Types of scars: "treat" with permanent camouflage

In the first chapter , we touched on the types of scars that are not well suited for micropigmentation procedures. There are, however, types of scars that not only can, but should be treated with permanent camouflage.

The presented article is an exclusive translation of the material published on the website of the international journal for micropigmentation specialists PMU International. Magazine of Permanent Makeup. Original article - link

Atrophic scars have a pitted appearance (skin with atrophic scars resembles the surface of the moon). These are deep scars that occur with skin conditions such as acne or chicken pox. However, from the point of view of histology, the reasons for their formation are not entirely clear. As with keloids and hypertrophic scars, problems with collagen production are the main factor in their appearance, but a deeper understanding has not yet been achieved. It is assumed, however, that the mechanism of their formation arises as a result of the reaction of collagen fibers and subcutaneous fat to inflammation. Therefore, the treatment of this type of scar requires a collagen boost, so patients with atrophic scars are good candidates for collagen induction or skin incision.

Scar contractures are an abnormal phenomenon that usually follows burns. The scar pulls the edges of the skin together, causing tightness in the area and restriction of movement. This type of scars is completely suitable for micropigmentation. It is important to understand that in this case, micropigmentation procedures will be numerous, since the burnt areas do not retain the pigment well. It is worth noting that when performing micropigmentation directly on scar contractures, the scar can be released after pigment application, which contributes to uneven application and, moreover, an asymmetric appearance when performed on the face. Very satisfactory results can be expected if the scar relaxation procedure is carried out prior to micropigmentation.

Last but not least, flat and pale scars are the most common forms after any injury or surgery. Slightly red and swollen at the beginning, they fade over time and do not rise above the level of the surrounding skin. Depending on the depth of the wound, these scars can take up to one year to heal, but it is absolutely important to allow the healing process to complete before any procedures are performed, even if it is clear from the outset that the emerging scar will fall into this category. Because the scar tissue in this case is unpigmented, it appears white compared to the surrounding skin. This discoloration can be quite alarming for patients, so micropigmentation can be done as the scar does not pose a risk of complications.