Blogs – WAI Physio

Scars Removal

What types of scars are there?

Scars can result from injury to the skin through disease and trauma. Common examples include burn scars, acne scars and surgical scars.

Individual scars can be further classified as raised (hypertrophic or keloid), depressed or atrophic.

Inflammation to the skin can also result in skin colour changes including red scars and scars that are darker than the surrounding skin known as post-inflammatory hyperpigmentation.

How do scars form?

Scars are a consequence of injury to the deeper layers of the skin. In some cases there is too much collagen and scar tissue and this results in hypertrophic or keloid scars. Conversely, there may be too little tissue and this leads to indented or atrophic scars. Scars from surgery may also lead to lines, lumps and redness.

Acne scars can be classified according to the shape and depth of scars.

Raised scars such as hypertrophic surgical scars can be treated with injections or laser resurfacing.

Atrophic scars can be treated by fractional ablative laser such as fractional CO2 Laser or non-ablative HLA Fractional PICO Laser. They treat “fractions” or parts of the skin’s surface which enables quicker healing times and safer treatments. Fractional lasers are ideal for acne scars, burn or trauma scars and treating coloured skin types. Laser takes multiple procedures for improvement. For patients with darker skin or prefer less downtime, Fractional RF Microneedling (FRM) is an excellent alternative procedure

Discolored scar can be treated by pigment or vascular laser.

Some scar will benefit from surgical revision or dermal filler.

Stretch Mark

Also known as Striae.

Stretch marks, as the name suggests, are due to stretching of the skin, which results in tearing of the deeper layer of the skin.

Early stretch marks is purple-red and may be itchy. Over time stretch marks lighten and develop a pale, wrinkled appearance.

Stretch marks are a cosmetic problem which may cause psychological stress to some people. In general, stretch mark does not disappear over time. Early red stretch marks respond better to treatment than older, white stretch marks.

Treatment Stretch Marks

White stretch marks can be very difficult to treat. Expect mild to modest improvement with multiple sessions. Treatment methods include:

Lasers – In old stretch marks, both fractional ablative and non-ablative lasers are more effective than pulse dye lasers. Fractional lasers work by stimulating and remodelling collagen and elastin. At best, this treatment will help to blend the affected and unaffected areas, potentially making them less visible. Three to five treatments may be needed to see some improvement.

What is the likely outcome of Striae?

The majority of stretch marks will improve over time, changing colour from red-purple to pink, then finally achieving a white wrinkled appearance.

Treating early stretch marks with laser treatment combined with vitamin A creams gives the best outcome

Dermal Filler – Anti-aging, Skin Booster & Facial Shaping, HA

How will a Dermal filler help me?

Dermal fillers are popular treatments for wrinkles and facial lines such as laughing lines. Dermal fillers are also effective for facial enhancement such as increasing fullness of narrow lips, enhancing sunken cheeks and can even be used to contour the bridge of the nose.

Are Dermal fillers safe?

Dermal fillers are generally very safe. Safety depends on the experience of the injector, area being injected, and the technique being used to inject the filler, as well as the type of filler used.

How much Dermal filler do I need?

Every face is different and volume loss in face and skin laxity varies from person to person and with each passing year. Facial symmetry and facial proportions play a major role in deciding how much filler you will need per area. You can plan your treatment and the time frame the treatment is done based on your schedule and budget.

What are the different Dermal fillers used?

Hyaluronic acid fillers

HA filler is a natural content in our body. Results last 6 months to 18 months, depending on the area treated and types of filler chosen, If you do not like the results after the treatment, doctor can reverse them immediately.

Non-Hyaluronic acid fillers

This type of filler stimulates our skin to produce own collagen. Results may last 18-24 months. Examples: Radiesse, Sculptra.

How is Dermal filler introduced under the skin?

Fine needle
Microcannula technique

MicroCannula Technique

The Microcannula technique has revolutionized facial re-sculpturing by providing trained physicians with a new non-traumatic method of performing facial fillers injections. This advanced technique uses a blunt delivery instrument under the skin with reduced chances of bruising and swelling.

Less bruising and swelling during and after the injection
Less pain associated with the injection
Requires only one point of entry for a given treatment area
Less downtime after the treatment before upcoming social activities

Where do we use Dermal filler?

To smoothen deep fold and wrinkles, Laughing lines; the lines under the angle of the mouth, frown lines
To fill up the sunken area due to aging and fat loss. Temper areas, under eye depression or tear trough, hollow cheek, hands
Facial augmentation. Enhance the nose bridge, chin and for fuller lips
As skin booster. Inject under the skin overall to produce a glowing and well hydrated skin

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Cellec V IPL

IPL (Intense Pulse Light) rejuvenate the skin with minimal to zero downtime.

IPL reduces pigmentation and red discoloration, as well as promotes collagen production, giving rise to a naturally glow and flawless complexion.

This broadband light reduces age spots, fine lines, red scar and pores size effectively at the same time.

How does IPL work?

The photorejuvenation process uses the optimal wavelength of light to clear vascular and pigmented lesion by targeting on hemoglobin and melanin. Once the lesions absorb the light, the lesions disappear. The heat absorbed by the skin stimulates new collagen during the same process.

What is the advantage?

IPL is not invasive, with minimal discomfort and no patient downtime. The process can improve most of the skin damages caused by the sun exposure and minimize signs of aging effectively at once. IPL can treat face, neck, chest, arms and body parts within a short treatment time at your convenience.

What does it treat?

Dull complexion
Enlarged pores
Epidermal pigmentation (freckles)
Superficial melasma
Fine lines and wrinkles
Broken capillary
Acne
Rosacea and reddish discoloration

What do I expect during and after the treatment?

The skin may be a little reddish and warm. However, this will last about an hour and you can return to work immediately. The pigmented lesions take 3-5 days to disappear; other improvement is noticeable straight away.

Is the result permanent?

Yes, however it is important to protect your skin from future skin damage. IPL rejuvenation result can be further enhanced if combined with microdermabrasion and Laser Genesis.

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