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Scars

Also called: Cicatrix, Keloid scar

A scar is a permanent patch of skin that grows over a wound. It forms when your body heals itself after a cut, scrape, burn or sore. You can also get scars from surgery that cuts through the skin, from infections like chickenpox, or skin conditions like acne. Scars are often thicker, as well as pinker, redder or shinier, than the rest of your skin.

How your scar looks depends on

How big and deep your wound is
Where it is
How long it takes to heal
Your age
Your inherited tendency to scar

Scars usually fade over time but never go away completely. If the way a scar looks bothers you, various treatments might minimize it. These include surgical revision, dermabrasion, laser treatments, injections, chemical peels and creams. Dr. Rothfeld board certified dermatologist at NYC Dermatology can evaluate you for the proper treatment.

What Can and Cannot Be Done for Scars?

Several techniques can minimize a scar. Most of these are done routinely in the dermatologist's office. Only severe scars, such as burns over a large part of the body may require general anesthesia or a hospital stay.

Surgical scar revision can improve the way scars look by changing the size, depth, or color. However, no scar can ever be completely erased, and no technique will return the scar to its normal uninjured appearance. Surgical scar revision typically results in a less obvious mark. Because each scar is different, each will require a different approach.

The most important step in the treatment of scars is careful consultation between the patient and the dermatologist, finding out what bothers a patient most about a scar, and deciding upon the best treatment.

Scar Treatment

Surgical Scar Revision: Based on the ability of the skin to stretch with time, surgical scar revision is a method of removing a scar and rejoining the normal skin in a less obvious fashion. The surgical removal of scars is best suited for wide or long scars, those in prominent places, or scars that have healed in a particular pattern or shape. Wide scars can often be cut out and closed, resulting in a thinner scar, and long scars can be made shorter. A technique of irregular or staggered incision lines, rather than straight-line incisions, forming a broken-line scar which is much more difficult to recognize, may be used. Sometimes, a scar's direction can be changed so that all or part of the scar that crosses a natural wrinkle or line falls into the wrinkle, making it less noticeable. This method can also be used to move scars into more favorable locations, such as into a hairline or a natural junction (for instance, where the nose meets the cheek). Best results are obtained when the scar is removed and wound edges are brought together without tension or movement (pull) on the skin.
Dermabrasion: Dermabrasion is a method of treating acne scars, pockmarks, some surgical scars, or minor irregularities of the skin's surface. An electrical machine is used by a dermatologist to remove the top layers of skin to give a more even contour to the surface of the skin. While it can offer improvement for certain scars, it cannot get rid of the scar entirely. Patients can usually return to work within a week. If defects are minor, only one dermabrasion will be needed. Several sessions may be required if defects are deep and extensive, as in deep acne scars.

Laser Resurfacing and Pulsed Dye Laser

Scar Revision: Another method of improving surgical, acne, chicken pox, and other scars is laser scar revision. High-energy light is used to remove or remodel unwanted, damaged skin. Patients can usually return to work or regular activity within one week, but skin may stay pink for several weeks or months, particularly after skin resurfacing with a carbon dioxide laser. Several different lasers are available depending on the skin defect requiring improvement. A pulsed dye laser, for example, uses yellow light to remove scar redness and to flatten raised scars (hypertrophic scars or keloids). This laser can also improve itching and burning sensations in the scar. Acne scars or other indented (atrophic) scars can be improved with laser skin resurfacing. Hypertrophic (thick, raised) scars or keloids typically need two or more pulsed dye laser treatments every two months.
Soft Tissue Fillers (collagen, hyaluronic acid, or fat injections): Various injectable substances are available to elevate indented soft scars. The amount of material injected will vary with the size and firmness of the scar. Bovine or human collagen may be used. Improvement is immediate but is not permanent and collagen injections often need to be repeated. Hyaluronic acid injections typically last a little longer. The patient's own fat or injectable donated fascia can be used in full-thickened deep depressed scars. The dermatologist will discuss the available "fillers" and help you decide which is best for your scar. Research is continuing to develop more long-standing substances to inject into scars.
Punch Grafts and Punch Excisions: Punch grafts are small pieces of normal skin used to replace scarred skin. A tiny circular "cookie cutter" is used to cut a hole in the skin and remove the scar. The area is then filled in with a matching piece of unscarred skin, usually taken from the skin behind the ear. The "plugs" are taped into place for five to seven days as they heal. Punch excisions, on the other hand, involve the use of stitches to close the holes produced by the tiny skin punch. The stitches are removed in five to seven days. Even though the punch grafts and excisions form scars of their own, they provide a smoother skin surface which is less visible than depressed scars. Deep or "pitted" acne scars are best treated by punch grafts or excisions.
Chemical Peels: This procedure involves the use of a chemical to remove the top layer of the skin in order to smooth depressed scars and give the skin a more even color. It is most helpful for shallow superficial scars.

