{"id":370,"date":"2021-08-05T15:24:34","date_gmt":"2021-08-05T12:24:34","guid":{"rendered":"http:\/\/scarshelper.com\/?p=370"},"modified":"2024-04-09T15:00:18","modified_gmt":"2024-04-09T12:00:18","slug":"normotrophic-scar-treatment-and-correction","status":"publish","type":"post","link":"https:\/\/scarshelper.com\/en\/normotrophic-scar-treatment-and-correction\/","title":{"rendered":"NORMOTROPHIC SCAR Treatment and Correction"},"content":{"rendered":"

[vc_row 0=””][vc_column 0=””][vc_column_text el_id=”normotrophic-scars_url”]Normotrophic scars<\/strong><\/a>\u00a0are usually formed after injuries (as well as self-injuries, eg in the form of cuts), surgery and need treatment during the maturation period. Normotrophic scars mature within 6-9 months and, if ignored, can turn to hypertrophic, keloids or atrophic scars (Fig. 1)<\/em><\/strong>. Therefore, normotrophic scars should be under the supervision of a specialist during the maturation period.[\/vc_column_text][vc_single_image image=”1503″ img_size=”600×290″ alignment=”center” onclick=”img_link_large” img_link_target=”_blank” title=”Fig.1. Transformation of normotrophic scars to hypertrophic scars” el_id=”transformation-of-normotrophic-scars-to-hypertrophic_url”][vc_column_text el_id=”microdermabrasion-scars_url”]<\/p>\n

Treatment of normotrophic scars with microdermabrasion<\/h2>\n

Microdermabrasion<\/strong>\u00a0of normotrophic scars\u00a0<\/strong>\u2013 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.2)<\/em><\/strong>. This method does not require anesthesia, the recovery period being 4-10 days. Patients retain social activity. In some countries this method is called \u201cA weekend procedure\u201d. To achieve tangible results, 3-5 procedures are required with a 3-4 week interval.[\/vc_column_text][vc_single_image image=”1476″ img_size=”600×225″ alignment=”center” onclick=”img_link_large” img_link_target=”_blank” title=”Fig.2. Microdermabrasion of normotrophic scars” el_id=”microdermabrasion-fresh-scars_url”][vc_column_text el_id=”microneedling-for-normotrophic-scars-treatment_url”]<\/p>\n

Microneedling for normotrophic scars treatment<\/h2>\n

Microneedling or Collagen Induction Therapy (CIT) is performed using application of dermaroller (Fig.3)<\/strong><\/em> or dermapen. Microneedles of dermaroller or dermapen penetrate into the skin and form hundreds of microscopic channels. Following a number of complicated consecutive reactions (hemostasis \u2013 inflammation \u2013 proliferation \u2013 remodeling), fibroblasts (special skin cells) \u201cpatch\u201d the microscopic channels formed by dermaroller or dermapen needles. Collagen islands are synthesized within the channels, which are attracted to one another, thus gradually aligning the edges of scars.[\/vc_column_text][vc_single_image image=”1479″ img_size=”medium” alignment=”center” onclick=”img_link_large” img_link_target=”_blank” title=”Fig.3. Microneedling treatment for scars” el_id=”microneedling-treatment-for-scars_url”][vc_column_text]In this manner an elastic backing of fresh collagen tissue is created on the one hand, decreasing the width of scars by retracting and elevating their bottom to the skin surface on the other hand.\u00a0Transformation of atrophic scars to normotrophic shows that fresh atrophic scars can be remodeling to normotrophic scars with the microneedling\u00a0(Fig.4)<\/strong><\/em>[\/vc_column_text][vc_single_image image=”377″ img_size=”medium” alignment=”center” onclick=”img_link_large” img_link_target=”_blank” title=”Fig.4. Transformation of atrophic scars to normotrophic scars after microneedling” el_id=”microneedling-normotrophic-scars_url”][vc_column_text el_id=”scar-removal-creams_url”]<\/p>\n

Topical treatment of scars. Scar removal creams<\/h2>\n

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\u00a0are using such of the scar removal creams: Kelo-cote, Dermatix, Strataderm, MedGel, Kelofibrase, Scarguard, Contractubex, Aldara.\u00a0Each 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 treatment of scars is usually applied either in parallel to or after mechanical treatment methods.[\/vc_column_text][vc_column_text el_id=”hydration-of-scars_url”]<\/p>\n

