By Igor Safonov
This atlas is a finished consultant to the therapy and correction of scars. it's divided into 4 sections masking the different sorts of scar: atrophic and stretch marks, keloid and hypertrophic, normotrophic, and combined. for every scar style, a number of the invasive and minimally invasive approaches and their effects are documented due to a variety of fine quality pictures. within the part on keloid and hypertrophic scars, therapy is gifted in accordance with scar localization. moreover, the effect of etiology on remedy is taken into account, with contrast among scars because of accidents, animal bites, inflammatory illnesses (including zits and varicella), and burns. Care is taken to tell apart among techniques appropriate for clean scars (in the irritation, proliferation, and maturation levels) and people acceptable for scars current for multiple 12 months. power antagonistic results and issues of remedy also are explored.
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Extra info for Atlas of Scar Treatment and Correction
Epidermis remains intact after such a laser procedure. It is not necessary to apply ablative lasers in fresh scar treatment. It is not expedient because the risks of their application exceed the anticipated result. The potential source of skin regeneration is big enough. There are other methods of fresh scar treatment that are less aggressive but more efficient. 5-month intervals. The course of treatment is 3 months. The mechanism of elimination of the scar vascular component lies in red blood cell (RBC) exposure to high energy in the capillary lumen.
Scar subcision is performed by Nokor needle, preferably 18G (Fig. 56). The bottom of the scar releases and draws to the surface after bridle subcision. The deficiency aligns (Fig. 57). 1 Atrophic Scars a 51 b Fig. 57 Old atrophic scars of the right cheek after SolcoDerm application. (a) Before subcision. ); Wrinkles of frontal and nasolabial area. Contraindications: Collagenoses; Pregnancy; Dysemia; Hyperpiesis; Autoimmune diseases; Coronary heart disease; Severe somatic diseases; Malignant tumor availability; Skin disease in the area of procedure conduct; Previously injected nondegradable injection implants.
The application point of this method is papillary dermis until there is pinpoint bleeding (“blood dew”; Fig. 47b). Surgical dermabrasion employing rotational grates was first described in 1905 by Kromayer. This method reached its peak of popularity in the 1950s–1980s. However, the present notion of atrophic scar dermabrasion has changed: Nylon brushes and diamond cutters remove the normal skin surrounding the scar (Fig. 46a, b). In fact, skin atrophy is intentional to reduce the scar depth visually not by lifting the scar bottom to the surface but by removing healthy skin, lowering it to the level of the scar bottom.
Atlas of Scar Treatment and Correction by Igor Safonov