Articles on scars

Lasers for Acne Scar Removals

Dr. Parthasarathi Dutta Roy, Dermatologist
Laser treatment is one of the impressive cosmetic medical treatment through which the deep acne scars can be completely removed. Acne is a common dermatological problem among the new generation from 18 to 25 years. From pimples to scars and scars to open pores are associated with this troublesome issue. However, laser treatment is really blessing for acne suffering youngsters.Exclusive Attributes of Lasers for Acne Scar Removals:It is needless to say that laser treatment is the most advance cosmetic medical treatment which can ensure permanent solution from the problems of acne scars.There is full satisfaction in this effective treatment as expert dermatologists are involved with this technology with high grade apparatus and instruments in clinic.The performance of removing acne scar can be done categorically according to the acne condition due to having different intensity wave levels in this treatment.Laser can kill the acne causing bacteria and reduce the red skin growth. These two factors are responsible for acne scarring. So the chances of developing acne in future are miraculously reduced by taking laser treatment.The tolerance power of the patients is judged before using the therapy by expert dermatologists. So that patients can get full satisfaction through this treatment.It is a permanent solution from acne scar as according to the demand of patients some tissues are completely removed by carbon dioxide laser.Though it is costly treatment but it can provide permanent and fast remedy from simple acne to severe acne issues.Categories of Laser Therapy:The laser treatment can be categorized in main three segments like skin peels, chemical peels and microdermabrasion. The surface cells are exuviated from the body in skin and chemical peeling whereas tiny crystals are applied in microdermabrasion.

Different Treatment Options for Acne Scars

Dr. Shreeshail Kumbar, Dermatologist
Acne scars are emotionally and psychologically challenging affecting quality of life and self esteem. Let us understand acne scars better before knowing treatment options.Acne arises from a sebaceous gland (oil gland) present in Dermis of skin ( 2nd layer). Any inflammation in this layer can lead to scarring as this is the permanent layer of skin compared to outer layer. So, when acne appears there is lot of inflammation with infection and pus formation. In uncontrolled acne these become bigger with cluster of acne leading to scarring. Body tend to heal these acne with fibrosis and permanent band formation which will keep anchoring skin to deeper structures.There are four types of scars generally describedRolling scars: respond best to treatmentIce pick scars: respond poorly to treatmentBox scars: respond moderately to treatmentHypertrophic or Keloidal - Resistent to treatment. These scars can’t be treated by applying any creams over the skin as the problem is fibrous bands beneath the skin, so treatment should also be beneath the skin.Best treatment options for acne scars.In my experience acne scars respond best to following treatments.MNRF (Micro Needle Radiofrequency)-In this treatment Radiofrequency is used through gold plated sterile needles. This works on the principle of micro needling with heat energy which breaks fibrous bands by coagulation of proteins leading to collagen remodeling. Need 4-8 sitting at a gap of 4-6 weeks for optimal results.Lasers- Erbium glass and Co2 laser are proven lasers for acne scar treatment. They work on the principle of thermal energy and collagen remodeling. They also need 4-8 sessions for good results.Dermaroller – In this treatment a one time use sterile dermaroller is used .The roller is rolled over concerned area multiple times in a specified manner causing micro injury and collagen remodeling.Subcision – It is done with a needle  where a sterile needle is passed at the scar level to cut the fibrous bands and release the pull .Other treatment options- PRP, Microdermaberation, Chemical peels ,Dermaberation and Dermal fillers.All these treatment are done by applying local Anesthetic cream 45 mins before treatment.All these treatment have down time of 3-7 days as there can be redness and swelling.Contra indications for acne scar treatmentKeloidal tendencyActive vitiligoLocal infectionsPregnancy and lactationOther medications and health conditions etcSo, let your dermatologist take a call on treatment options.

