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 variety, some of the invasive and minimally invasive systems and their effects are documented as a result of a number of top of the range photos. within the part on keloid and hypertrophic scars, remedy is gifted based on scar localization. additionally, the impression of etiology on therapy 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 methods appropriate for clean scars (in the irritation, proliferation, and maturation levels) and people applicable for scars current for a couple of 12 months. capability opposed results and issues of therapy also are explored.
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Additional resources for Atlas of Scar Treatment and Correction
Its concept is as follows: Connective tissues are being developed by way of scar maturation, fixating its bottom to keep it in the derma (Fig. 55). 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.
It accumulates in sebaceous glands faster than the gland evacuates it to the skin surface. Thereby, sebum inspissates, and there is obturation of the excretory duct of the gland. A sebaceous plug is formed of sebum and keratinocytes (Fig. 41a, b). To reduce inflammation, it is necessary to normalize sebum evacuation from the sebaceous gland. Microneedle therapy may solve the problem. Microneedles create an abundance of microscopic canals, restoring sebaceous gland communication with the skin surface (Fig.
The following may be briefly said about surgical correction: Excision and plastic surgery have always been, remain, and will be the most efficient old scar correction methods—but not the main method. Application of surgical correction is not always expedient; the newly formed scar can often be worse than the presurgery one. (See Fig. 61. One year after surgical correction, the scar became longer, pigmented, and more conspicuous than before surgery; Fig. ) That is why surgical correction is to be applied only if minimally invasive methods are vain.