Normotrophic scars are formed as a result of an adequate reaction of the body to injuries. Most often, normotrophic scars are formed after accidents, cuts and surgeries.
As a rule, normotrophic scars do not need correction, and it is absolutely unacceptable to treat and correct these scars with a laser. For the treatment and correction of normotrophic scars are used more effective and less aggressive methodsth an lasers.
Microdermabrasion of normotrophic scars – skin polishing of the scar localization with aluminum oxide microcrystals (Al2O3). Aluminum sand is applied onto the skin surface by means of negative pressure and, knocking the particles out of the problem zone, aluminum sand is sucked into another container. Vacuum enables to elevate the scar bottom (Fig.1). This method does not require anesthesia, the recovery period being 4-10 days. Patients retain social activity. In some countries this method is called “A weekend procedure”. To archive tangible results, 3-5 procedures are required with a 3-4 week interval.
Fig.1. Normotrophic fresh scars forehead before and after 3 microdermabrasion treatments
Collagen Induction Therapy (CIT) or microneedling for normotrophic scars. The application of dermaroller (Fig.2) forms hundreds of microscopic channels in the skin. Following a number of complicated consecutive reactions (hemostasis – inflammation – proliferation – remodeling), fibroblasts, special skin cells, “patch” the microscopic channels formed by dermaroller needles. Collagen islands are synthesized within the channels, which are attracted to one another, thus gradually aligning the edges of scars or striae.
Fig.2. Microneedling or Collagen Induction Therapy with Dermaroller
In this manner an elastic backing of fresh collagen tissue is created on the one hand, decreasing the width of scars/striae by retracting and elevating their bottom to the skin surface on the other hand.
Fig.3. Collagen Induction Therapy before and after. Scar of the right supercilium
Topical therapy / scars removal cream. Different ointments, creams and gels are applied depending on the stage of scar formation, such being antibacterial, normalizing blood circulation, reducing or stimulating collagen synthesis, diluting wound environment, boosting immunity of the wound area, etc. To this end, Kelo-cote, Dermatix, Strataderm, MedGel, Kelofibrase, Scarguard, Contractubex, Aldara. But there is a scars treatment cream that stands out among others. It called Elicina and consists of 80% of the snail mucus extract. This cream accelerates the regeneration process and can change the structure of scar tissue. Therefore Elicina snail cream can be apply for all types of scars: atrophic and hypertrophic after injuries and ugly scars after surgery. Each individual case surely requires a consultation with the attending physician to select the necessary cream or ointment, because some products are capable of not only improving, but as well as of worsening the scar condition. Topical therapy is usually applied either in parallel to, or after mechanical treatment methods.
Cosmetic procedures. Hydration. In the recent past potassium permanganate solution (KMnO4) was commonly applied onto a fresh wound. An incrustation subsequently developed under which a scar was starting to form. Nowadays there is no doubt that a callous scar is formed under incrustation. A wound should be healed in humid environment where cells freely migrate, divide and share the necessary information among each other. A number of application products are used for wound hydration, capable of retaining liquid within the area of scar formation.
Fig.4. Normotrophic scar of the nose before and after combined therapy with hydration
Peeling for normotrophic scars treatment. Peeling incorporates the notions “to purify”, “remove the skin” and “exfoliate”. Therefore, any exfoliation-related process of epidermis in the upper layers of derma is basically referred to as a peeling. Depending on depth of effect, all peelings are divided as follows:
- superficial – several layers of keratinized cells;
- middle – throughout keratinized layer;
- deep – throughout epidermis down to the basal layer and papilla dermis, penetrating into reticular dermis.