Microneedling for Acne Scars

Dr. Sachith Abraham, Dermatologist
Microneedling devices are a breakthrough device to induce collagen inside the skin. Microneedling devices have given us an option other than lasers and microdermabrasion to reduce acne scars.Acne scars are usually the after effect of adolescent acne which has left numerous pits and scars on the face. These tend to cause significant psychological and mental distress to the patient. Treatment with lasers tend to burn the epidermis and may lead to pigmentary changes whereas other gentler techniques may not give satisfactory results. Microneedling devices offer a safe treatment for acne scars.First the patient is counselled regarding the procedure. After this, local anesthetic creams are applied as a thick coat all over the face.Next, the patient is asked to wait for 1 hour for proper anesthetic effect to take place.After an hour the patient is put on the operating table. Consent is taken. Then the anesthetic is wiped off using a sterile cotton. The face is sterilised with povidone iodine solution. Absolute sterility is imperative in this procedure. Next the dermatologist takes a sterile microneedling device whose length varies from 1mm to 2 mm. He rolls the microneedling device in 4 directions directions all over the face. Care should be taken to be gentle as too much rolling would lead to pigmentary changes. After the rolling an icepack is applied to the face and washed off. Post procedure bactroban cream is applied for 5 days.  Sunscreen use is compulsory after microneedling device.Follow ups are repeated every month and the process is repeated atleast 8 to 10 times. PRP can also be injected into the skin along with the microneedling procedure. Another device that can be used is the dermapen where the length of the needles can be varied from .2mm to 2 mm. There is an almost 1000 fold increase in collagen deposition using a microneedling device.Several studies have shown how microneedling can be a safe alternative treatment to laser resurfacing.Lasers tend to burn the outer layers of the skin. The resultant scars may be better but in its place pigmentary changes may appears as the epidermis has been destroyed. The melanocytes that have been destroyed by the heat of the laser regenerates in a random manner.This may lead to considerable pigmentary changes in the patient. We may have to perform chemical peels and dermabrasion to remove or reduce the pigmentation. Microneedling plays a very significant role in improving acne scars.

