Atrophic scars allopurinol

Collagen  fi brillae dehydrate and decrease. This is the so-called cold ablation with minimal thermal damage, enabling minimization of the risk of new scar formation and pain.Duration and strength of postsurgery erythema is less expressed with the erbium laser compared to a СО 2   laser.

The mechanism of scar vascular component removal lies in the RBC high-energy exposure in the lumen, which is the red scar substrate. This is the reason for early repeated microdermabrasion being the most valuable.For a microdermabrasion procedure to be effective, the processed area should be stretched between the thumb and pointer  finger. Therefore, scars over 1 year are commonly subjected to surgical correction, although it is not always expedient. Therefore, deacidification is not applicable.Nonablative lasers (585-nm pulsed dye laser [PDL]; 1,450nm diode; 1,320-nm Nd:YAG [neodymium-yttrium- aluminum-garnet], etc.) Hypertrophic scars and keloid scars result from excessive tissue formation; atrophic scars are characterized by loss or damage of tissue, which are further categorized into ice pick, rolling, and boxcar scars. Medium and deep peelings are an effective method of fresh scar treatment. The procedure is repeated after 3–4 weeks, if applicable, despite the preserved hyperemia. The resected skin cylinder is elevated by mouse-tooth forceps and cut off by scissors. Such pigmentation commonly subsides within 6–8 months without any treatment.Microdermabrasion is not to be performed in hyperpigmentation-inclined patients and IV–VI skin phototypes (Fitzpatrick skin phototypes).Fruit acid surface peelings (alpha hydroxy acid) do not produce significant effect because they affect epidermis cells only. Along with scar maturation, connective tissues are formed, with the scar becoming less  flexible and microdermabrasion losing its relevance.

That is why by the time the scar fully matures, that is, scars are over 1 year old, bridles are formed in the scar bottom area,  fixing it in the derma. The procedure is performed multiple times (three to  five times) at 3- 4-week intervals. With the help of the dermaroller, an abundance of perforations 0.08–0.22 mm in diameter are formed. The following are a number of factors provoking the formation of atrophic scar: Loss of […] The scar starts turning pale.Dermaroller and dermapen therapy are most effective for atrophic scarsWhen applying (rolling) the dermaroller, thousands of  microscopic channels are formed on the skin. The deficiency aligns.In subcision, scar edges are  fixed with thumb and index  finger. Background: Acne scars are the most common sequele of the inflammatory process of acne and affects almost 95 percent of the patients with acne vulgaris. Operative  surgery is conducted within the limits of sound tissues. Fibroblasts are activated at the bottom of these channels, synthesizing collagen. Please enable it to take advantage of the complete set of features! A СО 2  laser is to be applied in correcting stretch marks, wide atrophic scars, and postchickenpox scars, which require collagen synthesis stimulation. The course of treatment is 3 months. Because all machine-based relief correction methods facilitate the development of a venous capillary network in the scar, laser treatment of scar vessels is to be performed after the said procedures.Loss of integrity the deep layers of the skin (dermis)Low-intensity  inflammation  during  phase  1  of  cicatrizationScars  resulting  from  animal  or  human  bites  (salivary ferments)Postsurgery/manipulation  scars  (e.g.,  cryodestruction  of hemangioma)Initial  debridement  errors  (non fixation  of  wound  edges)Deficiency  of  oxygen,  vitamin  C,  and  other  cofactors  of collagen  synthesisLow concentration of chemically active substances (TGF-β1 and TGF-β2)
The newly formed scar is often worse than the presurgery one.Fillers are all substances injected into an atrophic scar to align its relief .


Fresh scar treatment (6–10 weeks) shows better results compared to that for old scars. Such crusts typically last 3–4 days and are eliminated independently.

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