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Best Scar Removal, acne Marks
Removal surgery, Dermabrasion, Face Resurfacing in New
Delhi, Delhi, India by Dr. Prabhash |
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Search within page : Serial Reduction
| Skin Grafting
in New Delhi, Delhi, India.
Scar Removal :-
Options for Scar Removal surgery depends upon size of
scar , location of scar, skin quality of scar and skin
surrounding scar, its color , texture and so many other
variants.
Small scars need resurfacing and bigger
ones need excision and cosmetic reconstruction, Details
you may find below. In scar removal target is always
replacement of like tissue with like tissue. Acne Marks Removal is best
done with diamond brush resurfacing. see below for
details.
Post traumatic , post burn or post surgery. Treatment ,
again chosen from a wide range of options available .
A scar is visible when it differs from
surrounding area in color ( dys-pigmented scar or hyper
pigmented scar or hypo pigmented scar) or texture or
level ( depressed or elevated scar ) or thickness of
scar tissue and adherence to underlying structure -
so correction also involves correction of factor which
makes it visible or functionally troublesome.
Options for scar
revision or scar reduction or scar removal :-
Serial excision
and closure - or Serial scar reduction in one stage or multiple
stages, depending upon size, location proximity of scar
to important structures and mobility of surrounding
skin. the goal of replacement of like tissue with like
tissue is achieved best. so for scar removal or scar
reduction its always the first consideration. Skin
in every part of our body is specified and bringing it
from a distant area is a compromise rather than a good
option for scar removal or scar reduction.
Before After Picture Burn Scar Removal - Serial Excision
Scar reduction / Scar Revision :-
one thing is very clear -- once a scar always a scar, be it bigger
or smaller, be it visible or invisible, troublesome or harmless. In
scar reduction- we gradually reduce the size of larger
scars initially and then finally do cosmetic correction
when scar becomes very small. Surgery done is small in
magnitude, very safe and does not affect day to day life
of patient. final correction takes little time but
result of scar correction is always the best. If a scar cant be removed fully its orientation can be
changed through scar evision in a way so that its no longer a cosmetic problem.
Before After Picture Scar Removal - Post Trauma forehead scar with eyebrow mismatch
Post tuberculosis depressed scar on
neck serial reduction- early post op redness is there
Skin Grafting :-
Partial thickness skin graft:-- thin slice of
skin graft is harvested from hidden areas and used as
replacement tissue for scar . as skin of different part
of body varies so it never acquires character of
recipient area and some difference is always there but
its a good option in cases where large scarred area
needs resurfacing.
Full thickness skin graft:- taken from behind the
ear or other body creases, it provides better skin color
& texture match, also the donor area scar is hidden in
natural skin crease. only limitation is that very large
areas cant be covered because of small donor areas.
Flaps and free tissue transfer : local flaps are always
preferred as tissue match is best, if not available
flaps from distant areas may be transferred. in fact
serial excision is best and simple example of local flap
for scar removal or reduction.
Post Infection Scar Lower eyelid
Before After Scar Removal - Full Thickness Graft from upper eyelid.
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Acne scars or smaller multiple scars
are best treated with face resurfacing techniques like chemical peeling,
Diamond brush dermabrasion or laser resurfacing.
Face car Removal Before After
Picture - Post Drug eruption + infection scar - Removal
with Diamond Crystal Dermabrasion
Face resurfacing for
Acne scar removal or scar reduction :-
means stimulation of most superficial layer of skin to
stimulate growth of new skin. It also stimulates
regeneration and remodeling of collagen so final result is
smoother, bright skin with less scar marks and wrinkles.
so facial resurfacing is not only a method of scar
removal but also a way of face rejuvenation.
So its used both for treatment of acne scars, Depressed
scars , wrinkles, freckles and altered pigmentation.
Three usual methods are there :- All three use same principle and are
dependent upon same skin appendages for healing and final result , only
difference between these is mode of energy used & control level.
Chemical :-- Chemical peeling ( like phenol, TCA,
Glycolic acid , salicylic acid, mandelic acid etc) - best suitable for
very superficial resurfacing, depth control is poor.
Chemical peel in practice should be used only for
pigmentation changes.
Thermal :- is by Cosmetic Laser Surgery -
for moderate acne & other very small marks. Laser has been advertised as miracle
treatment for every problem which led to its defamation, you should know that
its only a source of heat energy in form of light. A particular wavelength is
absorbed by different tissues and its forms its basis of use.
Laser for pigmentation &
scar removal ,scar revision or scar reduction :-
Different colors absorb different wavelength of light some
in visible range , some in invisible. This forms the basis
of treatment of pigmented lesions by laser. Problem tissue is
exposed to suitable wavelength of light so that it absorbs
energy gets heated and cells responsible for color are
destroyed, over enthusiastic expectations and false claims by unqualified people
defamed it.
Mechanical :- Dermabrasion. - labor intensive but
best depth control, dermis regeneration & tightening.
Dermabrasion with diamond crystals are the best way of
facial resurfacing. Dermabrasion not only gives you
scar free skin but it also induces collagen synthesis
and so provides your skin a healthy and young look (Rejuvenation).
Micro-dermabrasion done with aluminium
particles - more or less useless.
Role of non ablative lasers were
always dubious - we dont recommend them.
Acne Marks Removal Before After Picture - Diamond Brush Dermabrasion
Laser for Rejuvenation :- the same energy induces regeneration and
remodeling of collagen which provides and more younger
looking and healthy skin, acceptable for areas where skin is not loose.
Lase Resurfacing for acne scars ( Pimple Marks ) Before After picture.
Fillers for scar
reduction :- dermal fillers is used for
depressed scars in which superficial skin color &
texture is normal, bringing scar skin in level of normal
skin reduces its visibility. we have both temporary and
permanent fillers. permanent fillers are not preferred
as they create bumps under the skin over time.
fillers can be artificial ready made or fat & dermis
from patients body itself is used as filler ( better
option).
Tissue expansion for scar
reduction or scar removal:- A modality, with which, surrounding normal skin is
expanded with the help of an inflatable silicone balloon
type device and advanced or used in different ways to
remove scars anywhere on body or bald areas in scalp.
Advantage is replacement with adjacent normal skin, so the
best possible cosmetic and functional result. For smaller scars same work is done through serial reduction
for bigger ones tissue expansion is used.
Before and after pictures of post burn scar treated with tissue expansion
Before and after pictures of post herpes zoster scar
treated with tissue expansion.
Scar Reduction, Scar
Revision, Chemical Peel, Laser Surgery, Dermabrasion,
Tissue Expansion Surgery in New Delhi, Delhi, India. |
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