1. TREATMENT FOR ACNE SCARS

2. Why do pimples cause scar? Pimples cause scars due to damage to the skin, which occurs when treatment is not taken early and properly Pimples cause scars due to damage to the skin, which occurs when treatment is not taken early and properly Creams do not generally help in management of scars. Creams do not generally help in management of scars.

3. Treatment of scars depends on the type of scar, shape, depth, type of skin and most importantly attitude and motivation of the patient Treatment of scars depends on the type of scar, shape, depth, type of skin and most importantly attitude and motivation of the patient Each type of scar needs a special & different treatment Each type of scar needs a special & different treatment

4. Craters Pitted scars Ice pick scar Rolling scars Boxcar scars

5. TREATMENT OPTIONS Fractional (PIXEL) LASER Fractional (PIXEL) LASER Microdermabrasion Microdermabrasion DERMAROLLER DERMAROLLER TCA CROSS TCA CROSS SUBSCISSION SUBSCISSION PUNCH FLOATATION PUNCH FLOATATION Scar revisions Scar revisions

6. PIXEL LASER MACHINE

7. FRACTIONAL (PIXEL) LASER Fractional laser is the basic treatment of most scars. Fractional laser is the basic treatment of most scars. It is called fractional because laser affects only a fraction of treated area It is called fractional because laser affects only a fraction of treated area Therefore it is very safe. Therefore it is very safe.

8. This is how pixel laser is done There may be only a slight redness for one day & the patient can go to work the very same day. Treatment is quick- only 15 minutes

9. Why is it better? It works well for irregular scars like oval, linear, broad scars It works well for irregular scars like oval, linear, broad scars Healing and recovery are rapid. Healing and recovery are rapid. It is a very safe, effective & painless treatment. It is a very safe, effective & painless treatment. 4-6 sessions are needed once in 2-3 weeks. 4-6 sessions are needed once in 2-3 weeks.

10. Fractional Laser Treatment Before After Fractional Laser Treatment Before After

13. DERMAROLLER In this method, an instrument called DERMAROLLER consisting of tiny needles is rolled over the scars. In this method, an instrument called DERMAROLLER consisting of tiny needles is rolled over the scars. It is followed by mild redness & swelling of the treated area for 2-3 days. It is followed by mild redness & swelling of the treated area for 2-3 days.

14. HOW DERMAROLLER IS DONE-no pain, quick, safe

15. IMMEDIATE POST PROCEDURE-mild redness lasting for 1-2 days

16. Dermaroller --CONTD It is done once in 3-4 weeks It is done once in 3-4 weeks It is useful for scars which are deeper and have loose skin. It is useful for scars which are deeper and have loose skin. Total 4-8 sessions are necessary Total 4-8 sessions are necessary

17. TCA CROSS Here, a chemical called Trichloro Acetic Acid is applied onto the Scars. Here, a chemical called Trichloro Acetic Acid is applied onto the Scars. It gives good results for the tiny pinhole like scars. It gives good results for the tiny pinhole like scars. It is a painless procedure & no anaesthesia needed. It is a painless procedure & no anaesthesia needed. Heals with in 3-4 days Heals with in 3-4 days

18. POST TCA CROSS It results in mild redness of the treated area lasting for 1-2 days.

19. SUBCISION In this technique, under anaesthesia, an instrument is inserted underneath the skin to break the fibres that have been pulling the scar down. In this technique, under anaesthesia, an instrument is inserted underneath the skin to break the fibres that have been pulling the scar down. This relaxes the scars & the scar is lifted up. This relaxes the scars & the scar is lifted up. This also results in mild redness & swelling of the treated area for 3-4 days. This also results in mild redness & swelling of the treated area for 3-4 days.

20. PUNCH ELEVATION used for round,deep scars Here, a punch is used to lift the scars, under local anaesthesia. Here, a punch is used to lift the scars, under local anaesthesia. Alternately, a new piece of skin can be placed in place of old scars Alternately, a new piece of skin can be placed in place of old scars

21. PUNCH ELEVATION

22. MICRODERMABRASION. Here, aluminium oxide crystals (fine powder of 100microns) is rubbed onto the scarred area for 15-20 min. Here, aluminium oxide crystals (fine powder of 100microns) is rubbed onto the scarred area for 15-20 min. requires about 6-8 sessions,once a week with about 30-40% results. requires about 6-8 sessions,once a week with about 30-40% results. It is a safe, easy, cheap,painless, but mild procedure. It is a safe, easy, cheap,painless, but mild procedure.

23. MICRODERMABRASION

24. ACNE SCAR PACKAGES Most patients of acne scars need combination of these treatments Most patients of acne scars need combination of these treatments Depending upon the type of pimple scars,there are different combinations : Depending upon the type of pimple scars,there are different combinations : Mild scars Mild scars Moderate scars Moderate scars Severe scars Severe scars

25. mild scars beforeAfter

26. Mild scars:few superficial scars, and pigmentation This package includes Pixel laser 2 sessions Pixel laser 2 sessions Dermaroller: 4 sessions Dermaroller: 4 sessions TCA cross: 1 session TCA cross: 1 session MDA: 1 session MDA: 1 session

27. MODERATE SCARs Medium depth scars, covering 50% of the cheek area beforeafter

28. Moderate scar treatments Pixel laser: 3 sessions Pixel laser: 3 sessions Dermaroller: 4 sessions Dermaroller: 4 sessions TCA cross: 2 sessions TCA cross: 2 sessions MDA: 2 sessions MDA: 2 sessions Subcision/punch elevation/IAL filler Subcision/punch elevation/IAL filler (if necessary)

29. SEVERE SCARS Extensive scarring Involving whole face, deep scars beforeafter

30. Severe scars need Pixel laser: 5-7 sessions Pixel laser: 5-7 sessions Dermaroller: 4-6 sesions Dermaroller: 4-6 sesions TCA cross: 2-3 sessions TCA cross: 2-3 sessions Subcision: 1-2 session Subcision: 1-2 session Punch floatation/IAL filler Punch floatation/IAL filler (if necessary) (if necessary)

31. Pimple scars Results After After Before Before

32. Pimple scars After After Before Before

33. Pixel laser also produces fairness After After Before Before

34. SUMMARY Objective of treating scars is to improve them- not to make them disappear completely Objective of treating scars is to improve them- not to make them disappear completely So realistic expectation is important So realistic expectation is important Once treated, scars don’t recur unless pimples recur. Once treated, scars don’t recur unless pimples recur.