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One of the important reasons to treat inflammatory acne as earyl as possible is to prevent depressed scars. However, depressed scars occur for many reasons, and there are many treatments to improve them.
Various types of fractional lasers are used to treat scars, but most of them cannot target each depressed scar, so there is a limit to scar improvement. However, some patients require fractional laser treatments.
CROSS(chemical reconstruciton of skin scars) is the most effective treatment for depressed scars. CROSS treatment is performed by targeting each scar using chemicals. As with other procedures, the doctor's experience and technique are important, and patient satisfaction is very high.
Various types of fractional lasers are used to treat scars, but most of them cannot target each depressed scar, so there is a limit to scar improvement. However, some patients require fractional laser treatments.
CROSS(chemical reconstruciton of skin scars) is the most effective treatment for depressed scars. CROSS treatment is performed by targeting each scar using chemicals. As with other procedures, the doctor's experience and technique are important, and patient satisfaction is very high.
- 1CO2 Fractional Laser
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This will regenerate superficial skin deep scar.Since the crusts will form and stay for roughly 7 days, one should consider this fact when receiving treatment.
The higher intensity laser beam is recommended for better scar treatment. In this case, the treatment time will exceed 20 minutes, and requires about 30 minutes of cooling off after treatment care.
It is better to conduct CO2 fractional laser on the same day as Cross laser treatment as this will leave scab.
- 2Microneedle Radiofrequency (DeAge, Scarlet)
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Microneedle Radiofrequency (DeAge, Scarlet)
Features and principal
Microneedle radiofrequency treatment works by precisely delivering radiofrequency energy to the lower layers of the dermis using microneedles. This treatments stimulate collagen production and reshape skin elastic fibers gradually and continuously, restoring skin firmness and tone. It is also used effectively for the treatment of moderate to severe inflammatory acne vulgaris. It is suggested that the mechanism of action is mainly a reduction of sebaceous gland activity and the promotion of dermal architecture remodeling by thermal stimulation.
Effect
• Acne (recommend combination treatment with PDT)
• Scars (burn, postoperation etc.)
• Striae
• Skin lifting
• Elasticity
• Fine wrinkle
• Whitening
• Enlarged pore
• Skin texture
Time of procedure
• Anesthetic cream 30 min
• Procedure 20~30 min
• Post care 30 min
Pain
• none~mild
Progress and possible side effects
• Hot flushing for about 3 hours after the procedure
• Edema for about 3 hours (mild)
• Desquamation for about 7 days (mild)
• Dryness at the procedure sites for about 1 month
• Pruritis(itching) for about 14 days (mild)
• Allergy
• Postinflammatory hyperpigmentation (PIH)
• Infection
• Contact dermatitis
• Folliculitis
• The complete effect is observed around 8-12 weeks after treatment
Cautions before the procedure
• Avoid the medications and creams that affect skin condition profoundly for at least 1 month, for example isotretinoin
Cautions after the procedure
• Cold massage after the procedure for about 2 days for the fast recovery
• Moisturizing cream and sunblock
• Avoid rubbing the treatment area excessively for about 7 days
• Avoid irritating cosmetics and non-prescription cream for about 1 month
• In case of suspected infection or allergy, contact the clinic
- 3CROSS (chemical reconstruction of skin scars) Treatment
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CROSS(Chemical Reconstruction of Skin Scars)
Features
Application of TCA to the skin causes precipitation of proteins and coagulative necrosis of cells in the epidermis and necrosis of collagen in the papillary to upper reticular dermis. Dermal collagen remodeling after chemical peel may continue for several months. There are reorganization in dermal structural elements and an increase in dermal volume as a result of an increase in collagen content, glycosaminoglycan, and elastin.
Indications
• Enlarged pore
• Depressed scar(acne, postoperation, chicken pox, etc.)