The chemical is applied to the skin with an ordinary cotton-tipped applicator or gauze beginning on the forehead and moving over the cheeks to the chin. Different chemicals can be used for different depth peels. Light peels require no healing time while deeper peels can require up to two weeks to heal. The amount of scarring and color change determines the type of peel selected.

Other Scar Treatment Methods

Pressure bandages and massages: can flatten some scars if used on a regular basis for several months.
Silicone-containing gels, creams, and bandages: have also been helpful in reducing scar thickness and pain. They must also be used regularly and results are variable. Silicone impregnated gels can be used by the patient at home to remodel elevated scars in addition to injections of scar tissue.
Cryosurgery: involves freezing of the upper skin layers which causes blistering of the skin to remove the excess tissue at the scar.
Cortisone (steroid) injections or tape: are effective in softening very firm scars (or keloids) causing them to shrink and flatten. This treatment is popular (along with pulsed dye laser) for hypertrophic scars and keloids.

Start Here

What Is a Scar

Overviews

Scars
Treatment
Specific Conditions
- Acne Scarring
- ACNE SCAR TREATMENTS
  
  Thermage ®
  The same treatment that clears acne also improves acne scarring. The Thermage ® procedure targets water in the skin heating the skin and stimulating the production of new collagen. In clinical studies comparing the new non-ablative treatments for improving scars Thermage ® is showing the most significant clinical improvement.
  
  Fraxel™
  The latest in resurfacing is the concept of fractional resurfacing with the Fraxel™ laser. This novel fractional approach to laser skin treatment represents a new science and category of cosmetic skin treatments that offers patients the positive results of CO 2 and Er:YAG laser with the lunchtime elegance of a no-downtime procedure.
  
  Reliant Technologies Announces FDA Clearance of the Fraxel(R) Laser for the Treatment of Acne and Surgical Scars; Physicians Report Fractional Laser Resurfacing Achieves Dramatic Improvement
  
  Sciton Laser Resurfacing
  The most advanced Erbium:YAG (Er:YAG) laser available today for laser resurfacing. This new advance in laser resurfacing technology allows us to dramatically improve your skin with fewer risks and less down time than the older CO2 laser resurfacing technology.
  
  TCA CROSS
  If you have just a few deep scars we can treat them focally with the TCA CROSS method.
  During such treatment, a high concentration of Trichlorocetic acid is introduced just inside the scar. The resurfacing response that occurs inside the depression stimulates collagen production that, over multiple sessions, causes the scar to rise up and close in on itself.
- Answers to Common Questions about Scar
- Everyday Wounds: Scars and Keloids
- Keloids and Hypertrophic Scars
- Scars and Wounds
Pictures & Photographs
- Before and After Treatment Photos: Acne Scars
Clinical Trials
- ClinicalTrials.gov: Cicatrix(National Institutes of Health)
Journal Articles
Article: Lumbar ligamentum flavum hypertrophy is due to accumulation of inflammation-related... Article: Scarring occurs at a critical depth of skin injury: precise...

If you have any questions please contact Dr. Gary Rothfeld Board Certified Dermatologist at NYC Dermatology . Dr. Rothfeld has over 20 years of experience in repairing different types of scars.

NYC Dermatology by Board Certified Dermatologist Dr. Gary Rothfeld, a dermatologist in New York City. Dr. Rothfeld is a licensed Dermatologist with a New York City office in Manhattan providing expert skin care, dermatology, and cosmetic dermatology services.

Our goal at the manhattan office of Board Certified Derrmatologist , Dr. Gary Rothfeld is to create an atmosphere of professionalism, trust and complete patient satisfaction at the NYC Dermatology and Cosmetic Surgery Center in Manhattan, New York. Dr. Rothfeld, Dermatology Director of NYC Dermatolgy is a Board Certified Dermatologist at NYC Dermatology who has treated many patients in the entertainment industry. Schedule an appointment at our office which provides top of the line expert skin care, dermatology, cosmetic dermatology services, and advanced dermatology laser treatments for cosmetic needs and medical skin conditions. We offer a full range of services including surgery for skin cancer, scar repairs, laser hair removal, Botox®, the Fractionated Resurfacing laser, Titan laser, and acne photodynamic treatments. Our main goal is to provide you with the most effective and advanced treatment. Join the NYC Laser Center NYC Dermatology Mailing List. Our periodic newsletters include exclusive offers, educational articles, as well as free treatment & product drawings! Email: nycdermatologist@aol.com in our Media office and including different offers and many more. We offer a variety of services from Botox® to Liposuction . Please contact us with any questions you may have or schedule an appointment online or by phone for a consultation. SoYouWanna Improve Your Complexion Remember that Beauty Is Forever! and our board certified Dermatologist Dr. Gary Rothfeld at NYC Dermatologist has over 20 years of experience with his beauty tips.

