Your Dermatologist Is The Best Partner To Fight Acne With!

Let’s take a trip down memory lane, to the times when there was no work pressure, when life revolved around friends and when you were a younger self. Ah, teenage is the time most of you would love to go back to, if you could erase one tiny detail – acne.

Acne is a big part of many teenage stories. From popping right before your farewell, or on the day when you wanted to really impress the one you liked, acne has earned the tag of being an uninvited guest – often overstaying and leaving behind scars and marks.

Acne doesn’t really limit itself to your face; it can happen on your arms and  back!

Painful Acne? Here’s What Happens When They Form On Your Skin

Acne can often dent your confidence. In fact, they’re one thing that can prevent you from looking  flawless self. So, why do they happen? Let’s find out.

You have oil glands or sebaceous glands that are major cause of acne . These glands secrete oil to prevent the skin from drying out . When you notice that your face looks greasy, that’s when you know that the oil produced is more than what your skin requires.

This is the  main trigger point for acne.  The reason for the oil gland to increase secretion of oil is multi factorial and most  common is due to changes in hormonal profile The excess oil, combined with the dead skin cells jam your pores, beginning the formation of acne. Inside the newly formed acne, bacteria begins to feast on the oil and dead skin cells, multiplying rapidly.  All these lead to the formation of open and closed comedones, papules and pustules  and in more severe cases nodules and cysts.

If you notice any such lesions on your skin, it’s best to walk that extra mile and check with a dermatologist as to what it could be. That way, you can take charge over your acne.

Acne Formation

Have You Inherited Acne From Your Family? 

Apart from the good looks and other habits, you might have inherited one of your loved ones’ acne also. Several studies have shown that genetic factors influence susceptibility to acne. Patients with persistent acne have a strong family history , in contrast to patients with adolescent acne.

So, check if you have a positive family history of acne . If the answer is a ‘yes’, then watch out, you might have inherited it! But, the good news is the fact that this way, you’ll be prepared and will make changes to your lifestyle as well as have a good doctor in mind, just in case, you know!

Are You Stressed? That Could Be Causing Acne! 

All of you lead stressful lives. Apart from causing lifestyle disease like blood pressure and diabetes, stress also has a very strong impact on your skin. One of those impacts comes in the form of acne. Observe yourself. If you are getting worked up about that important meeting with your clients, it’s highly likely that you might end up with acne. So, the stress will not just ruin your appetite for the meeting, but will ruin your looks too. Simple tip: Avoid stress.

Apart from stress, however, there are several other things that might work as the culprit behind your acne.

  • Hormonal disorders
  • Excessive sweating
  • Excessive sebum (oil) secretion
  • Shaving
  • Cosmetics
  • PMS
  • Pregnancy

Acne Has Types. What Is The Type That You Have? 

As menacing as acne can be, it comes in different types too. Now, variety is the spice of life, no doubt, but that’s certainly not the case when one is talking about acne. Here’s some information for you to be able to identify what type of acne you could be having.

  • Non inflammatory lesions –  They can be either closed  comedones(whiteheads) or open comedones (blackheads).BLACK HEADS – These are flat or slightly raised lesion with a central dark-colored follicular impaction of keratin and lipid. This results in the  blackish top, thanks to which this type of acne is known as a blackhead. Normally, you wouldn’t have inflammation or redness around it.
  • Whiteheads: They appear as pale, slightly elevated, small papules, and do not have a clinically visible opening. Stretching of skin make these visible.
  •  Inflammatory lesion.The inflammatory lesions vary from small papules with a red border to pustules and large, tender, fluctuant nodules  and cysts. Whether the lesion appears as a papule, pustule, or nodule depends on the extent and location of the inflammation. Although one type of lesion may predominate, close inspection usually reveals the presence of several types of lesions.

Types of Acne Pimples

It’s essential that you understand the difference between these types of acne. However, identifying them might not be as easy. That’s when must take the help of a Dermatologist, who will diagnose the type of acne and prescribe best possible safe treatment for your acne .