Did You Know That All Scars Can Be Healed? Yes, Depression Is Treatable 100%

Dr. Sheetal Mehta, Homeopath
ARE YOU DEPRESSED? YOU NEED HELP! YOU NEED COMPASSIONATE CARING MEDICAL TREATMENT!Take a free depression test and assess for yourself:Do you feel sad or irritable?Have you lost interest in activities you once enjoyed?Have you experienced changes in weight andappetite?Have you experienced changes in sleeping pattern?Do you have feelings of guilt?Are you unable to concentrate, remember thingsand make decisions?Have you experienced fatigue and loss of energy?Have you experienced restlessness or decreased activity?Are any of your symptoms being noticed by others or have they given you any remarks?Do you feel hopeless, or worthless?Have you had thoughts of suicide or death at any moment of time?SYMPTOMS OF DEPRESSION:Anger/and /or irritability:Sadness/feeling low/feeling emptyFeeling of low self worth/worthlessness/low selfimage/feelings of guiltFeeling of restlessness and anxiety , constant worry etc related to a job or work not being done the right way, or not being done on time, or regarding health, or could be simply vague, not related to any attributable cause.Disinterest in physical appearanceDisinterest in activities that you once enjoyed  or you normally enjoy doingChanges in appetite, weight, mood, and sleep.Frightful, scary or anxious dreams. Sleep could be decreased or could become more as well.Constant feeling of low stamina, tiredness,exhaustion and fatigue. Low energy.Feeling “stressed”Psychomotor agitation or retardation: the person may be either agitated or restless, or physically slowed down in their movements.Brain fag: inability to think, concentrate or take decisions.Thoughts of death: a depressed person may have frequent thoughts of suicide or death, though they may or may not have any  plan to carry it out.TREATMENT AND HOW CAN HOMEOPATHY HELP YOU:There are many aspects of depression. It affects your lifeon all levels, physical and mental, career, job, family , home andrelationships. A proper treatment would target at all of these aspects. Justtreating or focusing on the symptoms and their elimination  IS NOT ENOUGH. One needs to look beyond andaddress the internal causes.While some symptomsmay be attributable to external causes, but depression is not a extrinsic but aintrinsic disorder. Hence care in the form of compassionate medical treatment isessential. Medicines are a important part of the treatment,though many people would not consider it important to seek and take treatment.However, medicines improve your mood , treat your symptoms and make you fit foreveryday life.Homeopathic medicines do not have any side effects and they are safe for your body, brain and mind. It is important to note that depression is treatable 100%. Apart from medications, your doctor would help you with counseling, and other forms of therapy like dance therapy, music therapy, drama therapy,and other creative pursuits suited to you after assessment. Negative thoughtsare helped by CBT (cognitive behavioral therapy) by counseling guided by yourdoctor/counselor.COPING UP AND SELF HELPJoin a support group. It could be online or offline.Reduce your stress. Relax. You could turn to yoga or meditation for relaxation too.Sleep on time.Eat your meals on healthy balanced dietwith lots of water, salads, fruits, and veggies.Exercise . walking, jogging, cycling and manyother forms of exercise could be incorporated into your routine.Forgiveness can help depression. Holding on to anger about past events cancontribute to depression. Forgiveness can help us heal and move forward, butthe way we often define forgiveness may prevent us from taking this important step. Do we really have to forget what happened and act like things are okay? To enjoy the benefits of forgiveness, however, we don't have to take it that far.Causes of depression:1. The causes are not clearly understood but it is thought to be multifactorial.It involves disturbances in neurotransmitter functioning. Environmental factors may play an important role. Depression is believed to be caused by an imbalance in the neurotransmitters which are involved in mood regulation. Neurotransmitters are chemical substances which help different areas of the brain communicate with each other. When certain neurotransmitters are in short supply, this may lead to the symptoms we recognize as clinical depression.2. Female sex hormones:It has been widely documented that women suffer from major depression about twice as often as men. Because the incidence of depressive disorders peaks during women's reproductive years, it is believed that hormonal risk factors may be to blame. Women are especially prone to depressive disorders during times when their hormones are in flux, such as around the time of their menstrual period, childbirth and perimenopause. In addition, a woman's depression risk declines after she goes through menopause.3. Poor nutrition:A poor diet can contribute to depression in several ways. A variety of vitamin and mineral deficiencies are known to cause symptoms of depression. Researchers have also found that diets either low in omega-3 fatty acids or with an imbalanced ratio of omega-6 to omega-3 are associated with increased rates of depression. In addition, diets high in sugar have been associated with depression. So taking a diet rich in omega3 fatty acids, e.g. eating fish or taking fish oil supplements, flaxseeds or flaxseed oil, nuts such as walnuts, could help depression.Vitamins such as b complex, folic acid and vitamin c can help. You should ensure that you are getting it enough from your diet and you may in addition take supplements but it should be advised and monitored by your family physician.Some mineral deficiencies such as magnesium , zinc, calcium, iron, manganese and potassium also contribute to depression. 4. Medical illnesses:Illness is related to depression in two ways. The stress of having a chronic illness may trigger an episode of major depression. In addition, certain illnesses -- for example, thyroid disorders, Addison's disease and liver disease -- can cause depression symptoms.5. Drugs and certain medications.Coffee, tea, alcohol, smoking, and certain prescription drugs can cause depression. Cholesterol drugs may cause depression. Abstinence from alcohol in a habitual alcoholic can also cause depression.6. Stressful life events.Stressful life events, which overwhelm a person's ability to cope, may be a cause of depression. Scientists have theorized that the high levels of the hormone cortisol, which are secreted during periods of stress, may somehow induce depression by affecting the neurotransmitter serotonin.Depression is linked to stress and the amount of stress.7. Grief and loss.Although grief is a normal response to death and loss, the extreme stress associated with grief can trigger an episode of major depression8. Moving,and depression in children.Some research has shown that certain factors like, changing schools, leaving friends, divorce in the family and past depression can increase the risk of depression in your child. CONCLUSION:A healthy lifestyle can help treat depression to a great extent. So, do not despair. Help is at hand. Do not be alone anymore. Homeopathy is here to help!FURTHER READING:

3 Tips That Actually Work in Treating Acne Scars

Dr. Puneet Goyal, Dermatologist
Stay out of the sun. Exposing scars to the sun can cause them to darken and slow the healing process, Dr Puneet says. How? Ultraviolet rays stimulate melanocytes (pigment-producing cells), leading to further discoloration.Before heading outdoors, put on a broad-spectrum sunscreen with a sun protection factor (SPF) of 30 or higher. Broad-spectrum sunscreen protects against both ultraviolet A (long-wave) and ultraviolet B (shortwave) rays. Ingredients with broad-spectrum protection include benzophenones (sulisobenzone and oxybenzone), cinnamates (octylmethyl cinnamate and cinoxate), salicylates, titanium dioxide, zinc oxide, avobenzone (Parsol 1789), and ecamsule (Mexoryl SX). Reapply after swimming, after sweating, and after more than 2 hours in the sun.Limit your time in the sun, especially between 10 a.m. and 2 p.m. Wear protective clothing, such as a long-sleeved shirt, pants, and a wide-brimmed hat.Don't pick and squeeze. Scars, which are made mainly of collagen, are your body's way of repairing itself. Acne scars are typically indented because of collagen loss from intense inflammation, Alster says.Picking leads to more inflammation and injury of your skin, which add to the discoloration and scarring. Squeezing or trying to pop a pimple causes pus and bacteria to filter deeper into the skin, bringing on more collagen damage, Moy says.Don't use vitamin E on scars. You may have heard that applying vitamin E to a scar will help it heal faster. But according to a study from the University of Miami, applying the nutrient directly onto a scar can actually hinder its healing. In the study, vitamin E either had no effect or made matters worse for 90% of the patients, and 33% who put vitamin E on the skin developed a contact dermatitis.

