They’re most commonly associated with acne or chicken pox, but they’re also the scarring that results from chronic picking. These are flat scars that are depressed below the surrounding skin. Steroid injections can then be used to reduce the inflammatory component. They typically have disabling and dysfunctional properties and are the most common form of scarring from burns.Ī Fraxel laser is used to soften the scar and re-establish a more normal skin texture. When scars cross joints or skin creases at right angles, they are prone to developing contractures. We commonly use a Fraxel laser to address the textural issues of these scars, and then a vascular laser to reduce redness. They can mature into an elevated, ropey appearance. These scars are raised, red and itchy at times. Most often, keloid scars are treated with a vascular laser to improve the redness and then intralesional steroid injections are given to flatten the scar and reduce itching. They can grow large lobules, called “earlobes”, and linear sections called “limbs”. Sternal keloids commonly develop a butterfly shape. Keloids invade the surrounding normal skin, depending on the site of the scar. They can continue to grow or spread for many years, specially in younger patients. Keloid scars are focally raised, can be itchy at times and are red or pigmented. If needed, a vascular laser can reduce the erythema in the scar and a pigment laser can reduce the surrounding pigmentation so there’s less visual contrast. We use a Fraxel laser to blend the scars into the surrounding background by improving both colour and texture. Most often, these scars are seen on arms and thighs. Once mature, these scars may assume pigmentation similar in colour to the surrounding skin, but can settle as paler or darker. They can be mature (light in colour and flat) or immature (red, sometimes itchy or painful but many will mature to become flat). These are scars that are raised, dented, pale or erythematous. Self injury scar types and their treatments Linear Scars A single laser simply can’t address the various elements of most scars.īelow, we discuss the common self injury scar types and the treatments usually required to achieve a good result. It’s because of the complex nature of scars that we recommend treatment at a clinic that has numerous lasers available for use. Each scar has a different treatment approach with lasers, often requiring two or three different types of lasers to address each of the issues present. There are a number of different types of scars that are the common results of self injury behaviours. The good news is, most self harm scars are treatable. And most patients try diligently to camouflage scars with make up. Some have tried more serious measures, such as artistic or medical tattooing or even skin grafting to the affected areas. In this second part to our self injury or self harm series, we’re looking at treating self harm scars.īy the time we see patients living with self harm scars in our clinic, they’ve usually tried a range of scar reduction treatments, such as Bio Oil, silicone gel sheets & pressure dressings.
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