Acne and hormonal imbalance 

The most  common doubt which comes in our mind is how do we know when we have a hormonal imbalance and when do we need to get hormonal  evaluation.

A medical history and physical examination should be performed before embarking upon relevant blood tests. Polycystic
ovarian syndrome  is the most frequently associated hormonal disease in most clinics. The majority of female patients with acne
have no other clinical features of the syndrome, which consists of hirsutism (unwanted, male-pattern hair growth in women),  irregular menstruation.

Reason for hormonal evaluation

  • Severe/sudden acne
  • Therapy-resistant acne
  • Rapid significant relapse post medical management.
  • signs of hyperandrogenism
  • Irregular menses
  • Hirsutism
  • Hyperseborrhoea
  • Unusual clinical presentation.

Here’s How You Can Get Rid Of Troublesome Acne 

Even though it’s a regular feature in most people’s lives, and almost everybody cribs about it, yet, there are very few people who actually opt to get it treated. So, here’s what you should know – you should get it treated before it wreaks havoc on your skin.

Before consulting a dermatologist the first thing every one opts is for home remedies like application of  mint, honey, lemon and many more. But these remedies are of no much use. For few it feels like these remedies worked for a very short time but for most of them they aggravate the acne.

If you are looking at something that has long-lasting effects, then it’s best to rely on medical management and procedures that are performed by a well-trained Dermatologist.

At Ambrosia, we first assess your type of acne, based on which we will suggest treatments that will not just work on your problems, but will be well-suited for our skin type. Some of the most popular options are:

  1. Medical management
  2. Lasers
  3. Chemical Peel.

Chemical Peeling Treatment

Prevention Is Better Than Cure – Even For Your Painful Acne 

Even though this sounds like a cliche, yet, it’s true that if something can be prevented, you would not need to cure them. It’s the same with acne also. There are a few things that you can do in your daily life to make your skin less prone to acne. So, are you ready for them?

  • Lifestyle changes: It’s important that you eat well, and by eating well, we do not mean binging on fast food.The current status of the relationship of diet and acne is not clear and under debate. Perhaps no single food does causes acne or effectively treats its symptoms, but certainly we can advocate that it could ameliorate or worsen its severity. Dietary factors influence a variety of hormones and growth factors that influence  biology and production of oil gland. There is little substantive evidence  that high fat /carbohydrate rich diet, dairy products, chocolates worsen acne and foods rich in omega 3 fatty acids and vitamin A, zinc have a beneficial effect in treatment of acne.
  • Wash your face: Wash your face just about twice a day, with a mild, cleansing face wash. Remember that overdoing the facewash will lead to other skin problems. Keep your skin clean and do not use harsh products.
  • Drink water: Drinking water is necessary to cleanse the skin and the pores. It will keep your skin hydrated and prevent the occurrence of acne.
  • Don’t pop them: This is important. Even though you will be tempted to pop those acne away, yet, doing that will only make matters worse. You don’t want bad scars, do you?
  • Protect yourself from the pollution: pollution can make matters worse. So, protect your skin from pollution too.

Formation of Skin Acne

The Million-Dollar Question – Is Your Acne Permanent? 

One answer that is bound to brings smiles to your face is the fact that acne is not permanent. Most of the times, it occurs during teenage, remains for a while and then disappears, leaving the scars and marks behind. By 20 to 25 years the tendency is for acne to resolve slowly. During this phase itself if you opt for treatments, chances are high that both your acne and the scars can be taken care of . However, for some individuals  acne persists beyond the age of 25 years.  But, studies have shown that as many as 80% of patients treated for acne have some level of disease activity that persists into the 30 to 40-year age range.

This is the time when you will also have to take the wise decision of visiting a dermatologist or cosmetic surgeon to ensure that acne doesn’t remain a part of your personality forever. Choose the best dermatologist to ensure that nothing comes between you and  your flawless skin.

