Scar Types

The spectrum of scar classifications.

Skin tissue repair process can lead to a broad spectrum of scars, ranging from a "normal" thin line to a variety of abnormal scarring, including widespread scars, atrophic scars, scar contractures, hypertrophic scars, and keloid scars.

Widespread (stretched) scars appear when the fine lines of surgical scars slowly become stretched and widened, which use to happen in the 3 weeks after surgical intervention. They are typically flat, pale, soft scars often seen after knee or shoulder surgery. Acne Scars (abdominal striae) after pregnancy are another type of widespread scars in which there has been injury to the dermis and subcutaneous tissues but the epidermis is unbreached. There is no elevation, thickening, or nodularity in mature wide-spread scars, which distinguishes them from hypertrophic scars.

Atrophic scars are flat and depressed below the surrounding healthyskin. They use to be small and often circular in shape with an indented or inverted centre, and commonly appearing after acne or smallpox.

Scar contractures -scars across joints or skin creases at right places have a tendency to develop shortening or contracture. Scar contractures appear when the scar is not fully matured, usually tend to be hypertrophic, and are typically disabling and dysfunctional (fig 4). They use to appear after burn injury across joints or skin concavities.

Raised skin scars
Raised skin scars are described as hypertrophic or keloid scars.

Hypertrophic scars are raised scars that remain within the boundaries of the original wound, generally regressing by itself after the initial wound. Hypertrophic scars are often red, inflamed, itchy, and sometimes painful. They use to occur after burn injury on the trunk and extremities.

Keloid scars are raised scars that spread beyond the margins of the original injury.

Keloids scars are thick, puckered, itchy clusters of scars spreading beyond the edges of the wound or surgicalincision and invade the surrounding normal skin in a site-specific way. They use to be red or darker than the surrounding skin. Keloids appear when the body continues the collagen production long after the original lesion healing has taken place.

Ear lobe keloids often grow as large lobules, central sternal keloids tend to develop a butterfly shape, and deltoid keloids tend to extend vertically. A keloid keeps growing over time, does not disappear by itself, and almost always recurs after simple excision. It is difficult to apply the term "keloid" until a scar has been present for at least a year, although there is no precise time interval. Histologically, keloids have a swirling nodular pattern of collagen fibres.

Scars that are difficult to categorise have been termed intermediate scars. However, if a raised scar is still emerging after a year, a true keloid is a possible diagnosis, whereas hypertrophic scars should show some evidence of regression within this time. Keloids may be inflamed, itchy, and painful, especially during their growth phase. Common presentations are in the ear lobe after ear piercing, the deltoid after vaccination, and the sternum after acne, chickenpox, trauma, or surgery. Keloids are unique to humans, and there seems to be some genetic predisposition, with dark skinned races being more prone to them, though there are few large epidemiological studies. They appear predominantly in people aged ten to thirty years, with an apparent predilection for emergence and deterioration during puberty and pregnancy.

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BIOSKINCARE CREAM brings you the ONLY skin renewal product that incorporates natural skin renewal activators and biological enzymes to gently exfoliate and treat Acne Scars

BIO ACNE CARE
Gentle but effective acne treatment serum for pimples & acne cysts

The product is oil free and contains the following ingredients that act in concert to yield benefits that go beyond the sum of those of their specific parts:

a) our biological Helix Aspersa Müller Glycoconjugates with antioxidant, antimicrobial & skin regeneration properties to heal skin lesions within the follicles, control acne bacteria and prevent and get rid of acne scars;

b) the active extract of the bark of the Black willow ( Salix Nigra) tree to enhance cell renewal on the surface of the skin, unclog pores and reduce acneic skin flora (Propionibacterium acnes and Staphylococcus aureus). The actual content of willow (Salix Nigra) extract expressed as standarized salicylic acid is less than 0.5%. The Salix Nigra extract also provides natural B-hydroxy acid activity, without the skin irritation commonly associated with synthetic salicylic acid;

c) modified glucomannan (carbohydrate) -high molecular weight heterpolysaccharides made up of glucose and mannose derived from the Japanese Konjac tuber (root)- that reduce the surface tension of oil and facilitates its dispersion into droplets. These droplets get distributed evenly along the skin’s surface, minimizing their presence and oily feel;

d) Hyaluronic Acid a glycosaminoglycan (also present in the snail serum) to deeply moisturize the skin and restore the capacity of the skin to hold in moisture; and seaweed extracts that provide moisture and trace minerals necessary for the recovery of damaged skin cells; and sodium salt of pyroglutamic acid (naturally in human skin) moisturizer;

e) Japanese Licochalcone LR-15 from Licorice (Glycyrrhiza inflate) extract which clinicals (*) in Japan have shown that at very low concentration reduces undesired p. acnes and other acneic skin flora, is anti-irritating, anti-inflammatory and reduces sebum output. 

Apply a thin layer twice a day on all the area affected with acne (whole face, chest or back) and then always use sun protection.  If you are allergic to salycilic acid or to aspirin do not use the product and if you experience stinging or irritation (very unlikely) you must stop using the product and consult your physician.

Made in the USA. One Month Supply 50 grams = 1.76 oz

50 Grams in Airless Pump Bottle.
Regular Price: $59

(*) A New Dermatological Availability of the Flavonoid Fraction from Licorice Roots-Effect on Acne
Journal of Society Cosmetic Chemists Japan, VOL.37; NO.3; PAGE. 179-186(2003) Authors: Kambara Toshimitsu^a, Zhou Y, Kawashima Yoshihito^a, Kishida Naoko^a, Mizutani Kenji^a, Ikeda Takao^a, Kameyama Koichiro^b.

^a Research Center, Maruzen Pharmaceuticals Co., Ltd., 1089-8 Sagata, Shin-ichi, Fukuyama, 729-3102 Hiroshima, Japan. ^bAoyama Dermatological Clinic, dr@aoyamahihuka.com 5-1-3 Aoyama 8F Minato-ku Tokyo 107 Japan.

Abstract: Licochalcone-A, Polyol Soluble Licorice Extract P-U (now in the market as Licochalcone LR-15), prepared from the roots of Glycyrrhiza Inflata Batalin shows several activities such as inhibitory actions of testosterone 5 ALPHA-reductase, lipase and phospholipase A2, as well as androgen receptor antagonist, antimicrobial and SOD-like antioxidant actions, which relate to skin care, especially the suppression of acne formation and development. On basis of this evidence, a trial with acne patients was carried out and the efficacy of the extract was demonstrated clinically.

Ultra exfoliate rough scars and dull skin with BIOSKINEXFOL

Home microdermabrasion cream. Contains the same natural ingredients in BIOSKINCARE but infused with micro-crystals so that you may rub it with your finger tips to remove old, hard, and tough scars or Acne Scars by a physical breakdown of the scar tissues. Best also for oily skin and aged skin, actinic keratosis scales and pitted acne scars. Not for keloids and not if your skin is still fragile (use BIOSKINCARE for a few months first to strengthen your skin). The compounded action of the physical abrasion and the enzymes in the cream liquefy damaged proteins more thoroughly helping to release amino-acids to aid in rebuilding damaged tissues quickly. Results are not only immediate, but compound over time and do not trigger inflamm-aging of delicate skin tissues.

Microdermabrasion Benefits

Made in the USA. Two to Three Month's supply 120 grams = 4.23 oz

120 Gram Bottle: $89