Time
• Anesthesia: 30 min
• Procedure :10~60min
Pain
• mild~moderate
No. of treatments
• Generally 3~6 courses
Interval
• 1~3moths
Progress and possible complications
• scabs for about 5~10 days
• mild erythema (if it occurs, 2–8 weeks)
• postinflammatory hyperpigmentation (if it occurs, 1~2month)
• focal skin infections (mild pustular eruptions)
• gradual increase in dermal volume through 6 months
• dryness and mild pruritis of face and resolve with time
Cautions after procedure
• apply only moisturizing cream until scabs fall off (do not apply sunblock when there are scabs)
• after detachment of scabs, apply moisturizing cream and sunblock everyday
• if you want to apply whitening material on the face or take oral medication, consult a doctor
• avoid irritating cosmetics and non-prescription cream for about 1 month
• if you want to wash using soap while there are scabs, make enough bubbles with both hands, gently apply the bubble to your face. After washing out your face with water, remove the water gently with towel.
• Final result
About 6 month after final procedure
- 4Curejet with PDLLA(Juvelook)
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Features
Curejet is a device that injects drugs using jet pressure. Using Curejet, hyaluronic acid, Rejuran, Juvelook and other drugs can be injected without needle with no downtime. In addition, the subcision effect and collagen production effect occur due to the jet pressure. Downtime generally occurs when performing treatments on acne scars, stretch marks, etc.
Depending on the treatment area, desired effect and skin type, we can controll in detail
i) the type of drug to be injected,
ii) the depth of the skin layer into which the drug is injected,
iii) the speed at which the drug is injected,
iv) the amount injected at one time, etc.
Indications
▪ Anti-aging (fine wrinkles, elasticity, whitening, etc.)
▪ Pores
▪ Scars (acne scars, chickenpox scars, etc.)
▪ Stretch marks
▪ Hair loss
Combinations of drugs that can be used with Curejet
▪ Juvelook
▪ Rejuran
▪ Hyaluronic acid
▪ Exosome
▪ Others
- 5Agnes(micro-insulated needle)
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Features
Agnes is a treatment method that selectively reduces unwanted tissues (sebaceous glands, sweat glands, subcutaneous fat, etc.) by inserting micro-insulated needles into or under the dermis and using high-frequency energy generated from the tip of the needle. The upper part of the needle is insulated to minimize damage to the epidermis. Therefore, compared to when using a laser, the incidence of post-inflammatory hyperpigmentation and scarring is significantly lower, and scab formations are minimal, making post-treatment management simple and reducing downtime.
Indications
▪ Non-inflammatory acne (whiteheads, blackheads)
▪ Inflammatory acne
▪ Syringoma
▪ Pore reduction
▪ Sebaceous hyperplasia
▪ Xanthelasma
▪ Lip Fordyce spots
▪ Trichoepithelioma
▪ Depressed scars
▪ Osmidrosis
▪ Moles
▪ Removal of fat of lower eye bags, lipomas, double chin fat
▪ Others
Treatment time and process
▪ More than 1 hour
▪ Acne treatment: More than 2 hours
☞ Anesthesia cream-extraction-treatment-soothing managementPain
40~70 (0: no pain, 100: severe pain)
Treatment interval
1~3 months
Number of treatments
1~5 times (individual differences exist)
Post-treatment progress and side effects
▪ In cases of syringoma, sebaceous hyperplasia, xanthelasma, Fordyce spots, trichoepithelioma, pitted scars, moles, fat removal under the eyes, lipoma removal, and double chin fat removal, it takes about 2 to 3 months for the effects to appear. Since the effects appear gradually, it is recommended to decide whether to have a repeat treatment after about 3 months.
▪ After acne treatment, inflammation on the treatment areas may temporarily worsen. There are methods such as visiting the hospital again after about 2 days to receive extraction management, or taking antibiotics after the procedure.
▪ After the procedure, the skin may appear sunken. In most cases, it will recover over time. In case of acnes, depressed scars are not due to the procedure but appears as a sequela of inflammatory acne.
▪ After the procedure, pores may appear enlarged for about 1 to 2 months. They will shrink over time.
Post-procedure precautions
▪ Avoid contact with water on the treated area for about 24 hours after the procedure.