Scar Treatment

Scar Treatment at The Angel Laser Clinic

Scar reduction

At The Angel Laser Clinic we use the latest technology and the experience of our dermatologists to provide the best treatment protocol for patients with scars.

Although scars cannot be removed completely, we have seen excellent results on scar reduction after a course of treatments designed by our clinic Director.

It can take anywhere from six months to a year or more for scars to recover completely without any treatment. To determine the treatment first we need to know the type of scar you have.

 

Types of scars

Atrophic scars form a depression or sunken area because of damage to the collagen, fat or other tissues below the skin. These scars are caused by: Acne, chicken pox, surgery and accidents.

Keloid and hypertrophic scars are dense, raised scars that are thicker than surrounding skin. They occur when the body produces too much collagen while a wound heals. They can be removed by surgery, but might return.

 

  • Keloid scars occur when too many cells grow at the site of a skin injury. The resulting tissue covers the wound and some part of surrounding skin. These red-purple scars do not usually go away by themselves. They are more common in people who are African-American, Hispanic or Asian.
  • Hypertrophic scars are also raised, but they do not usually extend beyond the wound. They can fade at least partially without any treatment.

Treatment options:

Laser therapy

With our latest medical lasers we can reduce the redness and pigmentation of a scar while also making it look flatter or fuller depending on the type of scar. This involves using different types of lasers that stimulate collagen production in the deeper layers of the skin, reduce post inflammatory hyperpigmentation or reduce the capillaries that make the scar looks red.

  1.     Regenlite: a pulsed dye laser is used on the gentle mode to stimulate collagen and reduce inflammation, if any redness is left on the scar then we use the thermal mode of this laser to decrease it.
  2.     Revlite: a q-switched laser is used to break up the knotted up scars in the dermis and to stimulate new collagen growth which fills in the scars so they are not as indented. It will also reduce pigmentation and redness that can appear as a result of scarring.

Corticosteroid injections

Our dermatologists use steroid injections to treat some keloid and hypertrophic scars. Small injections are made into the scar to reduce inflammation and to flatten the scar. Depending on the type of scar, these may need to be repeated. Injections are usually given on three occasions, at four- to six-week intervals, to assess your body’s response. Treatment may sometimes continue for several months if the scar is improving. This treatment cannot remove scars, but it can improve their appearance of them.

Silicone gel (Kelo-cote)

Kelo-cote is used to minimize the appearance of scars resulting from surgical or aesthetic procedures, caesarean sections, trauma, and burns. You should start using Kelo-cote as soon as possible after a surgical incision or after a wound has closed. Kelo-cote should be applied twice a day to ensure continuous coverage. The recommended minimum treatment time is 90 days. Continued use is recommended if an improvement is seen after the initial 90 days.

I conceal healing foundation

Over-the-counter products should not be applied on a healing scar. A healing foundation that is available exclusively through licensed physicians and aestheticians is the only type of coverage that should be applied while the skin is healing. At The Angel Laser Clinic we recommend I conceal. It is safe to be used after cosmetic procedures and it is mineral based, water resistant and paraben free. It has SPF 30 to prevent sun-damage. It allows the skin to breathe and nourishes the skin with oxygenating and botanical ingredients to promote healing.

Dermal fillers

Our dermatologists Dr Sharon Wong and Dr Christina Vlachou use dermal filler injections to “plump up” pitted scars. The results are usually temporary. Repeat treatments are needed to maintain the effect.

Skin needling (Dermapen and Dermaroller)

We use skin needling to reduce depressed scars. Skin needling involves rolling a small device covered in hundreds of tiny needles across the skin; the procedure is helps to repair scar tissue. Repeat treatments are needed to achieve the desired effect.

Aftercare

It is important to follow the self-management of scars at home so that patients obtain the best results. When you develop a scar you should seek medical advise as soon as possible so that you can get the best healing outcome.

  • Apply Kelo-cote SPF 30 twice every day
  • Keep the area away from the sun
  • Massage the area gently. The pressure effect of the massage will help compress blood vessels and re-align collagen fibres so that the scar becomes less red and in line with normal tissue.
  • Use Lumie at home. Lumie is a form of light therapy that is clinically proven to be an effective home treatment for acne, although patients use it mainly for active acne we also recommend it to help healing scars as the blue light kills the bacteria; preventing infection, while red light reduces inflammation and heals the skin.

Treatment protocol:

(Injections: Steroid injection for keloid or hypertrophic scars or dermal filler for atrophic scars)

  • Stage 1: Regenlite: 6 sessions every 2 weeks.
  • Stage 2: Revlite: 6 sessions every 2 weeks
  • Stage 3: Dermapen or Dermaroller: 6 sessions every 4 weeks
  • Stage 4: EndyMed Fractional RF: 3 sessions every 4 weeks