If You Have Acne  Scars, Then Here Are The Things You Should Do 

Now, even though the good news is the fact that acne is not permanent, yet the scars that it leaves behind could be. The wise decision on your part would be to seek help of a trained Dermatologist, who can help recommend the best treatment options that can help you get rid of the ugly scars.

At Ambrosia, we get several patients who complain about acne scars. These scars can disrupt your entire look and even affect you psychologically. We understand that such scars are difficult to hide even with the strokes of the best makeup brushes, which is why, we encourage you to opt for more permanent treatments instead. Here are some of the cosmetic options to tackle the scars caused by acne:

  • Microneedle RF: This treatment focuses at delivering radiofrequency energy through superfine needles into the skin. This leads to stimulation of collagen, which inturn helps in remodelling of the scar and improving the texture of the skin.
  • TCA cross: Trichloro acetic acid is effective in treatment of ice pick scars.
  • Filler: Effective in taking care of depressed scars left behind by some types of acne. These fillers are injected under your skin to fill up the depressed scar, giving your skin an even texture.
  • Others- Chemical peels, Dermaabrasion, Lasers, dermal grating, punch techniques, fat transfer.

If you have any doubt regarding these procedures, the cosmetologists and dermatologists at Ambrosia would love to hear you out and suggest you viable options. All you need to do is book an appointment and come visit us!

Acne Scar Treatment

Now that you are equipped with everything you should know about acne, let your dermatologist take a call on what are the things that you should do in case you happen to have acne. At Ambrosia, we specialise in hearing you out patiently, answering all your questions and suggest treatments that will be both effective and feasible. So, you can trust us with your acne troubles, and we can assure you that you will not be disappointed!

About the doctor:

Dr. Sindhuri Reddy

Dr. Sindhuri Reddy specializes in clinical and cosmetic dermatology and dermatosurgery. Her continuous thrive to be updated in recent advances of skincare gives her a unique insight and approach to skincare. She has an MBBS and MD from NTR University of Health sciences and has done observership at Mayo clinic , USA . She has several academic publications to her credit . Her areas of special interest are acne scars, hair transplantations and lasers.

Laser Treatments: Here’s How They Make You Beautiful!

Laser Treatments: Here's How They Make You Beautiful!

Are you unhappy with the skin you’re in?

While some of you must be fretting over those fine lines that give away your age, some might be losing sleep over scars of bygone acne.

Some of you might be unhappy with skin pigmentation, while some of you might be looking at ways to remove unwanted hair.

Whatever the case might be, you can thank your stars that you no longer live in the 20th century,1920s, when beautifying yourself cosmetically was either inaccessible, or wasn’t even an option at all.

With medicine advancing by leaps and bounds, there are several ways in which you can achieve the look you desire – be it younger looking skin or the picture perfect nose –  dermatologists and cosmetic surgeons are becoming excellent craftsmen assisted by the best of technology.

One of the technologies most loved by cosmetic surgeons all around the globe, and in India, is laser.
Laser?

Yes, the same laser that lights up the sky, is also powerful enough to beautify you, and in several ways possible.

Laser Treatments – A Promise Of Permanent Beauty 

Laser Treatments - Permanent Beauty

Light amplification by stimulated emission of radiation, or Laser, as it’s popularly known, came into existence in 1960. Since then, it’s made several things possible, but has risen on the popularity charts when it comes to medicine. While there are several specialities in medicine that put lasers to optimum use to treat patients, the one area where laser is dominating as one of the most popular forms of treatments is cosmetic surgery.

From sagging skin to pigmentation, from dark circles to acne and its scars, from removal of unwanted hair to making wrinkles disappear, lasers are the new ‘miracle’ that cosmetic surgery has witnessed. Thanks to its non-invasive approach, lasers have made beautifying almost pain-free, and certainly more permanent.

Do You Need Laser Treatments?

Let’s understand that it’s not just about beauty. Things like acne scars or even unwanted hair can do more harm to you psychologically than physically. From lacking confidence to disliking yourself, the flipsides of having to deal with such body issues can be quite daunting.

