Archive for the Category ◊ Fitness ◊

Author: admin
Tuesday, October 28th, 2008
Kirsten Hawkins asked:


Acne affects as much as 80% of teenagers and others in their early twenties, while most get out with only a few minor acne scars, some even without any at all; there is also a notable percentage that suffers from acne scars.

There are two types of skin problems caused by acne that can be recognized as acne scars, one is the red pigmentation that appears after acne has healed. These contrary to popular belief, are not scars, rather, these are post-inflammatory lesions which occurs as the acne heals, and these can be present for up to 6-12 months. If however the pigmentation that you see lasts longer than the said period, you may be facing acne scars.

Acne scars come from connective tissue that the body uses to repair damage done to a certain area. Together with antibodies and white blood cells, they work together to heal the wound. After the healing process, you are left with a scar.

Acne scars can develop as long as acne is present, so one good form of prevention is actually preventing acne. However, Acne scars can also be prevented even with the presence of acne. This is done by facilitating the healing of the acne, the faster it heals, the shallower the acne scar will be, making it easier to treat, or may need no treatment at all.

There are two dermatologically tested ways to facilitate the healing of acne, one is the use of Tretinoin, it’s a form of vitamin A, which speeds up the skin’s healing and renovation process shortening the inflammation period, thus preventing Acne scars.

The other treatment used by most dermatologists for Acne scar prevention is the use of Aplpha-Hydroxy Acids of AHA’s and Beta-Hydroxy Acids or BHA’s. These help the skins remodeling process, with the right concentration and proper application; these can also prevent acne scars.

Without the complicated chemicals and difficult dermatological treatments, you can also help prevent acne scars by treating your skin righteously. Avoid sun exposure, this can cause even more skin damage and may hamper the healing process of your skin. Wear sunscreen that has SPF 15 or higher. Picking at scabs never helped either. Never pick on acne as it heals; it interferes with the healing process and might worsen the resulting acne scar.

Of course, not even the most rigorous person can prevent acne scar, with the stress of everyday life, ****** and other skin problems are really hard to avoid, there are however treatments available for acne scars, here are some of them.

Dermal Fillers Collagen or other fillers are injected into the acne scar to raise is just a bit, so that it will be the same level as your skin, these treatments aren’t permanent though. They mostly last 3-6 months and you’ll need additional injections after that.

Punch Excision This method is effective for some types of scars. It includes the surgical tool that matches the size of the scar; it can be compared to a cookie dough cutter. This tool cuts the scar out and the remaining wound is then sewed back together. The resulting scar will be unnoticeable, but if it is, it’ll be easier for laser resurfacing to treat it. Other types of this treatment include the use of skin grafts.

Laser Resurfacing Laser resurfacing is a very popular and fast treatment for acne scars. Laser resurfacing basically works by burning a measure upper layer of the skin, and then letting it heal, leaving a newer looking skin. However, care must be taken after the procedure; the correct post operative procedure determines the success of the operation



Author: admin
Wednesday, April 30th, 2008
Dr Barry Eppley asked:


sion is a common request that I get from patients who have acquired scars from an accident or from a surgical encounter. Whether it is a scar that has just occurred or one that is years old, they are very concerning for many patients.

Topical scar creams and ointments have little proven success, other than anectodal evidence, that they work. Topical scar treatments do have a role to play in early scars but not in older scars. Only the concept of some form of scar revision has any hope of improvement at this point. Scar revision can consist of a variety of treatments including excision and rearrangement (cutting out and reclosing), laser therapies, and mechanical methods of dermbrasion or sanding. All are not equal, meaning that each has a specific role to play and can be beneficial if used in the right kind of scar.

There are several extremely important points that one needs to understand about scar revision. First and foremost, no method of scar revision can completely erase a scar’s appearance. The skin that the scar has replaced will never be normal…..ever. Scar revision is about improvement, not perfection or complete elimination of the scar. As a plastic surgeon, we are not magicians and have no magical wand. The important question before undergoing scar revision then is….how much improvemennt can be had and is it worth the effort. That is where the value of a consultation with a plastic surgeon is…….ascertaining how much scar improvement may be achieved.

Secondly, there is no single method of scar revision that will work for all scars. Much ballyhoo goes on about the use of lasers, but quite frankly, lasers are not the most common method of treating scars. They may seem like an ‘eraser’ but their use is restricted to treating early or persistent redness of scars and some light skin resurfacing of scars. Both of these laser effects produce mild degrees of improvement but it is not effective for many types sof scar problems. By far, excision and primary closure (cutting the scar out and reclosing it) or excision and tissue rearrangement (cutting the scar out and realigning it through geometric rearrangements such as z- or w-plasties) is most common. Scar excision is probably the most effective method of scar improvement, if the scar problem permits, as it is removing the scar first and creating a fresh wound. Dermabrasion and deeper laser resurfacing may be helpful for wide scars that are raised that do not lend themselves to excision.

Lastly, it takes six months to a year to see the final results of scar revision. I tell patients that scar revision is a process that usually involves takes a step back (to allow healing) in the hope that in the long term you have jumped two steps forward and it looks better. It requires a commitment of time and a leap of faith that the ‘effort’ will be worth the result. Scar revision reaults take time to see improvement often at least 6 months after the procedure.