What is a scar?
A scar is the body’s natural way of healing and replacing lost or damaged skin. A scar is usually composed of fibrous tissue. Scars may appear anywhere on the body, and the composition of a scar may vary. A scar may appear flat, lumpy, sunken, or coloured. It may be painful or itchy. The final look of a scar depends on many factors, including the skin type and location on the body, the direction of the wound, the type of injury, age of the person with the scar, and his or her nutritional status.
What are the different types of scars?
Abnormal scars sometimes form after a wound has healed. There are many different types of scars, including:
Keloid scar is a raised, enlarged scar, caused by excess collagen production. It is a benign tumour of scar tissue which grows excessively. They can appear soon after a very minor skin damage such as an acne spot or a piercing. they can develop months later. Although keloid is harmless to general health and does not change into anything sinister, they can be uncomfortable or itchy and extend well beyond the original wound.
Hypertrophic scars are similar to keloid scars. Like keloid scar, hypertrophic scar is the result of excess collagen being produced, but unlike keloids, hypertrophic scars stay within the boundary of the original wound. While a hypertrophic scar generally settles in time or with treatment, a keloid may persist and prove resistant to treatments.
Atrophic scar is an indented scar which can be a result of severe acne or chickenpox.
At The London Cosmetic Clinic, we offer safe and effective treatments for a range of scars, including keloids, hypertrophic and atrophic scars, which can reduce the appearance or permanently remove these scars.
We use a combination of a corticosteroid called triamcinolone acetonide and a type of chemotherapy called 5-fluorouracil (5-FU) injections. While corticosteroids suppress inflammation and reduce blood supply that feed a scar, chemotherapy kills tumour cells. When combined them together they are more effective than either of them administered separately.
The mixture of the medications is injected directly into the scars using a fine needle after cleaning the site of injection with antiseptic solution.
Injections are offered every 4 to 6 weeks or until improvements are seen.
After injection, the scar will soften and the uncomfortable symptoms such as pain and itching will gradually subsided few days later. After several injection, the scars usually becomes less noticeable and flattens in three to six months’ time. In some large and resistant lesions, it may take longer.
Pain, bleeding, bruising and infection can happen as early side effects of the treatments. They are rare, mild and tend to be self-limited. Some changes in the skin can occur after a course of steroid injections for scars, such as skin indentation, dilatation of network blood vessels at the site of injection and or pigment changes, however, these are usually temporary and will improve after stopping the treatment.
Allergic reactions are very rare. Other systemic side effects are not likely to follow the intralesional injections of the scars because the does used is very small.
If the keloid scar is not responsive to nonsurgical management options, surgery may be performed. Surgical intervention can improve the appearance of scars and help to remove scar tissue. One type of surgery directly removes the scar formation with an incision, and stitches are placed to help close the wound. However, surgery is not performed often on hypertrophic scars and keloids due to the high rate of recurrence or creation of even larger keloids.
For atrophic scar, we use an excision process where a special scalpel is used to physically remove the scar. After the excision, the new wound is closed, and a dressing will be applied to assist healing.
There is no clinical downtime with surgical excision as the process is carried out using a local anaesthetic. You can return to your daily activities, whilst adhering to any aftercare instructions that your practitioner advises you.
Subcision is a minor surgical procedure used for treating depressed / indented scars. It is performed under local anaesthetic using a special needle inserted through a puncture in the skin surface. The sharp edge of the needle is used to break fibrotic strands that are tethering the scar to the underlying tissue. The release or the fibrotic strands and new collagen deposition caused by wound healing leads the cosmetic improvement of the scar.
Interval of at least one month in between treatments are generally recommended.
Individuals vary in their ability to form collagen and healing. The number of subcisions required will depend on the type, location and severity of depression and intensity of treatment. Usually, 3-6 visits suffice for the majority of moderate scarring.
Pain, bleeding, bruising and infection can happen as early side effects of the treatments. Some change of skin pigmentation can temporarily occur after healing. Therefore, sun protection or avoidance is advised.
Incredibly happy with my gummy smile fix. It was my first time getting a cosmetic procedure and the LCC made me feel incredibly comfortable. Thank-you to Dr Johnson who walked me through the procedure ( which was incredibly fast and pain free!) and a massive thank you to Rahena! Your customer service was exceptional and made me feel really assured and comfortable. Will definitely be recommending the LCC to everyone. Incredibly professional and well priced clinic. I can already see a difference in my smile!
I'm so pleased I found The London Cosmetic Clinic. Dr Johnson was incredibly informative and professional and I've seen a difference after only one treatment! Big thank you to Rahena too who was super helpful and helped put my fears to ease!
I came in to enquire about Botox, I spoke to Rahena who gave me so much information.
Dr. Salinda Johnson and her team are excellent and highly accomplished. She maintains the highest standards in aesthetic treatments and techniques, and consequently I trust her completely and know that she will always offer the best advice, and provide the most appropriate treatments. Her expertise is admirable.
The team are friendly, efficient and helpful and always put patients at ease
Practitioners of Aesthetic Dermatology In London abound , but The London Cosmetic Clinic has the expertise and patient care which puts it top of the list
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