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.
Laser 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.
Skin Grafting :-
Scar Reduction, Scar
Revision, Chemical Peel, Laser Surgery, Dermabrasion,
Tissue Expansion Surgery in New Delhi, Delhi, India.
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
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.