Revitol Scar Cream
Remove Red or Brown Scar with Laser
After a wound has healed, scars are formed. Scars remain active for another year and during this period they will usually improve significantly. Only after one year can you definitively say how scars will appear. Yet it is possible that a scar then remains remarkably red or brown colored. Fortunately for both problems is something to do and especially lasers can help! With a red scar there are extra blood vessels under the skin surface that are open. In the case of a brown scar, extra pigment was produced after injury, which is called postinflammatory hyperpigmentation.
How can I prevent a strikingly colored scar in the first place?
Prevention is better than cure, so from now on try to minimize the development of strongly colored scars. It all starts with wound care. You have to clean the wound very carefully and if you suspect an infection lubricate an antibacterial fluid. Never seal the wound the first days with greasy creams that make the wound completely soft (like vaseline), this prevents healing! Do not let the wound submerge in water for longer periods of time. However, you can consider using a special wound dressing such as tegaderm that keeps the wound moist (so not week ).
If the wound is no longer open and there is a crust on it, it is also important to keep the area moist. It is best to use a light serum that is full of skin-healing substances (beta glucan, allantoin, panthenol, niacinamide, antioxidants). You can also consider using silicone products at this stage, which often give the best results in scars. Silicone products come in the form of gels or plasters (such as dermatix). Plasters are slightly more effective than gels in suppressing keloid scar, but both can give all kinds of scars a much better appearance! After about three months of use you could see results from these silicone products. Avoid the sun and irritating ingredients throughout the period.
You could also use vitamin A acid cream. This is a medicine (only available on prescription) that is also often used to reduce acne scars in acne patients. The drug stimulates healthy cell division, which can be beneficial for scar tissue.
For scars that nevertheless remain bright red, laser treatments will be the most effective option. For laser treatments always go to recognized clinics with good reputation, because there are many inexperienced people with laser equipment around who want to earn quick money. The intensity of the redness depends on the density, size and depth of the blood vessels under the scar. Among the lasers suitable for red scars are:
Pulsed Dye Lasers
Pulsed Dye Lasers are generally the most effective lasers for red scars. Pulsed Dye Lasers produce a concentrated light beam that has a wavelength between 585-595 nanometers. Light of this wavelength is absorbed very well by blood vessels, in which it is then converted into heat, so that the blood vessels are simply destroyed. The light from the Pulsed Dye Laser is yellowish and should not damage surrounding tissues, provided the practitioner sets the correct settings. This depends, among other things, on the skin type of the patient. Most patients need between 1-3 treatments with a rest interval of 4-6 weeks between each treatment.
IPL systems are not officially lasers, but can be used in the same way. It is used for all sorts of brown and red discolourations (such as age spots and rosacea). The practitioner determines how many treatments the patient needs, but for strong scars this will certainly be a piece or 3, normally with intervals of 4-6 weeks. This device is also very much in all kinds of beauty salons, but if it is used incorrectly it can leave more scars. So it is certainly not too light to think about this device!
The KTP laser emits a green light with a wavelength of 532 nanometers, which is also well absorbed by the blood vessels and allowed to destroy. However, the effect of KTP lasers is limited to the papillary dermis (thin upper layer of dermis) and therefore not suitable for deeper blood vessels, but therefore brings fewer risks. It is not very suitable for bright red scars.
Q-Switched Nd: YAG Laser
Unlike the KTP laser, the Nd: YAG laser has a deeper depth of penetration and can attack blood vessels deep into the dermis. The Nd: YAG laser also has a positive effect on collagen and can therefore improve the structure of scars. Nd: YAG lasers are considered less painful and are probably less likely to cause side effects than Pulsed Dye Lasers, but to really reduce a bright red color, the Pulsed Dye Laser generally remains the best.
Extra pigment that is made after an injury and discolors the scar brown is called postinflammatory hyperpigmentation (PIH). This pigmentation always disappears, but this sometimes takes a long time with a tinted skin (sometimes a few years). Always protect it from the sun anyway! With creams (containing salicylic acid, tretinoin or hydroquinone) and mild glycolic acid peelings, the clearance of the spots can be accelerated. Also care products with substances such as Niacinamide, vitamin C and licorice root are known for the fact that they can clear up pigmentation without the harmful effects of aggressive bleaching agents such as lemon juice. In terms of lasers, Q-Switched Alexandrite or Nd: YAG lasers are suitable options. IPL is also suitable, but only for white skin.
If it has been there for several years, you probably do not suffer from postinflammatory hyperpigmentation but from melasma. The smearing with the above types of creams and care products is actually the only thing you can do, because more aggressive treatments such as lasers in this skin condition carry the risk of extra pigment reinforcement.
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