Laser treatment for scars

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Scars are the product of tissue repair after an injury to the skin.
Scarring is a complex phenomenon which begins in the seconds after the injury, and takes place in several steps, generally lasting from a year to 18 months:
– The clotting or coagulation phase, where bleeding is followed by the formation of a blood clot where repair tissue develops : the scab.
– The inflammatory phase, where the extracellular matrix is produced and foreign bodies are destroyed in the escariforme tissue by leucocytes and an inflammatory reaction.
– The proliferative phase characterised by dermal and epidermal reconstruction which is sufficient to compensate for the loss of tissue. This new tissue is initially very imperfect.
– The remodelling phase where the scar’s structure blends with the skin, and its resistance to tension increases.

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TYPES OF SCARS

THERE ARE SEVERAL TYPES

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Atrophic scars

Atrophic acne scars are the most common, appearing as a form of depression on the skin’s surface, due to a loss of tissue above the base of the scar. They do not heal spontaneously.
Three types atrophic scars exist ( according to their contour, shape, the base and depth ): ice-pick or V-shaped scars; boxcar or U-shaped scars and rolling or M-shaped scars.

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Hypertrophic scars

Basic hypertrophic scars will regress more or less spontaneously in 12-18 months.

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Keloid scars

Keloid scars do not regress spontaneously.

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Erythematous macules

Pigmented or erythematous ( inflamed, rash like ) macules follow the scarring process of inflammatory acne surface wounds. Erythematous macules often disappear without trace in a few weeks, while pigmented macules regress very slowly.

POSSIBLE TREATMENTS

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Laser CO2 and erbium

These ablative lasers work by stimulating the synthesis of a thicker dermis, which reduces the scar. Their action is double, they heat the tissues and they 'remove' pieces of skin.
For my part I prefer the erbium fractional laser because we get excellent results with minimal side effects.

Medium and deep Peel

Medium or deep peel remove the skin and layers of dermis, it forces the skin to regenerate.
The treatment may be more aggressive in the face, less in the body.
Only  phototypes 1,2 and 3 can be treated.

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Depigmentation peel and laser

Every time you have a scar, there is (or has been) local inflammation. This inflammation can stimulate the cells responsible for making the pigment of the skin (melanocytes) to produce more pigment, so we have a post-inflammatory spot.
For this kind of unsightly we use (depending on the case) depigmentation peels or laser.

Vascular laser

This laser is indicated for red scars, it is the same laser used for rosacea. This vascular laser heats the small vessels whose dilation is responsible for the red color, causing their retraction. Two to three sessions are necessary.

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BEFORE AND AFTER PICTURES

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Testimonials-reviews

I had scars following a car accident, the results have exceeded my expectations. Thank you Doctor Romano.

C. NEIL

I saw a few doctor before deciding to treat the scars on my face. The Doctor had my trust from the start. A real favorite!!! A thousand thanks!

J. CHATTERTON

I had small wrinkles on my face, two laser sessions were enough to get rid of them. I did not suffer because Doctor Romano applied an anaesthetic cream. I recommend her.

S. CONLEY

So glad to recover a radiant skin. I was very neurotic about my acne scars. Great doctor that understands our suffering.

Z. NORTH

RATES OF SERVICES*

Type of consultationAmount generally charged
Laser CO2 or erbiumFrom 200€, depending on estimate
Vascular laserFrom 200€, depending on estimate
Medium or deep peelFrom 300€, depending on estimate
Depigmentation peel and laserFrom 200€, depending on estimate

Written by Valeria Romano

    Former intern at the Hospitals of Paris Graduate of the Faculty of Medicine, University of Paris 7 – Paris Diderot Registered with the medical board of Paris, n° 75/80452 More informations

     
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