Когда и что можно сделать с рубцовой тканью: методы и средства коррекции

Scars can be affected in different ways, it all depends on the expected end result. In some cases, it is enough to change the color and density, in others – it is necessary to correct the retraction or elevation of the scar above the level of the skin. Sometimes you can not do without the destruction of scar tissue, but it happens that you can qualitatively change its structure. In each case, the doctor determines the planned result of therapy and chooses methods to achieve it – with the application of drugs to the skin or their injection into the scar, hardware influence. How such methods work, read on estet-portal.com.

When external methods and means of influencing scar tissue are successful

The peculiarity of topical techniques in working with scar tissue is that they are effective only when the scar is still forming and the tissue is active. For the correction of old scars, topical agents are almost ineffective.
Topical methods include a cosmetic or physical effect, from which the scar changes the color or quality of the deformed tissue. We are talking about anti-scar creams that are applied directly to the deformed tissue, about pressure elastic bandages or compression underwear, pressure silicone plates. These funds can be combined and are selected individually for each patient.

A separate group is made up of funds that correct the discoloration of the scar. His dyschromia can manifest itself as hyperpigmentation, as well as the disappearance of the pigment. Unfortunately, in the second case, only the application of decorative cosmetics that mask depigmented areas will help.

In case of hyperpigmentation of the scar, a good corrective effect can be achieved with the help of a course of peels – superficial or median.

Depigmenting agents containing concentrated tretionin can be used, they also have a good anti-scarring effect. Both peels and depigmenting products must be accompanied by strong sun protection.

Scar tissue correction using hardware methods

The choice of physiotherapeutic methods largely depends on whether the scar tissue is still active, or we are dealing with an old scar.

Options for choosing hardware exposure depending on the type and activity of the scar

Feature of scar tissue

Correction type

Active scar, painful and itchy

Electrophoresis with aminosine

Active keloid or hypertrophic scar

Magnetotherapy + phonophoresis with steroids or electrophoresis with potassium iodide, alternate procedures

Atrophic scar

Vacuum roller massage

Old Scar

Phonophoresis with preparations containing coenzymes, collagen

Inactive atrophic scar

Microdermabrasion



In some cases, when it comes to a hypertrophic or even keloid scar in the active stage, cryomassage or cryodestruction may be indicated, although there is a risk of recurrence of the pathology. A good result can be achieved by using lasers with a certain wavelength. Their energy allows you to start changes in the tissue at the biophysical level, due to which its volume is corrected and vegetative activity decreases.

How and with what it is possible to influence the scar tissue with the help of injections

Injection exposure involves the introduction of various drugs directly into the scar tissue. The expected result from such an injection of – scar destruction.

Type of drugs

Course of procedures

Features

Hormonal steroids

4-5 sessions 2 weeks apart

Probably a complication in the form of atrophy of adjacent areas of the dermis

Enzymatic

20 sessions twice a week

If the scar is large, the therapy is carried out in segments

Mesotherapy

2 times a week for 8 weeks

Therapies are suitable for scars of any age



For mesotherapy, you can choose preparations containing hyaluronic acid, lymphomyositis, ubiquinone, and other active ingredients, which are selected based on the activity of the scar tissue and its other characteristics.
A good result with atrophic scars shows the use mesoscooter with application of regenerating preparations to the skin.

All methods of influencing the scar can be combined and selected individually for each patient, depending on clinical indications.

Read also: Basic surgical techniques for scar repair

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