Hydration of scars<\/h2>\n

Hydration of scars helps to cells freely migrate and share the necessary information among each other. In the recent past potassium permanganate solution (KMnO4) was commonly applied onto a fresh wound. An crusts subsequently developed under which a scar was starting to form. Nowadays there is no doubt that a rough scar is formed under the crusts. A wound should be healed in humid environment. A number of application products are used for wound hydration, capable of retaining liquid within the area of scar formation.[\/vc_column_text][vc_single_image image=”1484″ img_size=”900×225″ alignment=”center” onclick=”img_link_large” img_link_target=”_blank” title=” Fig.5. Normotrophic scar before and after topical treatment and hydration” el_id=”hydration-normotrophic-scars_url”][vc_column_text 0=””]<\/p>\n

Reduction of scars with chemical peels<\/h2>\n

Glycolic acid peels with 50-70% AHA are usually made after a month-long preparation. Prior to the AHA exfoliation treatment, a cream containing tretinoic or glycolic acid is applied within one month. But still, the result is unsatisfactory. TCA peels (trichloroacetic acid) penetrate deeper than AHA, so it gives better results (Fig. 6)<\/em><\/strong>.<\/p>\n

[\/vc_column_text][vc_single_image image=”1495″ img_size=”medium” alignment=”center” onclick=”img_link_large” img_link_target=”_blank” title=”Fig.6. Remodeling of an old atrophic scar to normotrophic after TCA peeling” el_id=”reduction-scars-with-chemical-peels_url”][vc_column_text 0=””]<\/p>\n

Scar Revision, Scar Removal, Scar Reduction Before and After<\/a><\/em><\/strong>
\nPost-injury, post-accident, post-burn scars before and after<\/a><\/em><\/strong>
\nScar treatment and removal for all types of scars in Stockholm, Sweden<\/a><\/em><\/strong><\/p>\n

[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

[vc_row 0=””][vc_column 0=””][vc_column_text el_id=”normotrophic-scars_url”]Normotrophic scars\u00a0are usually formed after injuries (as well as self-injuries, eg in the form of cuts), surgery and need treatment during the maturation period. Normotrophic scars mature within 6-9 months and, if ignored, can turn to hypertrophic, keloids or atrophic scars (Fig. 1). Therefore, normotrophic scars should be under the supervision of a specialist during the maturation period.[\/vc_column_text][vc_single_image image=”1503″ img_size=”600×290″ alignment=”center” onclick=”img_link_large” img_link_target=”_blank” title=”Fig.1. Transformation of normotrophic scars to hypertrophic scars” el_id=”transformation-of-normotrophic-scars-to-hypertrophic_url”][vc_column_text el_id=”microdermabrasion-scars_url”] Treatment of normotrophic scars with microdermabrasion Microdermabrasion\u00a0of normotrophic scars\u00a0\u2013 skin polishing of the scar localization with aluminum oxide microcrystals (Al2O3). Aluminum sand is applied [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":928,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[67],"tags":[],"class_list":["post-370","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-methods-of-scar-treatment"],"_links":{"self":[{"href":"https:\/\/scarshelper.com\/en\/wp-json\/wp\/v2\/posts\/370","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/scarshelper.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/scarshelper.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/scarshelper.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/scarshelper.com\/en\/wp-json\/wp\/v2\/comments?post=370"}],"version-history":[{"count":113,"href":"https:\/\/scarshelper.com\/en\/wp-json\/wp\/v2\/posts\/370\/revisions"}],"predecessor-version":[{"id":3285,"href":"https:\/\/scarshelper.com\/en\/wp-json\/wp\/v2\/posts\/370\/revisions\/3285"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/scarshelper.com\/en\/wp-json\/wp\/v2\/media\/928"}],"wp:attachment":[{"href":"https:\/\/scarshelper.com\/en\/wp-json\/wp\/v2\/media?parent=370"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/scarshelper.com\/en\/wp-json\/wp\/v2\/categories?post=370"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/scarshelper.com\/en\/wp-json\/wp\/v2\/tags?post=370"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}