Facelift Scar Treatment

Most facelift scars, located in front of the ears, are hardly noticeable or not visible at all. The location of the facial incisions ensures such scars are only visible during the first weeks after surgery. The incisions are commonly lined up within the natural curves of the ear.

As with all new scars redness may occur. This is a normal, temporarily, sign of scar healing and can be covered up with makeup. In case the scar turns raised, elevated, bumpy, or otherwise problematic a silicone gel cream may offer the best solution. Such creams dry without residue to a flexible film and are clinically proven effective.

Facelift procedures performed by a qualified, reputable, board certified (facial) plastic surgeon should generally not lead to scar complications. Another reason why there’s no real treatment required for facelift scars is because of the fact that the blood supply in the face is very well developed.

Those who are prone to keloid scars, or otherwise problematic scars, could best use a silicone creame to avoid excessive scar tissue (keloidal scars tend to occur especially on the face). In these cases it could be wise to closely monitor the development of the scar. When the tissue is slowly getting thicker, wider, or darker it may become a hypertrophic or keloid scar.

Caring for the surgical wounds and fresh scar tissue is essential. During the wound healing phase an antibiotic ointment may be recommended. Care should also be taken during scar the scar healing phase (scars take approximately 6-18 months to fully mature). The most essential measure is to prevent exposure from the sun or other UV radiation (e.g. from solar beds) since this will very likely make the appearance of the scar more prominent.

Other means of facelift aftercare are facial bands, neck wraps, and specialized post facelift compression garments. See the carousel below for more facelift aftercare products (by clicking the facelift tab).

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Stage Two Liposuction Compression Garments

After a liposuction procedure it is commonly recommended to wear compression garments. There are two types; stage one* or medical garments and stage two or aesthetic garments.

They can be used following various procedures such as abdomen, breast, back, and flank liposuction.

Stage two liposuction garments are designed to provide continued healing compression and support during the second stage of recovery. This phase typically lasts 2-8 weeks after surgery. They are worn like long underwear underneath clothing.

Generally stage two compression garments are tighter than stage one garments which makes them provide more compression. This is appropriate because there’s less less swelling at this second stage of liposuction recovery. In the critical immediate postoperative period this amount of tension would be inappropriate.

Benefits
The benefits of such garments are that they minimize any swelling that remains, accelerate the healing process, help improve blood circulation, and allow the patient to return to daily routines sooner. Designed for skin retracting and body shaping these medical devices also help the skin fit better to its new contours.

Liposuction compression garments provide support to the surgical areas for better scar healing, and more comfort. They reduce the tension on fresh surgical scars and prevent them from stretching. It’s this tension and stretching which are a cause for hypertrophic, keloid, and widened scars. Compression has been used for decades to keep scar tissue pliable.

Materials
Many high quality garments are made of comforable, yet durable materials. Common is the use of lightweight powernet fabrics, breathable cotton, and lycra. Garments made of 100% latex and formaldehyde should be avoided.

There are several types of garments and they come in different quality ranges and prices. Some have built-in seamless cotton knit bras. Also flat seams to avoid showing through clothing is a useful feature.

(* Stage one garments provide moderate compression immediately after surgery and are typically worn for up to 2 weeks.)

Brands
Some of the more popular, high quality brands are; Marena, Rainy, Isavela, Bella-Jane, and Design Veronique.

For more info on how to measure your right size, instructions on how to use the garment, reviews, purchasing and more visit Makemeheal.

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Has Anyone Tried Revitol Scar Removal Cream?

Revitol Scar Cream

Revitol Scar Removal Cream

I was recently informed about a new scar product called Revitol Scar Removal Cream and I was wondering if it really works.


I have no personal experience with it nor could I find any trustworthy user reviews online. So if anyone has used this product, I would love to hear your experiences.



According to the Revitol Scar Cream website this product removes the appearance of acne scars, burns, cuts, gashes and surgical scars.

It is also mentioned that this product exclusively contains natural ingredients. If I’m understanding correctly it contains mostly proteins and vitamins.

This new product is said to enhance the skin’s regenerative abilities in a safe and effective way. The formula helps combat the causes of scarring and heals and fortifies skin.