Just like most cosmetic surgeons around the world, we believe that everybody deserves to love themselves the way they are, yet, most of the times, it’s easier said than done. Therefore, I strongly suggest people suffering from such issues to consult with a reputed cosmetologist.

At Ambrosia, we get several such cases on a regular basis. So, if you are thinking whether a cosmetic laser procedure can help uplift your confidence and beauty, then you can always feel free to simply walk into Ambrosia Clinic and have a chat with us.

You obviously cannot take a decision until you have all the details required, and that’s what we are here for. We will  help you make an informed choice on whether you are a good candidate for a laser treatment, based on several factors like:

  1. Your Condition/issue: Is your problem treatable using lasers? If yes, we will suggest the type of treatment, the number of sessions required and so on. If no, then we will suggest alternate treatments like medicines, surgery or filler injections.
  2. The Intensity Of The Problem: If your problem has gone beyond a certain extent, then laser treatments might not work for you. In this case too, we will suggest alternative treatments.
  3. The Triggering Factors: We try to understand the causes of the problem. This is important because even after the treatment, if the causes persist, then the treatment will not be of much use.
  4. Your Expectations: This is a critical area. We should be able to come to an understanding how much result improvement can be expected and in how much time.

How Will Laser Help You?

Now that you have understood a little bit about lasers, it’s also important to know whether a laser treatment would be of any use to you. So, if you have issues and you don’t know what to do, here’s a list of all your skin problems that lasers can help to treat.

Acne Scars Leaving You Depressed? Laser Treatment Is The Best For You!

Acne can be quite a frustrating experience, and many of you might have had them.. Now, the problem isn’t just with acne. Even after they’ve gone away from your lives, it’s not really a happily ever after for all.. Acne might go away, but they leave scars behind, preventing you from sporting that flawlessly beautiful skin that you had always desired.

Laser works wonderfully well on acne scars. However, before you make that choice, there is one thing you must understand. The type of laser treatment you choose, will depend on what type of acne scar you have. Yes, acne scars also come in types! Here are the most common types of acne scars:

  • Ice pick acne scars: The skin looks like it’s been punctured with an ice pick.
  • Rolling acne scars: These are shallow and broadly-shaped depressions with rounded edges.
  • Boxcar acne scars: These are broader than ice pick scars.
  • Hypertrophic acne scars: These pink or red scars are elevated above the skin.
  • Keloid acne scars: These happen when there is excess collagen production in relatively darker skin-toned people.
  • Hyperpigmentation acne scars: The most type of acne scar that leaves behind dark spots.
  • Hypopigmentation acne scars – These scars are lighter than normal skin colour.
  • Erythematous acne scars (permanent redness): These pink or red scars are usually found in people with lighter skin tone.

Types Of Acne Scars

It might be easy to read about them, but only an expert will be able to identify these scars and suggest you the best possible laser treatments to help you fix them.

That brings us to an important question: what are the different types of laser treatments that work on acne scars. Here are some of the most popularly prescribe:

  • Smoothbeam Laser Treatments
  • Fraxel Laser Treatments
  • Vbeam Laser Treatments

So, if you have acne scars, you needn’t put up with them. Visit Ambrosia Clinic and you will be given an in-depth diagnosis with treatments explained, giving you clarity on how
to proceed. At Ambrosia, we have all forms of laser treatments available for acne scars. So, check your options to get rid of acne!

Hate The Unwanted Hair? Laser Will Take Care Of It!

Laser Hair Removal

Did you recently visit your beauty parlour for a session of waxing and cringe throughout the procedure, because it was literally ripping your hair off your body?

Yes, that pain is real.

Have you also, in a bid to escape the pain, tried to shave off the unwanted hair at home and ended up with cuts and bruises?

Even after you are done shaving, your good old friend – the unwanted hair – returns in a matter of a few days . And if you happen to run your fingers through the shaved portion, instead of feeling smooth, soft skin, you’ll find a rough terrain.

