Excision and its role in acne scar treatment by Dr. Philip Young: I think that people with acne tend to have healing issues more so than the general population because their skin’s vascularity is compromised and hence the tissue and closure of the skin heal in a less than desirable manner. The way to combat this situation is to do fat grafting, in my opinion. Fat grafting as a procedure that starts off the whole process can really help the situation. It does this by freeing up the scars, increasing the vascularity to the skin, stretching out the skin so that the scars are not as deep, etc. Also there are stem cells in the fat that may contribute to healing the skin as well. The healthier skin after fat injections can have a significant impact in healing when future procedures are done. Frankly, there are some scars that will only respond most favorably when excision is the major method that is used. Here is a video on excision of acne scars.
Excision is an important technique in Acne Scar Treatment. There are some scars (many of them actually) that will benefit most from excisional methods The outcomes are variable depending on your genes, the degree of your scar, location, healing, procedure preparation (how you prepare for the procedure), etc. One person / client may have more of an issue with healing because of reactions that they may have to the suture used. I have had many patients whose bodies are just not as compatible with some of the absorbable sutures that we use to close incisions. Their bodies react to the sutures and the healing can be very difficult. In this situation, I use more permanent less reactive sutures to close the incision. The skill, consideration, and experience of the surgeon / doctor can have a major impact (among many other variables). I think that people with acne tend to have healing issues more so than the general population because their skin’s vascularity is compromised and hence the tissue and closure of the skin heal in a less than desirable manner. The way to combat this situation is to do fat grafting, in my opinion. Fat grafting as a procedure that starts off the whole process can really help the situation. It does this by freeing up the scars, increasing the vascularity to the skin, stretching out the skin so that the scars are not as deep, etc. Also there are stem cells in the fat that may contribute to healing the skin as well. The healthier skin after fat injections can have a significant impact in healing when future procedures are done. Frankly, there are some scars that will only respond most favorably when excision is the major method that is used.
Thanks for reading, Dr Young
Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
come visit our main website at www.drphilipyoung.com