Scarring occurs when the body’s natural wound-healing process is defective when too much or too little collagen is available. The healing process is disrupted and usually leaves behind permanent scarring.

There are several types of scarring:

Keloid scarring– Most prevalent among people with darker skin, keloid scarring is a result of an overaggressive healing process that creates a firm, raised reddish-purple scar and can extend beyond the initial wound area. Keloid scars typically require surgery to remove or by means of steroid injections or silicone sheets to flatten the scar, although smaller ones can undergo cryotherapy which damages and removes skin by freezing.

Hypertrophic scarring– Similar to keloids for their firm and raised appearance, hypertrophic scars differ in their reddish-pink appearance and eventually fade overtime. They do not spread further than injury boundary and can be treated with injections of steroids and silicone sheets to flatten the scar.

Atrophic scarring– Acne tends to leave behind distinctive atrophic scarring. Its depressed pin, hole like pockets and angular appearance can also result from a variety of skin conditions and diseases

Contracture scarring– A result of second or third degree burns, these scars tighten skin and can restrict movement. This abnormal tissue response may affect deeper tissue in the surrounding nerves and muscles.

Treatment– The Fractional CO2 laser can treat each different type of scar. The laser can treat a variety of scars and require no anesthesia, although optional anesthesia cream can be treated to the area prior to laser treatment.

The secret to the laser’s effectiveness is in its “fractional feature”. The laser works by treating only small sections of the skin at a time, creating faster healing. The laser works by placing microscopic holes into the skin, stimulating new collagen to generate and fill in and smooth out scars. A topical healing cream must be applied for a week afterwards, which will result in a 50-70 percent smoother, less pigmented scar.

Dr. Rokhsar was involved in the development and testing of fractional lasers from 2002-2003. He has taught his techniques around the world in countries such as Australia, Europe, Brazil, Indonesia and virtually every continent across the globe.