Protocol: 6 sessions, biweekly.

Result: Gradual, up to 30 days after the end of treatment.

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