So, you either have to put up with pain, or face razor bumps and cuts. Is there no alternative?

Of course, there is!

Laser treatments come to your rescue in this case also! This alternative is pain-free and permanent! Nothing can get better than this! But then, laser treatments aren’t just about wielding the tool over the targeted area; the procedure requires precision and medical knowledge. Laser beams are directed at the hair follicles, pigments in which absorb the light and get destroyed.

Laser Treatments

At Ambrosia, we ensure that any patient who comes in for laser hair removal is explained a few things.

    • Number Of Sessions: The Treatment Duration, Or The Number Of Sessions Depend On Two Things: One, The Hair Density And The Size Of Area.
    • Suitable Areas: The areas on which laser hair removal treatment works – face, underarms, chin, neck, back, hands and legs.
    • Medical History: We also like to check their medical history to understand if there is any health condition triggering unwanted hair growth in them. In that case, we generally advise them to undergo treatment for that condition, so that the laser hair removal treatment yields desired results.

 

One Thing That Must Be Kept In Mind Is The Fact That Once The Procedure Is Over, It’s Critical That You Protect Your Skin From The Sun. Otherwise, There Isn’t Really A Downtime. At Ambrosia, We Have Handled Several Cases Of Hair Removal, So If You Want To Ditch Waxing, Shaving And Hair Removal Creams, Walk Into Ambrosia Clinic to Have hair-free Skin!

Iron Out The Wrinkles That Make You Look Older- With Laser Treatments

Skin Laser Treatments

Time waits for none, and has some of the most evident impacts on your skin. You might feel young, but your fine lines and wrinkles might give away your age, or in fact, might make you look older. While anti-ageing creams and serums only play a small part, don’t you wish, sometimes, that there was something that would iron out all those creases of age and wisdom?

That’s where laser treatments come in again! Yes, laser can also help your skin look and feel younger, by working effectively on fine lines and wrinkles. Laser resurfacing is a procedure using which your wrinkles are removed, or at least reduced.This method uses fractional  carbon dioxide (CO2) and erbium lasers to helps remove the signs of ageing. Laser energy is delivered on the affected skin to burn the layers of skin and treat the lines and wrinkles.

It’s very effective and his highly recommended for areas around the eyes, around the lips, cheeks and even on the neck.

When somebody walks into Ambrosia Clinic for a laser treatment for their wrinkles, we advise them a few things.

  • Lasers can work on smoothening the texture but if there is sagginess and hanging folds -thread lift or facelift surgery may be better option.
  • We always ask our patients to let us know if they are on medications. The way skin reacts to lasers, especially when it comes to treatments for wrinkles could be different when there are certain medicines being taken.

If you are looking at fighting the signs of ageing, laser resurfacing is a great option. However, please consult a doctor before you decide.

Apart from these, lasers also work on several other skin conditions like hyperpigmentation, pimples, dark circles and the like, that come between you and flawlessness.

Even though lasers have multiple uses, yet, one question that bothers most is whether it’s safe or not.

Pain-free, Permanent And Powerful: Laser Treatments Are Great!

Lasers won’t cause your skin any harm. In fact, that’s one of the reasons why it’s so popular with both doctors and patients.

  • Laser treatments are almost painless.Some lasers cause little discomfort but prior application of anesthesia cream makes the procedure very comfortable.
  • Results are visible and long-lasting , but you won’t see results in just the first sitting. You will require a number of sessions, like mentioned above, depending on the area and the intensity of the issue. Talk to us about it.
  • Laser treatments have no side effects as such. However, be prepared for some redness and soreness on the area that has been treated.
  • Laser treatments have been around for a long time now, and it’s been proved by practice that they are completely safe.

Your Skin Deserves The Best. So, Opt For The Best, Too!

Even though laser treatments are very safe, yet, they should be performed by somebody trustworthy. Remember these points before you get a laser treatment done:

  • Read the online reviews of the doctor and the clinic.
  • The equipment used for the procedure plays a very important role. So, ensure that you research well.
  • Laser treatments require proper preparations and best practices to recover from the procedure.
  • Don’t be shy to ask questions. At Ambrosia, I believe that no question is stupid, no query is dumb. So, get all your doubts clarified.