What I Need to Know About Acne Scars & Its treatment...

Dr. Govind Suresh Mittal, Dermatologist
Acne scars (or pimple marks & scars) are like gifts of one's teenage days, and few are lucky not have them. In fact with changing lifestyle, adult onset acne has become far more common and people conscious of their looks often seek treatment for acne and marks/scars later in adulthood too. Probably realization of one's scars comes a little late when people are hunting for jobs, going for interviews or looking for a potential life partner. I wish to throw some light on basic pointers for  pimple scars. Treat your pimples first. It may not be the best idea to commence treatment for scars when you already have a number of active and new erupting acne. Again- Treat your pimples first. Early treatment of acne, fewer acne, thus fewer scars to treat. Longer the pimple stays, bigger the pimple is and more painful pimples are more likely to cause more damage and larger scarsPinching and meddling with pimples may cause temporary relief but potentially more pigmentation and scarring. Marks due to pimples can be treated with creams, peels, and lasers for pigmentation and they usually respond well over time. Few weeks to few months may be necessary. You cannot repair potholes on the road by painting them. Similarly, for pits and depressions caused due to residual damage of skin after acne resolve,  you'll need more than just creams. Unfortunately, I haven't come across simple home remedies for acne scars.  Acne scars - pits/open pore-like marks or icepick scars/depressions will need treatment with Fractional lasers/ Microneedling Radiofrequency/ Subscription/ Dermaroller or Microneedling with or without PRP. They may be performed as multiple sessions of the same treatment or a combination of the treatments depending on the type of scars and the improvement you get with the treatments over multiple sessions. Chemical Peels do help in acne scars to some extent. Keloids and hypertrophic or thick raised scars may additionally need treatment with small injections given in the scars and they respond remarkably to the same. Most importantly - To summarise, acne scars can be treated and their appearance can be improved with a range of advanced treatments available. Discuss with your dermatologist as to what may be the best form of treatment for you. 

