Every time the skin is cut (as with surgery) or is deeply inflamed (as with severe acne), a scar is an inevitability. However, using the most innovative laser techniques and topical treatments, Dr. Sherber can assure the optimal appearance of your scar.
- Nd:YAG vascular laser treatments and Laser Genesis treatments are a virtually painless no-downtime approach that will fade the redness significantly.
- These treatments can also soften hardened scar tissue, and can be performed safely on any skin tone.
- Depending on the type of redness and the sensitivity of the scar, numbing cream may be applied prior to the procedure. Dr. Sherber will then tailor the treatment to the type of scar tissue in order to ensure safe and effective results.
- Incremental improvement should occur with each treatment, and several sessions are needed depending on the degree of redness being targeted.
- Topical silicone with sun protection (such as Biocorneum+) will help to protect the scar during the course of treatment.
Hypertrophic scars are thickened due to excess collagen formation. Depending on the thickness of the scar, Dr. Sherber may smooth it using laser-enhanced active delivery. The Perméa laser makes a tiny grid on the skin that enhances absorption of topical active ingredients by 17X. Dr. Sherber treats the scar and then may prescribe topical treatments to soften the scar tissue.
- For more ropey scars, fractionated ablative lasers can produce dramatic results. Dr. Sherber prefers the Pearl Fractional for this, as its YSGG wavelength is an optimized wavelength in between CO2 and Erbium lasers. It makes a tiny customizable grid on the skin that delivers energy to the collagen layer (the dermis). It triggers a controlled healing response that replaces abnormal collagen in the scar tissue with more normal collagen so that the scar will become more similar to normal skin. Pinpoint bleeding is usual post-treatment, and the scar will require several days of special care as it heals.
- Depending on the size and site of the scar, the area to be treated may be numbed prior to treatment with injected anesthesia or with topical numbing cream. Redness in the treated area can persist for only a few hours to several weeks, depending on the type of laser used and each patient’s skin type, and several treatments are generally needed in order to achieve the desired result.
- For more mature scars, Dr. Sherber will often work in concert with Dr. Rad. Dr. Sherber will pre-treat the area of skin around the scar with either a *fractionated ablative* or fractionated non-ablative laser, depending on the individual appearance of the prior scar.
- Next, Dr. Rad will remove the problematic scar tissue and create a fresh edge of healthy skin which he will close using very delicate and precise sutures.
Then, in the following weeks Dr. Sherber will treat the healing skin with laser to promote ideal healing. Laser treatments will usually be scheduled to begin 2 weeks post-excision.
- Topical treatments such as silicone sheeting or retinoids may also be prescribed, depending on the specifics of the scar being treated.
- For pigmented scars, Dr. Sherber often draws on a combination of laser treatments to increase the skin’s absorption of active ingredients – such as Perméa – followed by custom blending compounds that lighten unwanted pigmentation.
- This can be a remarkably gentle yet effective approach, particularly in patients with skin tones prone to post-inflammatory hyperpigmenation (dark spots in areas of skin injury such as acne, bug bites, cuts, and burns).
- Rigorous sun protection is essential when treating these scars since any UV exposure will work against the results of treatment.