I’m usually an advocate of silicone based products because these have scientific evidence behind them. But since medical science evolves, and not all components and products have been fully examined and researched there could always be products that work, although not (yet) confirmed by science.

What does makes me frown upon is the fact that the active ingredients aren’t mentioned. On the other hand, they do have a money back guarantee. If you are considering to purchase this product make sure to read the policy details on the bottom right side of the page.

We believe in offering the very best value, quality and selection to our customers. You may return any unused and unopened item purchased from us for any reason within Ninety (90) days of your purchase

Did you try Revitol Scar Cream? And did it work for you? Or maybe not? Please let me know so others can benefit from your experiences. Your feedback will be highly appreciated.

More information on their website.

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Laserfade Gel Review

Laserfade gelLaser Fade scar gel is actually roughly the same product as ScarFade. The difference is that Laserfade gel contains additional ingredients such as Vitamin K, Vitamin E, and Co-Enzyme Q-10.

These additional ingredients, some of which antioxidants, are thought to reduce damage to freshly lasered skin caused by ultraviolet sun damage, air pollution and other environmental factors. Laserfade also contains micronized zinc oxide for protection from the sun. It protects against both UVA / UVB rays and has SPF15.

Laserfade is advertised as being especially suitable for the treatment of post laser surgery redness (erythema) and scars. It is said to create a soothing micro-membrane which calms inflamed capillaries (tiny blood vessels). It is formulated to be used after freshly lasered skin is completely healed.

Ingredients:
Active Ingredient: Zinc Oxide
Other Ingredients: Dimethypolysiloxane, Cyclomethicone, Phytoniadone (Vitamin K-1), Tocopheryl Acetate (Vitamin E), Co-Enzyme Q10.

Some reviewers stated that:

It does not absorb quickly, but you can wear it at night or under makeup.

The product name says gel but it is more like a lotion. It is very greasy. You would expect a gel to be lightweight and absorb easily but this does not.

Made my 4 inches scar on my neck less obvious. After using this product for 3 months it reduced the redness and fade the scar to my skin color.

More reviews here on SkinStore.com

Laserfade gel is available at Makemeheal for $25 and for $26 on Amazon.

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Scar Cream For Black Skin

black skinned person with scarIt can be hard for African Americans to find a good scar cream. People with black skin are more prone to keloid scar creation.

Not only people with black skin but also other ethnic groups such as Hispanics, and Asians are more prone to this type of unsightly scars. Unfortunately these scars can not be avoided but the risk on development can be decreased.

First of all it is recommended to use an antibiotic ointment (e.g. Neosporin ) when the wound heals.

Another measure to boost wound healing and avoid complications such as infections (which indirectly increase the risk on scar tissue creation) are Medihoney wound dressings. Keeping a wound covered, clean, and protected will result in less scar tissue.

The best scar cream for black skin would be a silicone cream. This because silicones have shown to reduce the risk on disgraceful keloids. Especially when they are used on fresh scars. Apart from that they have also shown to remove keloids (only in some cases since keloids are hard to get rid of). Silicone gel creams also soften and flatten red, purple, raised, scars.

Here’s a list of commercially available silicone scar creams. I commonly recommend ScarAway or Kelo-cote because these are made of 100% silicones and do not contain less effective ingredients. According to studies silicone gel sheets are more effective than creams but the downside is that their use may be less convenient.



Something About Topical steroids.
Some people use a cortisone ointment (commonly prescription) but there are risks on using this kind of treatment. Reported side effects are discolorization and thinning of the skin.

Cortisone (steroid) creams are also used to help alleviate vitiligo, a skin disorder that causes depigmentation of patches of skin affecting black people. But steroids are not recommended for the treatment of vitiligo because steroids may help initially for a short time but may lead to a relapse of this condition.

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MatriStem Wound Powder and Wound Care Matrix

ACell logoQuestion: How to regrow a severed finger in 4 weeks? (as seen on the Oprah Winfrey show.)
Answer: by using Matristem Wound Powder and a Band-Aid.

What is Matristem Wound Powder?
Matristem wound powder is an innovative regenerative medicine. It is made from the extracellular matrix (ECM) material that naturally occurs in pig bladders (pigs tissue has a collagen structure that is nearly identical to that of human tissue). Which is why this new product is sometimes popularly called pig powder.