Acne & Acne Scar Management: Everything You Need to Know

Dr. Poonam Negi
ACNE: OVERVIEWAcne is the most common skin condition . Although it's common, accurate information about acne can be scarce. This can make it difficult to get clearer skin. The information here can help you understand acne and how to successfully treat it.Why treat acne?Myths about acne are as common as the skin problem. One common myth is that you have to let acne run its course.Dermatologists know that letting acne run its course is not always the best advice.Here's why:Without treatment, dark spots and permanent scars can appear on the skin as acne clears.Treating acne often boosts a person’s self-esteem.Many effective treatments are available.More women get acne not  just teens have acne. A growing number of women have acne in their 30s, 40s, 50s, and beyond. Dermatologists are not sure why this is happening. But dermatologists understand that adult acne can be particularly frustrating.ACNE: SIGNS AND SYMPTOMSAcne signsMany people think that acne is just pimples. But a person who has acne can have any of these blemishes:Blackheads.Whiteheads.Papules.Pustules Cysts.Nodules.Acne can appear on the back, chest, neck, shoulders, upper arms and buttocks.Acne symptomsAcne can cause more than blemishes. Studies show that people who have acne can have:Low self-esteem: Many people who have acne say that their acne makes them feel bad about themselves. Because of their acne, they do not want to be with friends. They miss school and work. Grades can slide, and absenteeism can become a problem because of their acne.Depression: Many people who have acne suffer from more than low self-esteem. Acne can lead to a medical condition called depression. The depression can be so bad that people think about what it would be like to commit suicide. Many studies have found that teens who believe that they have “bad” acne were likely to think about committing suicide.Dark spots on the skin: These spots appear when the acne heals. It can take months or years for dark spots to disappear.Scars (permanent): People who get acne cysts and nodules often see scars when the acne clears. You can prevent these scars. Be sure to see a dermatologist for treatment if you get acne early — between 8 and 12 years old. If someone in your family had acne cysts and nodules, you also should see a dermatologist if you get acne. Treating acne before cysts and nodules appear can prevent scars.ACNE: WHO GETS AND CAUSESWho gets acne?If you have a bad case of acne, you may feel like you are the only one. But many people have acne. It is the most common skin problem Most people who have acne are teenagers or young adults, but acne can occur at any age. Newborn babies can get acne. Men and women get acne. Some women get acne when they reach middle age.What causes acne?Acne appears when a pore in our skin clogs. This clog begins with dead skin cells. Normally, dead skin cells rise to surface of the pore, and the body sheds the cells. When the body starts to make lots of sebum , oil that keeps our skin from drying out, the dead skin cells can stick together inside the pore. Instead of rising to the surface, the cells become trapped inside the pore.Sometimes bacteria that live on our skin, p. acnes, also get inside the clogged pore. Inside the pore, the bacteria have a perfect environment for multiplying very quickly. With loads of bacteria inside, the pore becomes inflamed (red and swollen). If the inflammation goes deep into the skin, an acne cyst or nodule appears.ACNE: DIAGNOSIS AND TREATMENTTo diagnose acne, a dermatologist will first examine your skin to make sure you have acne. Other skin conditions can look like acne. If you have acne, the dermatologist will:Grade the acne. Grade 1 is mild acne. Grade 4 is severe acne.Note what type, or types, of acne appear on your skin.Today, there are many effective acne treatments. This does not mean that every acne treatment works for everyone who has acne. But it does mean that virtually every case of acne can be controlled.People who have mild acne have a few blemishes. They may have whiteheads, blackheads, papules, and/or pustules (aka pimples). Many people can treat mild acne with products that you can buy without a prescription. A product containing benzoyl peroxide or salicylic acid often clears the skin. This does not mean that the acne will clear overnight.Despite the claims, acne treatment does not work overnight. At-home treatment requires 4-8 weeks to see improvement. Once acne clears, you must continue to treat the skin to prevent breakouts.If you have a lot of acne, cysts, or nodules, a medicine that you can buy without a prescription may not work. If you want to see clearer skin, you should see a dermatologist. Dermatologists offer the following types of treatment.Acne treatment that you apply to the skin: Most acne treatments are applied to the skin. Your dermatologist may call this topical treatment. There are many topical acne treatments. Some topicals help kill the bacteria. Others work on reducing the oil. The topical medicine may contain a retinoid, prescription-strength benzoyl peroxide, antibiotic, or even salicylic acid. Your dermatologist will determine what you need.Acne treatment that works throughout the body: Medicine that works throughout the body may be necessary when you have red, swollen types of acne. This type of treatment is usually necessary to treat acne cysts and nodules. Your dermatologist may prescribe one or more of these.Antibiotics (helps to kill bacteria and reduce inflammation).Birth control pills and other medicine that works on hormones (can be helpful for women).Isotretinoin (the only treatment that works on all that causes acne).   Procedures that treat acne: Your dermatologist may treat your acne with a procedure that can be performed during an office visit. These treatments include.Lasers and other light therapies: These devices reduce the p. acnes bacteria. Your dermatologist can determine whether this type of treatment can be helpful.Chemical peels: You cannot buy the chemical peels that dermatologists use. Dermatologists use chemical peels to treat 2 types of acne — blackheads and papules.Acne removal: Your dermatologist may perform a procedure called “drainage and extraction” to remove a large acne cyst. This procedure helps when the cyst does not respond to medicine. It also helps ease the pain and the chance that the cyst will leave a scar. If you absolutely have to get rid of a cyst quickly, your dermatologist may inject the cyst with medicine.Waiting for acne to clear on its own can be frustrating. Without treatment, acne can cause permanent scars, low self-esteem, depression, and anxiety.To avoid these possible outcomes, dermatologists recommend that people treat acne. When the skin clears, treatment should continue. Treatment prevents new breakouts. Your dermatologist can tell you when you no longer need to treat acne to prevent breakouts.ACNE: TIPS FOR MANAGINGYou can reduce your acne by following these skin care tips from dermatologists.Wash twice a day and after sweating. Perspiration, especially when wearing a hat or helmet, can make acne worse, so wash your skin as soon as possible after sweating.Use your fingertips to apply a gentle, non-abrasive cleanser. Using a washcloth, mesh sponge or anything else can irritate the skin.Be gentle with your skin. Use gentle products, such as those that are alcohol-free. Do not use products that irritate your skin, which may include astringents, toners and exfoliants. Dry, red skin makes acne appear worse.Scrubbing your skin can make acne worse. Avoid the temptation to scrub your skin.Rinse with lukewarm water.Shampoo regularly. If you have oily hair, shampoo daily.Let your skin heal naturally. If you pick, pop or squeeze your acne, your skin will take longer to clear and you increase the risk of getting acne scars.Keep your hands off your face. Touching your skin throughout the day can cause flare-ups.Stay out of the sun and tanning beds. Tanning damages you skin. In addition, some acne medications make the skin very sensitive to ultraviolet (UV) light so do use a mattyfyin or gel based sunscreenConsult a dermatologist if:Your acne makes you shy or embarrassed.The products you've tried have not worked.Your acne is leaving scars or darkening your skin.Today, virtually every case of acne can be successfully treated. Dermatologists can help treat existing acne, prevent new breakouts and reduce your chance of developing scars. If you have questions or concerns about caring for your skin, you should make an appointment to see your doctor

