Concave scars, also called atrophic scars, are depressions in the skin, most often a result of acne or smallpox. Atrophic scars are not homogeneous: in cross-section they have the shape of an inverted icicle, box or trough. They can also have different surface, depth and structure. These types of scars require a special therapy dedicated to them, different from e.g. hypertrophic scars.
At Triclinium, we use our own proprietary therapy for the treatment of atrophic scars. The following treatments are most popular:
- fractional ablation laser – its radiation penetrates deep into the skin, causes collagen damage and stimulates the production of the new one; the procedure effectively reduces scars if performed correctly
- fractional microneedle radiofrequency – causes controlled burns of deeper layers of the skin; strongly stimulates and rebuilds tissue at all its depths causing gradual reduction of scars
- lipotransfer – own fat transplant (autograft); replenishment of tissue defects within the scar by injection of patient’s own fat; the effect of scar smoothing is achieved
- biostimulators – Sculptra (L-polylactic acid), Ellansé (polycaprolactone), or Radiesse (calcium hydroxyapatite) – stimulate the body to produce new collagen and elastin; their administration into the scar brings about its reduction.
In addition, to increase the effects, it is worth using supportive therapy in the form of the following treatments:
- platelet-rich plasma – plasma mesotherapy stimulates functioning of skin cells, enhancing more efficient healing of scars and their reconstruction after strong stimulating treatments
- laser biostimulation – a procedure supporting proper skin healing after injuries, thus minimizing the risk of scars and discolorations and improving the healing of existing ones
- phototherapy with LED light – accelerates the reconstruction of damaged tissue, reduces the risk of scars and supports the healing of existing onesIf we want to get rid of atrophic scars, it is extremely important to start therapy as soon as possible, the moment the “scabs” fall off. At this stage we have the ability to control the healing process, resulting in smaller scars.
Fresh atrophic scar can be removed very quickly, even in about 6 weeks. An old scar usually needs 6 months of therapy. Of course, the length of treatment depends on several factors, including the depth and size of the scar, but early treatment gives much faster results. Unfortunately, not all atrophic scars can be removed completely. However, the condition of each scar can be significantly improved which is definitely worth a try.
In the case of atrophic scars, the treatment should be accompanied by the following cosmetic procedures:
- chemical peels – they exfoliate the epidermis and upper layers of the dermis, helping smooth out surface scars; selected individually for the type of patient’s skin
- microneedle mesotherapy (dermapen, nanopin, roller) – a procedure involving the performance of small mechanical injuries through micro-puncturing of the skin, which triggers healing processes and thus tissue regeneration; especially useful in the case of acne scars. If skillfully performed and combined with properly selected methods, it can bring positive effects (however, only with small or medium scars, without fibrosis or adhesions)