Abrasion scar treatment

But the mainstay of therapy for skin resurfacing continues to be chemical peels together with abrasion [37 2], Chemical peels in use to improve facial scarring include alpha-hydroxy acid peels, trichloroacetic acid, and deep phenol-based methods [43 8], In this chapter, we discuss deep chemical peels for post-acne scars treatment. 

Technical error during the treatment of stretch marks using an abrasive procedure (see Chapter 21). Typically, a halo of hyperpigmentation surrounds the depigmented area, which in turn surround a scar response. Hyperpigmentation develops where the peel solution goes slightly deeper than it should, and scars form where the peel is much too deep. 

After abrasion, the post-peel mask cream is applied, under occlusion, but without prior application of acid. This protocol is deeper than the previous one and is used in rejuvenation treatments and in the treatment of acne scars on the d colletage. 

Scarring after anterior chemabrasion, resulting from an irregular abrasion and supposed poor follow-up. Treatment applied used topical and injected corticosteroids, antityrosinase and antioxidant cream, silicone sheet compression. 

Along with laser and abrasion treatment, a full-face phenol peel is certainly one of the best options for treating facial scars. It is not completely effective, however, and it is often necessary to use chemabrasion - that is, a combination of a phenol peel followed (immediately or the next day) by abrasion with a diamond fraise or sandpaper. See Chapter 30 for more information on the treatment of acne scars and phenol peel face lifts. 

The treatment of body scars is more complex than that of facial scars. The same technique described for stretch marks is used abrasion plus ETCA peel plus post-peel mask cream plus occlusion. The results, although not exceptional, are quite good, as can be seen in Figures 21.34 and 21.35. 

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