What is this Extracellular Matrix?
Extracellular matrix is a network of biomolecules (mostly proteins) which hold the cells together. It is sometimes compared with a scaffold because it supports construction and repair on a cellular level.

Instead of the normal healing process which involves scabbing and scarring it stimulates cellular regeneration (promotes rapid donor site remodeling). This means that thanks to this medical innovation we can now grow back fingers (and possibly other body parts). There’s also no, or far less, scarring involved.



How Does Matristem Wound Powder Work?
The powder keeps the wound from healing and as a result the body focuses on creating new cells. Its main mechanism has to do with the fact that the body doesn’t have to regenerate so much extracellular matrix on its own.

Because the wound is covered in extracellular matrix there’s an increase of regenerative cells which are able to regrow the tissue. I’d like to compare it with a collapsed brick house of which the presence of the steel framework determines whether or not it can be rebuild the way it was.

The patient’s own cells and blood vessels grow into the material; it is completely absorbed, leaving behind new tissue instead of scar tissue. Source: Acell.




MatriStem Wound Powder vs. MatriStem Wound Care Matrix
Matristem is currently available in sheet and micronized particle form (powder). Ask your surgeon, dermatologist, or other health care professional about. This product is exclusively available commercially by keepers of a pharmacy license.



Is MatriStem™ Powder Safe?
For these and answers to other questions, on for example side effects and how to use instructions, visit this Finger Amputation Patient pdf file.

More news such as;

ACell’s MatriStem® Wound Powder heals toddler’s severed thumb
ACell’s MatriStem Wound Powder featured on the Oprah Winfrey Show
ACell’s MatriStem MicroMatrix® regenerates woman’s severed fingertip

on the Acell website.

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Will Recurrent Keloids Soon Be History?

Especially keloid scars have a tendency to grow back. Even after they have been removed surgically. But soon a new medicine for the prevention and reduction of scarring following scar revision surgery may end the problem of recurrent keloids.

The UK based biopharmaceutical product company Renovo is currently developing a first‐in‐class pharmaceutical scar reduction drug called Juvista. This scar preventing medicine, which has to be injected in the skin just before surgery will soon be marketed in the US and Europe. (it’s currently in its research and development phase.)

Professor Mark Ferguson, CEO, Renovo Group commented:

“It was important to establish the safety of Juvista® when given to patients who develop keloids, as one can not necessarily predict which patients will go on to develop them.

This series of safety trials achieved the primary objective across a range of Juvista® doses and provided valuable new information on the natural history of keloid scar development to inform future trial design.

The main Juvista® Phase III programme in disfiguring scars remains on track as a potential first‐in‐class pharmaceutical for the prevention and reduction of scarring following scar revision surgery.” Source: Renovo.com (.pdf)

More research results will become available in 2011. The company is also working on a new formulation of Juvista that is specifically designed for children.

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List Of Silicone Scar Creams

Here’s a list of all the available silicone gel scar creams (or at least the ones I am aware of).

There are many brands to choose from. Some contain 100% silicones while others are made of a mix of ingredients. This post is not about which cream is the best. It’s only an overview of what’s available on the consumer market.

I will review some of these products later on. Some have links to my review behind them.

Creams in this list that are not available on Amazon (see below) are linked to online stores that do sell them.

  • ScarAway 100% Silicone Gel Serum
  • Kelo-cote Advanced Formula Scar Gel
  • Scar Esthetique Healing & Reduction Cream (w/Silicone, Arnica, Antioxidants, Copper Peptides, Co-Q10,
  • ScarGuard MD ScarGuard Scar Care (read my review)
  • Rejuvasil (read my review )
  • Pro-Sil Roll-On Scar Reduction Stick (by Biodermis)
  • Scarsil Scars
  • Cimeosil Scar Gel
  • Sudden Change Scar Zone Topical Scar Diminishing Cream
  • Xeragel 100% silicone ointment (by Biodermis)
  • Dermatix Ultra (Currently much more affordable on Amazon.)
  • Spectragel (polysiloxane)
  • Scarprin
  • Zeraderm (not available in the U.S)

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Support Scar Healing with Post Surgery Compression Garments

lower body post-surgery compression garment

Design Veronique compression garment

Before silicone sheeting became widespread, pressure therapy has been the appropriate method to treat (burn) scars.

