Facial Scar Treatment – How it is Performed

Facial scar treatment is performed to minimize or improve the appearance of scars on the face with both surgical and nonsurgical methods. There are various facial scar treatments, and the best method depends on the type of scarring and the ability of their body to heal itself.

Scars can be raised, indented or flat in appearance and some nonsurgical options for facial scar treatments include corticosteroid injections, lasers, microdermabrasion and chemical peels. Surgical facial scar treatment, which is also known as scar revision, involves the removal or cutting out of the scar so it can heal in a more aesthetically pleasing manner.

Facial Scar Treatment – Ideal Candidates

An ideal candidate for a facial scar treatment includes patients bothered by their facial scarring such as acne scarring or flat, raised, and red scars. It does not include patients with an active acne breakout or someone with certain skin conditions or skin diseases in the treatment area.

Facial Scar Treatment – How it is Performed

Facial scar treatment procedures are usually performed in an office and the procedure time and technique depends on the type of treatment.

Raised and/or red scars are typically treated with cortisone injections, but compression bandages can also be applied to help reduce the redness as well as flatten the scar. Microdermabrasion, laser treatments or chemical peels can treat indented scars and some flat scars. During these treatments, the facial area is numbed with a topical cream or a fan blowing cool air may be used to ease discomfort. A special sanding tip, chemical or laser is applied or passed over the skin to remove the top layers of skin and reveal new, fresher-looking skin.

Scar revision is a surgical procedure that involves cutting out the scar and then the doctor closes the new wound with stitches. A hollow, bladed instrument is used to punch out the scar from the skin. While these surgical procedures will still cause a scar, the new scar will be more cosmetically appealing in appearance.

Scar treatment

Facial Scar Treatment Recovery and Results

The recovery period after a facial scar treatment differs according to the procedure that is performed and the ability of the patient to heal. The patient might need a week of rest after the treatment depending on how big the scar is and how aggressively it is treated.

Patients might see some redness, bruising, peeling, or swelling after facial scar treatments. This will be followed by a pinkness that can last anywhere from several weeks to several months. Patients who have a surgical procedure may have some bleeding and will need stitches on the wound. Patients should avoid the UV rays of the sun as the skin will be sensitive to sunburns.

It can take some time for noticeable improvements to appear since many of the treatments rely on new skin growth as well as collagen stimulation. In addition, some of the treatments only require one treatment while others require multiple treatments. Patients that require multiple sessions that take place over a period of several weeks, or even multiple months, may have various recovery periods and will need to wait a longer time before the results can be appreciated due to additional swelling and/or peeling.

Approximately three months after most nonsurgical facial scar treatments, the patient can begin to easily visualize the results. Surgical facial scar treatment methods can produce an aesthetically pleasing scar which will replace the original scar. However, it can take a full year for this scar to effectively fade from red to a pale color. In order to maintain their results, patients will need to use sunblock when they are outside in order to protect the new skin and/or scars.

Facial Scar Treatments – Risks and Limitations

One of the main limitations of facial scar treatments is the fact that most scars cannot be completely removed. However, their appearance can be improved by a surgeon. Patients with darker skin tones might experience permanent skin discoloration after some facial scar treatments. Facial scars that are the result of an injury or surgical procedure are limited from most facial scar treatments until the scar has fully healed. The surgeon has to wait in this case because performing certain treatments too soon can actually cause the scar to become worse in appearance.

Some of the risks of facial scar treatments include:

  • Redness
  • Skin irritation (much like a sunburn)
  • Bleeding
  • Swelling
  • Infection
  • Poor wound healing
  • Damage to the underlying structures
  • Scarring

Many of the side effects that result from facial scar treatments are minimal and the risks are usually rare. Having said that, it is important for patients to understand all possible risks before agreeing to any cosmetic procedure. In order to minimize the risks and promote better results, patients need to use the services of a board-certified surgeon who is experienced in treating a facial scar. A board-certified doctor can accurately assess the type of scar and determine the most appropriate scar treatment option. Patients should also follow all post-treatment instructions in order to gain the best results.

Treating Acne Scars with Laser

Scarring is one of the most dreadful complications of acne. Long after the actual acne is gone, the scars that it leaves can continue to lower the patient’s self-esteem. A number of treatment options are available to combat this problem but their effectiveness varies depending on the type of scar and the definition of “acceptable” results for the patient. According to experts, laser technology is by far the most useful treatment as it is indicated for more severe cases of scarring. Today, dermatologists use a variety of lasers to treat severe cases of acne.

Ablative Lasers

The term “ablative” means removal of some body tissue. Thus, the use of an ablative laser involves the removal of the outer surface of the skin. This type of laser is best used on pitted scars. There are two types of ablative laser for acne scars and they are CO2 and Erbium lasers. CO2 lasers produce a 50-80% improvement in skin texture and were initially thought to be better than Erbium lasers. However, CO2 lasers have much more side effects compared to Erbium so the latter is preferred by dermatologists despite being the less effective of the two.

According to studies, the side effects of CO2 lasers are often seen in patients with dark skin with skin discoloration being the most commonly reported. Other side effects include redness, itching, milia (small bumps of dead skin), infection, bleeding and formation of acne-like bumps. Erbium lasers produce the same side effects but they are milder in nature. Ablative lasers tend to produce excellent results if performed properly by a board-certified specialist.

Non-Ablative Lasers

Although ablative laser is considered one of the best treatments for acne scars, it is limited by its side effects. These limitations led to the development of non-ablative lasers which produce fewer side effects but less effective results. The idea behind using this type of laser is to induce collagen formation in the deeper layers of the skin without damaging the outer layers.

Non-ablative lasers can be further classified as infrared lasers and visible light lasers. Infrared laser is the kind of laser used in leg veins and hair removal. Their role in the treatment of acne scars is based on findings that show they can also promote the formation of collagen and cause destruction of fibrotic collagen in scars. These mechanisms, when combined together, cause significant improvement of both raised and pitted scars.

Fractional Lasers

The concept of fractional lasers was introduced in the early 2000s to address both the limited effectiveness of non-ablative lasers and the undesirable side effects of ablative lasers. Fractional lasers work by creating zones of thermal damage on smaller fractions of the skin.

The damaged part of the skin is healed and repaired by the surrounding uninjured skin. Healing occurs in a much shorter period of time so the risk of infection and other side effects are significantly reduced. Any side effects should resolve in one month or less.

Tattoo-Removal Lasers

This type of laser is newer than the others and has proven to be an effective way of getting rid of pitted acne scars. This laser is the picosecond laser which was originally used for removing tattoos. More details about this interesting new laser treatment are available here.

Laser treatment continues to be an effective way to stop the misery of acne scars. With the numerous types of lasers available today, it can be quite challenging to tell which laser is the best choice for a patient. Knowing which one to use is extremely important as using the wrong type can do more harm than good. As always, patients should consult with a board-certified dermatologist for proper evaluation and treatment of their acne scars. A dermatologist is the right person to determine which type of laser is suitable to use on patients.