I na sajtu acne.org se nažalost potvrđuju moje reči da laser nosi potencijalne rizike(kod mene su oni potvrđeni) i to pre svega mogućnost
da on može da smanji postojeće ožiljke od akni,ali isto tako i da stvori
ožiljke,zatim tu je i dugo vreme oporavka itd...
Citiram opis vrsta i karakteristika lasera i podvlačim loše strane:
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-What is the difference between ablative and non-ablative lasers?
Definition of ablate from dictionary.com: "To remove by erosion, melting, evaporation, or vaporization."
Ablative lasers are much more invasive than non-ablative lasers. Ablative lasers are not recommended for use on darker skin colors.
Examples of ablative lasers:
- CO2
- Erbium: Yag
Non ablative lasers do not remove layers of skin, but instead penetrate through the skin in an attempt to stimulate collagen growth from underneath the surface of the skin. Non-ablative lasers are detailed later in this document.
Will ablative lasers (CO2 or Erbium) reduce the appearance of my scarring?
A: It is possible that it will reduce the appearance of your scarring but [u]it can come with a hefty price tag, a signficant amount of downtime and a risk of new scarring. [/u]
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Što se tiče tipova tretmana za ožiljke navode se sledeći kao ključni:
Acne scar treatments
DERMOABRASION
LASER RESURFACING
CHEMICAL PEELS
PUNCH TECHNIQUES
SUBCISION
AUGMENTATION
Prva tri metoda su manje-više poznata i njih ne treba detaljnije opisivati,
ali verujem da za poslednja tri većina domaćih dermatologa nije ni čula,
a kamoli da nešto od toga i primenjuje kod nas.
[b]PUNCH TECHNIQUES[/b]: ("ice pick" scars - similar to deep chickenpox scars)
There are 3 techniques:
1. Punch replacement: removal of the pitted scar with a hair-transplant type punch which is then replaced with a skin graft, usually from behind the ear. This is usually the most successful method for deep scars.
2. Punch excision: removal of a pitted scar. The wound is then closed and allowed to heal.
3. Punch elevation: the scar is cut loose from the bottom, but not discarded. It is allowed to float up to the level of surrounding skin.
Punch techniques may be combined with resurfacing (dermabrasion or laser) to produce better results.
Recovery: Punches may take several weeks or longer to heal.
[b]SUBCISION[/b] (Most kinds of scars)
Detaching the scar from deeper tissue, which allows a pool of blood to form under the scar. The blood clot helps form connective tissue under the scar, leveling it with the surface.
Usually 1-3 treatments are necessary. Subcision is often combined with resurfacing (dermabrasion or laser).
Recovery: Bruising and swelling are usually present for up to two weeks.
[b]AUGMENTATION[/b] (Deeper scars)
Injecting material under the scar to bring it to surface level (may follow subcision). Collagen is often used. One's own fat is also sometimes used, and other materials are being studied for use in augmentation.
Collagen injections are temporary, and last about 6 months give or take a few months.
Whereas many acne scar treatments are temporary, augmentation may prove to be a more permanent solution in the future, and the search for the best material for the job continues.
Recovery: There is usually no recovery time. You can go back to your normal schedule right away.
Sasvim prirodno
nijedan od tretmana nije idealan odnosno neće vratiti
kožu u pređašnje stanje,ali je u razvijenim zemljama bar izbor daleko širi
nego kod nas.Mikrodermoabrazija i hemijski pilinzi se karakterišu kao tretmani za veoma blage ožiljke-pa kao alternativa ostaje laser-koji ne
preporučujem ili nešto od gore navedenih kod nas nepostojećih postupaka.