EFFECTIVE TREATMENT FOR WRINKLES, STRETCH MARKS & ACNE SCARS
SCARS -- SKIN NEEDLING
Scar fading is a new procedure that permanently removes or diminishes scars and stretch marks by progressively breaking down, scraping and shedding off the top layers of the scar tissue while simultaneously stimulating the tissue below the scar to trigger the natural healing processes. These healing processes produce new skin that eventually replaces the scar. Each session of the procedure can safely remove as much as 0.5 mm of the scar tissue. Multiple sessions are required for deeper scars.
The scar breakdown is done in a a very targeted way by a special computer-controlled needle, vibrating at a very high frequency. Special blend of ointments is added to facilitate the process and promote the healing. Surgical grade topical anesthesia is applied to make the procedure painless.
Typically, the results are immediate and progressive, with optimal improvement usually visible in 2 to 3 months. Four to six treatments, spaced 4 weeks apart, are recommended to achieve best results. Based on our extensive experience with this procedure, we have developed a very aggressive application regimen that permit maximum benefits in the shortest time.
Comparison of Scar Fading and Fraxel Laser Procedures
The modality of action is very similar between the Scar Fading and Fraxel Laser procedures. Both stimulate new collagen production in deep tissue layers, which leads to skin resurfacing and rejuvenation. However, Fraxel laser uses light to induce the stimulation. Most of the laser light is absorbed in the surface layers of the skin and only a small fraction penetrates into and is absorbed by the targeted tissue. The depth of the penetration is dependent on the individual skin properties, which may vary greatly depending on the age and ethnicity. As a result, the stimulation may extend too far or not far enough into the skin. It also creates the risk of scarring at the skin surface and limits the amount of stimulation that the laser can safely deliver to the dermal layer. Some Fraxel laser treatments are not recommended for darker skin types.
What may make Scar Fading both safer and more effective is its more precise, targeted delivery of stimulation. Exactly the same level of injury is caused at the skin surface as at the dermis level. Unlike lasers, the depth to which the stimulation is delivered is independent of the skin properties, age or ethnicity and is controlled precisely by the needle length. "Unlike with ablative lasers, there's no risk of scarring," says Matthias Aust, MD, a plastic surgeon in Hannover, Germany. "And in addition to stimulating fibroblasts to make collagen and elastin, needling also releases growth factors, which non ablative lasers don't do." As a result, Scar fading may allow greater regenerative skin stimulation, with much shorter recovery time and lower risk of procedure-induced scarring, than the laser treatments. It has been reported that skin needling has an additional benefit: absorption of creams and medications placed on the skin surface prior to the procedure is greatly enhanced by the tiny punctures caused by the procedure, thereby greatly increasing their effectiveness.
Potential side effects of both, Scar fading and Fraxel laser is temporary or permanent hyper pigmentation (darkening) of the treated area. Application of hydroquinone helps minimize that risk.Cost Comparisons of Scar Fading and Fraxel Laser Procedures
Equipment used in Fraxel Laser procedures is extremely expensive and is aggressively promoted by its manufacturers. As a result, Fraxel laser treatments are much more expensive than the Scar Fading. A typical cost for a single treatment ranges from $750 to $1,500 (Source: www.Fraxel.com ). A recommended series of 5 treatments costs around $5,000. By comparison, Scar Fading is quite cheap: a single treatment is $300 and a series of 5 treatments are $1,500, - less than one fifth of the cost of Fraxel laser treatments.
Left Arm Stretch Marks
Right Arm Stretch Marks
CIT -- Collagen Induction Therapy
Percutaneous Collagen Induction Therapy (CIT or PCI), more informally known as "skin needling", is not obvious in the market place, but has been known about and used since the mid 1990s.
It first became known when a Swiss French dermatologist, Dr Philippe Simonin, published his results in Barn's Cosmetic Dermatology in 1994. At this time he called it electroridopuncture (ERP). In his study of 600 patients, he performed 10 treatments on each. He found that in the patient group with skin aging, 40% showed significant improvement, 22% showed moderate improvement, and 13% had some improvement. In patients with old scars 60% improved with 5-6 treatments. He found that that best results were obtained for old fibrous and depressed scars.
Another pioneer of skin needling was Dr Andre Cameron, a Canadian plastic surgeon, who made a chance observation of improvement in the texture and depression of scars of some of his facelift patients who had undergone tattooing for scar camouflage. He noted that skin needling caused flattening of hypertrophic scars.
Dr Camirand postulated that hypochromic (depigmented) skin repigmented through the transplantation of melanocytes (pigment producing cells) from normal skin into the hypochromic (depigmented) skin during the needling procedure. He also reported flattening of hypertrophic (overgrown) scars. He performed his needling procedures using a high speed tattoo gun, under local anesthesia and treated each scar to pinpoint bleeding. He repeated the procedure every 2 to 8 weeks and no side effects or complications were reported. Dr. Camirand published an article on his results in JACPS in 1992.
In 2006, histological findings in a double-blind study on 10 patients by Dr. M. Schwarz, MD, Plastic surgeon, Freiburg-Germany confirmed effectiveness of skin needling. Photographs below show biopsies taken with 20 times magnification. The photograph on the left shows skin immediately before collagen induction therapy. The photograph on the right shows skin six weeks after the procedure.A dramatic increase in new collagen and elastin fibers (stained violet) is clearly visible. They reach into a depth of 0.6 mm. The increase in new fibers can reach 1000% with 1 procedure.
More recently, prominent South African plastic surgeon Dr.Des Fernandes delivered a paper about his results with skin needling, which showed improved collagen production, scarring, texture and aging. The paper "Percutaneous collagen induction therapy: an alternative treatment for scars, wrinkles, and skin laxity." was published in the Journal of Plastic Reconstructive Surgeryin 2008 and, in a study of 480 patients, showed significant effectiveness of "skin needling" in treating wrinkles and scars without the tissue damage and scarring frequently observed with laser treatments and chemical peels.
"Skin Needling", as its name implies, involves rolling specially designed tool studded with a large number of tiny needles across anesthetized skin. The procedure is performed for 30 minutes and results in increased collagen and elastin production for up to a year afterwards.
Additional procedures are recommended for to achieve significant improvement to lines and scars. Treatment effects are cumulative and will usually be seen within 6-8 weeks of each treatment. Treatments can be safely repeated every 6-10 weeks.
Typically, the skin is red and swollen for one to two days with a light abrasion over the treated area appearing on day two. Most patients are able to return to work within 48 hours of treatment. In comparison to prolonged recovery time from laser resurfacing and chemical peels, a few days healing time makes Skin Needling a more desirable alternative.
Skin Needling can be safely performed on all skin colors and types. There is no risk of postinflammatory hyperpigmentation (pigmentation of the skin as a result of skin trauma) as the melanocytes remain, like the dermis, intact during Skin Needling. This is the major distinguishing safety feature when comparing Skin Needling and other invasive procedures that are used to treat deep lines and depressed scars, ie laser resurfacing, deep chemical peels and dermabrasion.
Stretch Mark Reduction
BEFORE with the wrinkles
AFTER Skin Needling
Skin Needling of Lips
Skin Needling Forehead
We can remove 5-10 years off of the face by skin needling but it takes several treatments between 4-6 to get the effects and is less expensive then Laser Treatments and we can concentract on small areas unlike the laser.