Atrophic scarring, most commonly secondary to previous injury, chickenpox, or acne scarring, is a consequence of organised scarring under the skin and destruction of the skin's underlying support structures. Atrophic scars usually appear as unsightly depressions or "pits" in the skin, and often stays with the patient for life. Keloids, which are excessive growths of scar tissue in response to an injury or surgery such as a Caesarean Section, common in patients genetically predisposed to forming keloids, often appear as large, raised, irregular lesions that are similarly unsightly and difficult to eradicate. Treatment of keloids is traditionally a particularly frustrating procedure, due to high rates of recurrence after treatment.
At The Face Aesthetic Clinic, Dr Felix takes a keen interest in the treatment of scars and keloids. He treats atrophic scarring by combining needle subcision with collagen stimulating fillers, which works by first releasing the organised scar tissue under the skin, then reactivating the body's own healing processes and promoting new collagen formation in the area, to effectively resurface the atrophic scar. For the treatment of keloids, Dr Felix employs an advanced technique known as the "triple therapy", by combining the traditional method of intralesional steroid injections, with vascular lasers that specifically target and shrink small blood vessels in the area which are responsible for the vascularity and colour of the keloid, as well as a Microbotox technique to the surface of the keloid to reduce the tensile pull responsible for recurrence of the keloid. Both treatments will likely require multiple sessions based on factors including patient's skin type, size and extent of the lesion, and the time interval between keloid formation and treatment. In Dr Felix's experience, treatment results have been deeply satisfying, especially for patients who had not improved or had multiple recurrences with previous conventional treatments.