During the nineteenth century the use of pressure in the treatment and prevention of hypertrophic scars or keloids became popular.

Compression garments, made from elasticized fabric shaped as sleeves, gloves, or masks, became standard treatment modalities in burn centers and other health care institutions.

Nowadays compression garments are still commonly used. For example after (cosmetic) surgery. This because of the specific benefits of these garments.

Benefits of the pressure applied are;

  • improved blood circulation,
  • minimized swelling after the procedure,
  • drainage of potentially harmful fluids,
  • acceleration of the healing process,
  • and prevention of problematic scar development.

So How Do Compression Garments Work?

  • The mechanism of pressure therapy has to do with the fact that in case of (burn) scars the top layer of the skin is missing. Therefore it can’t put pressure on the skin as healthy skin would do and this is what may lead to hypertrophic and keloid scarring.
  • Another probable benefit of post surgery compression garments is that the pressure applied on the scar protects the tissue from overstretching. This reduced tension on the healing tissue prevents scars from widening (or thickening).  For the same reason scar taping is sometimes administered.
  • Furthermore, pressure may theoretically break up excessive scar tissue (collagen bundles) and soften the keloid mass however, therapy must be instituted for long periods (>23 h/d for 6 mo) before significant effects can be achieved.
  • When used following a facial procedure, the compression garment also provides support to surgical areas for more comfort and helps the skin fit better to it new contours.

Used When?
Plastic surgery compression garments are available for most  types of cosmetic surgery and for every part of the body (face, upper body, mid body, lower body, chest, abdomen, arms, back, shoulders, thighs, legs, calves, and all other body areas).

There are several online stores who offer these garments.

Makemeheal for example, offers a wide range of medical grade garments for various procedures. (The term medical grade refers to the fact that these are high quality post-operative, medical compression garments which are specifically designed to be worn for long time periods during the recovery process from a cosmetic surgery.)

Examples of cosmetic surgeries after which pressure garments are used are; breast surgery, face lifts, buttock surgery, arm, thigh lift, liposuction and other weight loss procedures.

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Retinol Creams Useful in Scar Treatment?

retinol (vitamin A) creamA few studies have demonstrated that topical retinoic acid (the strongest form of vitamin A) has beneficial effects on scar appearance. However, because of the, sometimes serious, possible side effects associated with this type of treatment its use is disencouraged by professionals in the health care sector.

But what about its less strong, thus less risky, sisters retinol and retinyl palmitate?

“In vitro studies demonstrated that collagen synthesis * could be markedly reduced in cultures treated with retinoid acid and its derivates.” [1]

* collagen synthesis plays a role in excessive scar tissue creation.

‘Its derivates’ are retinyl palmitate and retinol which are less strong forms of vitamin A associated with less side effects. For more clarity:

  • retinyl palmitate – safest form, best tolerance, fewest side effects, no prescription needed
  • retinol, stronger so more likely to cause reactions and is not suited to all skin types.’
  • Retinoic acid is the active form of retinol, with prescription only

Since the researchers concluded that its derivates also reduce collagen synthesis retinol and retinyl palmitate creams may help in the treatment of scars.

An interesting NY Times article titled; ‘The Thing About Retin-A: It Works‘, provides some additional insights.

For example: “Retinol, a less potent form of Retin-A, also has some strong science to support its effectiveness.”

“[..] consistent use of Retin-A helps normalize the cells,” said Dr. Min-Wei Christine Lee, a dermatologist in Walnut Creek, Calif.”

“Retin-A can improve skin texture and fade dark spots and freckles because it causes skin cells to turn over more rapidly. It shrinks dilated pores and improves cell turnover within the pores so they are less likely to clog and become blackheads and whiteheads.”

So in conclusion, retinol may have clinical support behind its efficacy but I haven’t found yet what it exactly does for scars. I’m wondering if anyone has used retinol creams on their raised, red scars? And if so, what did it do for you? (A close look at the sense and nonsense of retinol creams in acne scar treatment will follow.)

Read more on the benefits and potential side effects of topical retinoic acid on scars.

[1] Sense and Nonsense of Scar Creams and Gels Cees J. M. van den Helder, M.D., and J. Joris Hage, M.D., Ph.D. Amsterdam, The Netherlands

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