During your office consultation and examination you will be provided with a detailed plan of the treatments that will benefit you most. NYC Scar Repairs and NYC Dermatology Center offering skin care, dermatolgy,cosmetic dermatology services, and laser treatments, scar revisions for sun damaged skin, acne, acne scars, rosacea, pigmentation, laser hair removal, broken blood vessels, as well as superficial and deep wrinkles. We offer patients in Manhattan, services including general dermatology, wrinkle fillers such as Restylane®, Captique, Cosmoderm and Cosmoplast, Perlane, Radiance® (radiesse) and Sculptra. We also offer Botox®, Cosmelan, Velasmooth, Fotofacial, Titan laser, Refirme, and the Fractionated Resurfacing laser. in the treatment of acne, rosacea, skin cancer and surgery. Dr. Rothfeld has taught numerous other physicians on the proper use of Botox®, medical hair transplants, and lasers in the country. Acne Photodynamic Treatment - Botox® - Botox® for Hyperhidrosis - Cellulite - Cool Laser - Cosmelan Depigmentation Treatment - Glycolic Acid Peel - Fat Transfer - Fotofacial / IPL Fractionated Resurfacing Laser - Hair Loss - Laser Hair Removal - Liposuction - - Surgery - Minimal Scar Technique - Photodynamic Rejuvenation Radiance® - Restylane® - Sclerotherapy - Sculptra - Smoothbeam - Stretch Marks - SunFX - TCA Peel - Tattoo Removal - Titan Laser Facelift - V-beam Laser Treatments - Velasmooth . Our cosmetic surgeon includes Dermatologist Dr. Gary Rothfeld Board Certified Dermatologist at NYC Dermatology. Our dermatologist offers advanced dermatology treatments for cosmetic needs and medical skin conditions. We offer our services to Manhattan , Brooklyn, Bronx, Queens locations through our Manhattan office in NYC.

Trained in Dermatology, NYC Dermatolgy by Board Certified Dermatologist NY Dermatology Dr. Gary Rothfeld possesses the special knowledge, skills and professional capability that distinguishes him as an outstanding Dermatologist in NYC , Manhattan , New York at NYC Dermatology by Board Certified Dermatologist. Top New York City Dermatologist, Dr. Rothfeld in Manhattan treats the most difficult cases until the problem clears. Dr. Rothfeld, a Board Certified Dermatologist at NYC Dermatology in Manhattan, New York is caring, detailed, and meticulous and will never give up until the problem is cleared. Dr. Rothfeld, a board certified dermatologist in nyc who practices Dermatology in Manhattan, New York has treated many patients in the entertainment and music industry is caring, detailed and meticulous and will not give up until the condition resolves. Dr. Rothfeld is recognized as one of the best Dermatologists in NYC and the nation by the entertainment industry. At NYC Dermatology by board certified Dermatologist Dr. Rothfeld, a Board Certfied Dermatologist uses multiple mechanisms at the same time to clear up your condition. Manhattan Dermatologist, Doctor Gary Rothfeld sees patients 7 days a week including Saturday and Sunday. NYC Cosmetic Dermatologist , Dr. Gary Rothfeld has consulted many entertainers in Hollywood. New York City Dermatologist Dr. Rothfeld always tries to be current on all the latest advancements at NYC Dermatology and Cosmetic Dermatological surgery. Come in and we will give you the best and top of the line dermatologist advice on how to clear or correct the problem. Dr. Rothfeld at NYC Dermatology board certified dermatologist is best known in giving his best in trying to make the patient happy. Dr. Rothfeld is best known for fixing other problems that other doctors could not. Any questions you could contact us at nycdermatologist@aol.com or contact the doctor at our Manhattan office in New York City at NYC Dermatology by Board Certified Dermatologist Dr. Gary Rothfeld.

Our office at NYC Dermatology by Board Certified Dermatologist is located in Manhattan, New York City and has convenient access to Manhattan , Brooklyn, Bronx, and Queens via the new york subway sytems. Many patients from Brooklyn, Bronx, and Queens will find it very easy to commute to our office atNYC Dermatology by board certified dermatologist Dr. Gary Rothfeld which is right near Bloomingdales. Please enjoy our dermatology directory of procedures that we do at NYC Dermatology.

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NYC Dermatology - Manhattan Dermatology - Skin Institute of New York - Skin Cancer Doctor- NYC Cosmetic Dermatology- Cosmetic Dermatological Surgery - New York City - Board Certified Dermatologist- Manhattan

Manhattan Office

New York Dermatology
Board Certified Dermatologist
30 E. 60th St. Ste. 805 (Park Avenue)
New York, NY 10022
212.644.9494
1.800.BLEMISH

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Thank you for reading our Disclaimer:
The purpose of this website is to both educate current patients and to attract new patients. Please note that the information on this website is not intended as medical advice. For questions about how to treat your illnesses, please consult your dermatologist or physician. In addition, please note that, unless you are a current patient, our office cannot, by law, give medical advice over the telephone or the internet.