Scar Types

The spectrum of scar classifications.

Skin tissue repair process can lead to a broad spectrum of scars, ranging from a "normal" thin line to a variety of abnormal scarring, including widespread scars, atrophic scars, scar contractures, hypertrophic scars, and keloid scars.

Widespread (stretched) scars appear when the fine lines of surgical scars slowly become stretched and widened, which use to happen in the 3 weeks after surgical intervention. They are typically flat, pale, soft scars often seen after knee or shoulder surgery. Stretch marks (abdominal striae) after pregnancy are another type of widespread scars in which there has been injury to the dermis and subcutaneous tissues but the epidermis is unbreached. There is no elevation, thickening, or nodularity in mature wide-spread scars, which distinguishes them from hypertrophic scars.

Atrophic scars are flat and depressed below the surrounding healthyskin. They use to be small and often circular in shape with an indented or inverted centre, and commonly appearing after acne or smallpox.

Scar contractures -scars across joints or skin creases at right places have a tendency to develop shortening or contracture. Scar contractures appear when the scar is not fully matured, usually tend to be hypertrophic, and are typically disabling and dysfunctional (fig 4). They use to appear after burn injury across joints or skin concavities.

Raised skin scars
Raised skin scars are described as hypertrophic or keloid scars.

Hypertrophic scars are raised scars that remain within the boundaries of the original wound, generally regressing by itself after the initial wound. Hypertrophic scars are often red, inflamed, itchy, and sometimes painful. They use to occur after burn injury on the trunk and extremities.

Keloid scars are raised scars that spread beyond the margins of the original injury.

Keloids scars are thick, puckered, itchy clusters of scars spreading beyond the edges of the wound or surgicalincision and invade the surrounding normal skin in a site-specific way. They use to be red or darker than the surrounding skin. Keloids appear when the body continues the collagen production long after the original lesion healing has taken place.

Ear lobe keloids often grow as large lobules, central sternal keloids tend to develop a butterfly shape, and deltoid keloids tend to extend vertically. A keloid keeps growing over time, does not disappear by itself, and almost always recurs after simple excision. It is difficult to apply the term "keloid" until a scar has been present for at least a year, although there is no precise time interval. Histologically, keloids have a swirling nodular pattern of collagen fibres.

Scars that are difficult to categorise have been termed intermediate scars. However, if a raised scar is still emerging after a year, a true keloid is a possible diagnosis, whereas hypertrophic scars should show some evidence of regression within this time. Keloids may be inflamed, itchy, and painful, especially during their growth phase. Common presentations are in the ear lobe after ear piercing, the deltoid after vaccination, and the sternum after acne, chickenpox, trauma, or surgery. Keloids are unique to humans, and there seems to be some genetic predisposition, with dark skinned races being more prone to them, though there are few large epidemiological studies. They appear predominantly in people aged ten to thirty years, with an apparent predilection for emergence and deterioration during puberty and pregnancy.

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BIOSKINCARE FOR SCAR TREATMENT

BIOSKINCARE™ has a two fold effect: (1) Degrades debris, damaged, abnormal and necrotic tissues & decongests the skin as it helps to dissolve all damaged structures into their amino-acid and other components by the action of enzymes. (2) Favors tissue regeneration.

It leaves your skin smooth, refreshed, soft and with use over a period of time it reduces contractures and takes away keloid, hypertrophic and all types of scars and blemishes: acne, scars, keratosis bumps, razor nicks and burns, actinic keratosis lesions, roughness, dryness, ezcema, dermatitis, the effects on the skin of radiotherapy for cancer, blisters, scrapes, cuts, and the list can go on and on... It clears and enhances the complexion.

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Microdermabrasion Benefits

Made in the USA. Two to Three Month's supply 120 grams = 4.23 oz

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