Permanent make-up of scars: a competent solution to the problem

Anna Zabolotnaya , Head of the Biotek International Academy of PM and Aesthetic Dermo-Pigmentation (Russia), certified artist, international class master teacher in permanent make-up, aesthetic dermopigmentation and trichopigmentation, winner of the first Contour of the Century competition (2003), judge of permanent make-up championships in Russia and abroad, lecturer at the International University of PM (Milan, Italy) (Russia)

In the scar, throughout the entire period of maturation, the process of remodeling is constantly taking place, that is, the newly formed tissue synthesizes or destroys collagen fibers in response to any external influences. Therefore, it is very important to create optimal conditions for the formation of a correct (normotrophic) scar.

First of all, you should avoid exposure to irritating factors, such as rubbing against a rough fabric, watch strap, trouser belt, etc. In response to any irritation, the scar will become more rough, hard, and convex. To protect the scar from external irritants, it is recommended to use a special silicone coating.

In addition to external stimuli, the formation of a scar is influenced by dynamic loads. This is especially true for scars located on moving parts of the body: knees, elbows, etc. After plastic surgery of the neck area, patients are advised to turn their heads as little as possible. And if the postoperative sutures are behind the ears, doctors strongly advise not to touch the ears and not even wear earrings until the scars are completely ripe.

The greater the mechanical load on the scar, the more it will strengthen in the direction of this load, producing an excess amount of collagen fibers. Thus, by providing rest to the injured tissue, we end up with a smoother, better quality scar.

Well proven special care products. To achieve the maximum effect, it is recommended to combine them with periodic courses of ultraphonophoresis, which contributes to a deeper penetration of the agent into the scar tissue, and also performs micromassage, which enhances blood flow and tissue nutrition.

Scar camouflage. Before and after the procedure. Photo provided by the author

Types of scars

In appearance, all scars are divided into three large groups: atrophic (below the level of the skin), normotrophic (level with the skin) and hypertrophic (above the level of the surrounding skin).

Stretch marks, or stretch marks, are atrophic scars that occur when the skin is overstretched as a result of microtrauma of the skin and subcutaneous tissue while maintaining the integrity of the epidermis.

As a rule, stretch marks are localized on the chest, abdomen, thighs and buttocks, but in athletes who quickly build muscle mass, they can also appear on the inside of the arms and shoulders.

In a separate group, keloid scars, or keloids (from the Greek chele - claw of cancer) are distinguished. Keloid scars are the most severe case. It is believed that they appear as a result of failures in the human immune system. They cause a lot of inconvenience: pain, irritation, itching. But most importantly, they are constantly growing. Therefore, aesthetic dermopigmentation is powerless here.

In all other cases, dermopigmentation has proven to be the most painless and highly effective solution.

Read about all the subtleties and technical aspects of dermopigmentation in the continuation of the material.