Advertisement

Atrophic Scars and Stretch Marks

  • Igor Safonov
Chapter

Abstract

Atrophic scars are the most numerous compared to others. The common feature of these scars is their bottom, which is located below the level of surrounding tissues. The skin above atrophic scars is thin and flaccid, with cross-striation inherent in linear scars. Often, such scars are devoid of pigments and thus look white. The characteristic look of these scars is ­stipulated by connective tissue deficit, notably the deficit of collagen and elastin proteins that form the skin frame. This atlas places both atrophic scars and stretch marks into one section because stretch marks, by their nature, also are atrophic scars. The ­reason for their formation are also destroying the integrity collagen fibers and associated with this sagging skin.

Keywords

Collagen Synthesis Sebaceous Gland Acne Scar Fractional Laser Atrophic Scar 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Alam M, Dover JS (2006 Dec–2007 Jan) Treatment of acne scarring. Skin Therapy Lett 11(10):7–9Google Scholar
  2. Alam M, Omura N, Kaminer MS (2005) Subcision for acne scarring: technique and outcomes in 40 patients. Dermatol Surg 31(3):310–317; discussion 317PubMedCrossRefGoogle Scholar
  3. Alster TS, West TB (1996) Resurfacing atrophic facial scars with a high-energy, pulsed carbon dioxide laser. Dermatol Surg 22(2):151–155PubMedCrossRefGoogle Scholar
  4. Aust MC, Fernandes D, Kolokythas P, Kaplan HM, Vogt PM (2008a) Percutaneous collagen induction therapy: an alternative treatment for scars, wrinkles and skin laxity. Plast Reconstr Surg 121:1421–1429PubMedCrossRefGoogle Scholar
  5. Aust MC, Reimers K, Repenning C et al (2008b) Percutaneous collagen induction: minimally invasive skin rejuvenation without risk of hyperpigmentation: fact or fiction? Plast Reconstr Surg 122:1553–1563PubMedCrossRefGoogle Scholar
  6. Bayat A, McGrouther DA, Ferguson MWJ (2003) Skin scarring. Br Med J 326(7380):88–92CrossRefGoogle Scholar
  7. Bernstein LJ, Kauvar ANB, Grossman MC, Geronemus RG (1998) Scar resurfacing with high-energy, short-pulsed and flashscanning carbon dioxide lasers. Dermatol Surg 24(1):101–107PubMedCrossRefGoogle Scholar
  8. Boss WK Jr, Usal H, Fodor PB, Chernoff G (2000) Autologous cultured fibroblasts: a protein repair system. Ann Plast Surg 44(5):536–542PubMedCrossRefGoogle Scholar
  9. Boss WK Jr, Usal H, Chernoff G, Keller GS, Lask GP, Fodor PB (2004) Autologous cultured fibroblasts as cellular therapy in plastic surgery. Clin Plast Surg 4:613–623Google Scholar
  10. Campion CC, Butler ChE, Yannas IV et al (1998) Organized skin structure is regenerated in vivo from collagen-GAG matrices seeded with autologous keratinocytes. J Invest Dermatol 110(6):908–916CrossRefGoogle Scholar
  11. Goodman GJ (2000) Management of post-acne scarring. What are the options for treatment? Am J Clin Dermatol 1(1):3–17PubMedCrossRefGoogle Scholar
  12. Goodman GJ, Baron JA (2007) The management of post-acne scarring. Dermatol Surg 33(10):1175–1188PubMedCrossRefGoogle Scholar
  13. Groover IJ, Alster TS (2000) Laser revision of scars and striae. Dermatol Ther 13:50–59CrossRefGoogle Scholar
  14. Hardy MA (1998) The biology of scar formation. Phys Ther 69(12):1014–1024Google Scholar
  15. Jacob CI, Dover JS, Kaminer MS (2001) Acne scarring: a classification system and review of treatment options. J Am Acad Dermatol 45(1):109–117PubMedCrossRefGoogle Scholar
  16. Kadunc BV, Trindade de Almeida AR (2003) Surgical treatment of facial acne scars based on morphologic classification: a Brazilian experience. Dermatol Surg 29(12):1200–1209PubMedCrossRefGoogle Scholar
  17. Koch RJ et al (2001) Microdermabrasion. J Facial Plast Surg 9(3):377–382Google Scholar
  18. Mahuzier F (1999) Microdermabrasion or Parisian peel in practice. SOLAL, Publisher, 111, rue Ste Cecile – 13005 MarseilleGoogle Scholar
  19. Orentreich DS, Orentreich N (1995) Subcutaneous incisions (subcision) surgery for the correction of depressed scars and wrinkles. Dermatol Surg 21:543–549PubMedGoogle Scholar
  20. Rogachefsky AS, Hussain M, Goldberg DJ (2003) Atrophic and a mixed pattern of acne scars improved with a 1320-nm Nd:YAG laser. Dermatol Surg 29(9):904–908PubMedCrossRefGoogle Scholar
  21. Ruiz-Esparza J, Gomez JB (2003) Nonablative radiofrequency for active acne vulgaris: the use of deep dermal heat in the treatment of moderate to severe active acne vulgaris (thermotherapy): a report in 22 patients. Dermatol Surg 29(4):333–339PubMedCrossRefGoogle Scholar
  22. Tanzi EL, Alster TS (2002) Treatment of atrophic facial acne scars with a dual-mode Er:YAG laser. Dermatol Surg 28(7):551–555PubMedCrossRefGoogle Scholar
  23. Tanzi EL, Alster TS (2004) Comparison of a 1450 nm diode laser and a 1320 nm Nd:YAG laser in the treatment of atrophic facial scars: a prospective clinical and histologic study. Dermatol Surg 30(2 Pt 1):152–157PubMedCrossRefGoogle Scholar
  24. Zuber Thomas J (2002) Punch biopsy of the skin. Am Fam Physician 65(6):1155–1158PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Igor Safonov
    • 1
  1. 1.Centre of Scars Treatment and CorrectionDr. Bogomolets’ Institute of DermatocosmetologyKievUkraine

Personalised recommendations