By Igor Safonov

This atlas is a finished consultant to the remedy and correction of scars. it really is divided into 4 sections masking the different sorts of scar: atrophic and stretch marks, keloid and hypertrophic, normotrophic, and combined. for every scar style, a number of the invasive and minimally invasive techniques and their effects are documented simply by a variety of top of the range pictures. within the part on keloid and hypertrophic scars, therapy is gifted in keeping with scar localization. moreover, the impression of etiology on therapy is taken into account, with contrast among scars as a result of accidents, animal bites, inflammatory ailments (including pimples and varicella), and burns. Care is taken to tell apart among techniques appropriate for clean scars (in the irritation, proliferation, and maturation stages) and people acceptable for scars current for multiple yr. capability antagonistic results and problems of remedy also are explored.​

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Trichloroacetic acid (TCA) application is performed using local anesthesia with EMLA cream. Before acid application, the remaining cream is to removed with a dry cotton pad. Fresh 30–50 % trichloracetic acid solution is applied on the surface. Thorough and precise therapy requires that the acid shall be applied in two crisscross directions. The emergence of “frost” is stipulated by protein coagulation on the papillary derma level. This coagulated protein coating prevents the deeper layers of derma from acid penetration (Fig.

25). Therefore, deacidification is not applicable. 1 Atrophic Scars a a b b c Fig. 26 Postinjury forehead and nasal bridge scars. (a) Before treatment. (b) In the treatment process. (c) After three middle-depth TCA peel sessions. TCA trichloroacetic acid Fig. 27 Herpes simplex blister 3 days after microdermabrasion. (a) Panoramic photo. (b) Enlargement photo Treatment For the postinjury forehead and nasal bridge scars seen in Fig. ) (two procedures per session at 7- to 10-day intervals). 5 months.

39 Postinjury nose scar. (a) Before treatment. (b) On therapy (after 3 months). (c) After treatment (6 months) Treatment 1. Three microdermabrasion procedures reaching the papillary derma level were performed at 4-week intervals (Fig. 38b). 2. Moisturizing was used in-between procedures. 3. After 4 months, transdermal induction of collagen synthesis was performed (DermaStamp). Treatment course was 1 year (Fig. 38c). Treatment 1. Two microdermabrasion procedures until reaching the papillary derma level were performed at 4-week intervals (Fig.

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