Do You Know What Makes You Prone to Acne?

Dr. Shivashankar B. Sajjanshetty, Dermatologist
Acne is a disorder which is characterized by small red bumps on the skin or occluded pores in the skin such as blackheads. It can make people conscious of their appearance and result in low self-esteem and anxiety. It usually affects people who fall in the age group of 12-25, but sometimes older people also get affected.There are various factors that makes the skin prone to acne. Acne occurs when overactive sebaceous glands (glands that produce oil in the skin) produce excess oil and the dead skin cells clog the pores of the hair follicle present in the skin. Inflammation occurs in the clogged hair follicle resulting in acne.Some causes that makes your skin prone to acne are:Diet: Following a proper diet is a key factor in keeping your skin healthy. Food usually doesn't cause acne directly but can cause other problems such as greasy skin that are linked with acne. However, foods high in iodides such as seaweeds consumed over time can cause acne. Stress: Stress is another major cause that makes your skin prone to acne. When the body is stressed, it produces excessive testosterone (a sex hormone) resulting in excessive oil production. Stress also impairs the immune system of the body so that it becomes vulnerable to acne. Cosmetics: Some cosmetics (usually oil based) tend to clog the pores of the skin which may result in acne. Using harsh cleansing agents can dry and irritate the skin. Also, gentle washing of the skin is recommended to avoid breakouts. Hormones: Changes in hormonal balance can cause acne especially in the beginning of puberty. In some cases, women are affected by acne when the menstrual cycle stops. The acne caused by hormonal changes may also be genetic in nature.

Scar Revision

Dr. Parthasarathi Dutta Roy, Dermatologist
Are you worried about your scars? It’s a tensed situation, but to look young and beautiful you must have to take some steps to reduce those visible scars. Scars are the visible spots which remain after a wound has been healed and its development can be unpredictable. Scars are the generally results of surgery or injury. It can be of different in texture or particularly can be noticed due to their big sizes and shape. So you can prefer to have scar revision surgery which is meant to reduce your scars and correct the skin changes which may be caused by wound, surgery or accidents.Lengthy but a simple procedureHence, there has been developed some simple options for the surgeon to determine the best one which will suit your requirement which includes steroids and applications that plays an important role in reducing pain associated with the scars. Another is silicone gel sheets which help to flatten hypertrophic scars, next is dermabrasion which helps to smooths out skin surface irregularities, next can be tissue expansion, in this procedure a balloon is inserted under a part of healthy skin near a scar, the scar then is surgically removed. Based on the initial consultation, your surgeon will decide the best suitable procedure for you.Not every person is reliable for scar revisionHence, it can be very well understood from the above sub head which states that scar revision is not suitable for every person, for this you must be healthy, have no serious diseases. Some people with deeper skin tones have a tendency to raised scars called keloids after scar revision treatment its natural that your scars go through a healing process which lasts for about a year. So to have this treatment the important thing is that you must have realistic expectations of the results of your surgery. You must have scar revision surgery to make the scar as invisible as possible.