A scar is a mark left on the skin after a wound or injury has healed. A wound heals in three distinct phases: the inflammatory phase, proliferative phase and remodelling phase. The body’s initial response is to try and minimise the extent of injury; this is known as the inflammatory phase. Once the injury is controlled, the body will begin to construct new ‘granulation’ tissue to replace that which has been lost; this is known as the proliferative phase. Finally, the body will convert this granulation tissue into a scar; this is known as the remodelling phase. The remodelling phase is a lengthy process that can take up to 1 year to complete; during this time the scar often becomes smaller and more pale in colour. We can improve on the appearance of scars by repeatedly stimulating the remodelling phase of scar healing. Treatments such as microneedling and laser resurfacing help the scar to further remodel into healthy skin.
The over-production of pigment in scars is known as post-inflammatory hyperpigmentation (PIH). At the Dr Tatiana Clinic, we treat PIH by reducing inflammation, blocking the production of new pigment and accelerating the shedding of existing pigment. This is best done using topical skin products containing evidence-based ingredients such as vitamin A and C, hydroquinone and glycolic.
Pulsed-Dye Laser (PDL) is a safe and effective treatment to reduce scar redness. The laser specifically targets haemoglobin within the vessels, heats the haemoglobin up and closes the blood vessels. We recommend a course of 4-6 sessions to permanently treat scar redness.
The principle of skin resurfacing is to inflict a controlled injury to the skin; the injured skin then repairs and creates new collagen, elastin and skin hydrators. This process converts scarred skin into healthy skin. Within safe limits, a greater injury will stimulate greater remodelling of the scar tissue. Carbon dioxide (CO2) laser resurfacing is the gold standard treatment to reduce the appearance of scars.
Profound RF is a break-through technology used to treat skin sagging, wrinkles and excess fat on the face, neck and body. Known as the ‘non-surgical face lift’, Profound RF is an injectable radiofrequency treatment that tightens, smoothens, hydrates and melts fat. In clinical trials, Profound RF was found to deliver 1/3 of the result of a surgical facelift in a single treatment and that 100% of patients had a clinically evident response to treatment.
Microneedling is a treatment that involves tiny needles that stimulate skin repair and create channels into the skin, enabling the absorption of nutrients applied to the skin surface. The depth of needling and choice of topical nutrients will impact on the results seen. Topical nutrients can include:
- Vitamins, minerals and antioxidants: to improve skin vibrancy and hydration
- Acid peel: to resurface scars and improve skin texture
- Hydroquinone: to fade pigmentation