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The
wound-healing
process
begins
with
inflammation,
moves to
tissue
formation,
and ends
with
modifying
specific
factors in
the
anatomy
such as
collagen.
Scars
occur when
the
wound-healing
process is
disrupted
by
biological
factors
such as
too much
collagen
or
depleted
collagen.
Refined
since the
introduction
of lasers
in the
1980s, the
laser scar
removal
technique
today can
reduce the
appearance
of keloid
scars,
hypertrophic
scars, and
atrophic
scars,
which have
the
following
characteristics:
-
Keloid
Scarring:
Firm,
raised,
and
reddish-purple
scars
that
extend
beyond
the
initial
wound
area
and
builds
over
time.
-
Hypertrophic
Scarring:
Firm,
raised,
and
pink
scars
that
remain
within
the
initial
wound
area
and
possibly
naturally
regress
over
time.
-
Atrophic
Scarring:
Depressed
pin-like
pockets
in
the
skin
that
can
result
from
skin
conditions
or
diseases
such
as
acne.
During
laser scar
removal
treatments,
the laser
is moved
along the
scar. This
vaporizes
or removes
a layer of
skin and
exposes a
more
natural-looking
skin
layer,
which
heals over
time to
minimize
scar
appearance.
Numerous
types of
lasers are
available,
each of
which has
unique
benefits:
-
The
CO2
and
Fraxel laser
is
best
suited
for
acne
scarring
-
The
Er:YAG
laser
system
is
best
for
treating
scar
edges
and
mild
acne
-
The
585-nm
pulsed
dye
laser
(PDL)
is
often
used
to
treat
hypertrophic
and
keloid
scars
Acne
Scars
Acne is
one of the
most
common
skin
diseases
in the
United
States. It
is
estimated
that 60
million
Americans
suffer
from acne
and 20
million
suffer
from it
badly
enough to
cause
scarring.
Acne
scarring
is the
result of
inflammation
in the
lower
layer of
the skin
called the
dermis
which
causes the
collagen
to become
deformed
or scarred
resulting
in
depressions
in the
skin.
Acne scars
are
typically
classified
into
boxcar,
ice pick
and
rolling
scars.
Lasers are
a commonly
used
modality
in the
treatment
of acne
scars.
Laser
resurfacing
has long
been used
in the
treatment
of acne
scars.
Traditional
resurfacing
lasers
like CO2
or erbium
can cause
improvement
in acne
scars but
require
1-2 weeks
down time.
Non
ablative
lasers
such as
SmoothBeam
and
CoolTouch,
do not
remove
skin but
at best
are
minimally
effective
in the
treatment
of acne
scars.
A new
resurfacing
procedure,
named
fractional
resurfacing
or Fraxel
is
currently
the most
effective
laser in
the
treatment
of acne
scars. Dr.
Rokhsar
has been
instrumental
in the
development
of this
laser
having
worked on
a
prototype
device and
has
discovered
its
effectiveness
for acne
scars. Dr.
Rokhsar
has
published
the first
study on
treatment
of acne
scars with
fractional
resurfacing
and has
developed
the
parameters
for use of
this laser
in the
treatment
of acne
scars on
prototype
device.
This laser
resurfaces
the skin
gradually,
20-30% at
a time,
which
allows for
rapid
healing
while
eliminating
the risk
of rawness
associated
with
traditional
laser
resurfacing
procedures.
The zones
of thermal
laser
damage
serve as a
stimulus
for
collagen
production
filling in
the pitted
appearance
of acne
scars with
your own
collagen.
In a study
conducted
by Dr.
Rokhsar,
the Fraxel
laser can
result in
improvements
of up to
50% in the
appearance
of acne
and
surgical
scars. Dr.
Rokhsar
will
tailor the
procedure
for to
your skin
depending
on the
type of
acne scars
which you
may have.
He may
recommend
subcision
in
addition
for
rolling
scars as
well as
combining
the Fraxel
resurfacing
procedure
with punch
excisions
for ice
pick
scars.
Treatments
are
typically
done every
2 to 4
weeks
Scars on
any body
surface
area can
be treated
with the
Fraxel
laser,
although
scars on
the face
respond
the best.
Patients
have to be
aware that
there is
no cure
for (acne)
scars but
that the
Fraxel
Laser in
Dr.
Rokhsars
hands can
result in
significant
improvement
in the
appearance
of acne
scars, far
superior
to any
other
procedures.
Dr.
Rokhsar is
a
recognized
national
and
international
authority
on the use
of lasers,
and in
particular
the Fraxel
laser for
the
treatment
of acne
and other
scars.
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If you need more information or would like to schedule and appointment for a consultation, please click here to contact us or call one of our offices at: (212) 593-1818 New York
(516) 512-7616 Long Island |
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