At the end of the day, all that matters is how you feel. If you have any skin issue that is bothering you, please feel free to consult us. If you are looking to get any cosmetic problem treated, at Ambrosia, you’re in the right hands.

Beauty, after all, is not just looks. It’s an experience!

About Ambrosia Clinic:

Dr Priti Shukla

Dr. Priti Shukla is the best female cosmetic surgeons in Hyderabad. She has 18 years of experience in cosmetic plastic surgery and thousands of satisfied patients. Ambrosia Clinic is leading skin plastic surgery clinic of Hyderabad since 2009. Our team of dermatologist and Plastic surgeons at Ambrosia clinic offer services like hair transplantation, laser, skin care and plastic surgery.

 

Different Types Of Acne Scars And How To Identify Them

Different Types Of Acne Scars

Having good skin feels great, doesn’t it? Healthy and flawless skin indicates an individual’s general health and fitness, and that’s what makes you feel good. Apart from that, it also has a huge psychological impact. Having great skin can boost your confidence, and provide you with the ‘feel good’ factor.

Skin

Now imagine the opposite. If you have bad skin, there are several issues that you will face. One, it’s a confidence dampener. Second, your skin becomes sensitive, which means you will have to be very careful about the products you choose. Third, you are prone to being picked at.

Acne

While there are several problems that can prevent you from having flawless skin, one problem that most of you would have experienced at some point or the other is acne. Even though it might not sound like a serious issue, yet, its arrival is never good news. Even though acne doesn’t really last forever, yet, before you heave a sigh of relief, you need to understand that its scars might. Now, the thing is, acne scars are of different types.

It is natural that you want to get rid of those scars, so here is a short guide with which you will be able to understand what type of acne scar you have. As you find out that all acne scars are not alike, you will realize how self treatment with scar creams will not help . There are different types of acne scars and different treatments.

Types of acne scars

Types of Acne Scars

Let’s look at the different types of acne scars and how to identify them.

Ice pick acne scars

Ice pick scars are deep holes in the skin which look like the skin is punctured with an ice pick. They also look like large pores. Ice pick acne scars are mose difficult to treat with standard skin resurfacing treatments .

Rolling acne scars

Rolling scars are like rolling meadows- shallow  and broadly shaped depressions with rounded edges. These are relatively easier to treat compared to icepick scars .

Boxcar acne scars

Boxcar scars are quite similar to ice pick scars as they too have depressions, but they are usually a little broader than ice pick scars.  Icepick, rolling and boxcar scars are all depressed scars and they have one thing in common -deficiency of collagen in skin leading to depressions.

Hypertrophic acne scars

Hypertrophic scars are raised acne scars which are usually elevated not more than 4 mm above the skin surface. They are mostly pinkish to reddish in colour. These scars are relatively less common than above 3 types .

Keloid acne scars

Keloid scars may occur in people who have a darker skin tone. These acne scars are formed when excess collagen is produced. This results in too much formation of  scar tissue on the skin which is called a keloid scar. Its more severe form of hypertrophic scar and the usual resurfacing and laser procedures used for boxcar, rolling and icepick type of scars should not be used in this type of scar.

Hyperpigmentation acne scars –These are dark spots that are sometimes left over by acne. These are due to excess skin pigment called melanin.This is the commonest type of acne scars and is easier to treat.

Hypopigmentation acne scars – These scars are lighter than normal skin colour and may happen in some cases.

Erythematous acne scars  (permanent redness) : These scars are pink or red  and they are most commonly noticed acne scar in people with lighter skin tone. In some cases some of the fine capillaries of the skin are also visible . There is also a skin condition called rosacea in fair skinned people , where there is redness , flushing and acne .

So, now that you’ve got some understanding about the different types of acne scars, identifying them shouldn’t be too difficult. If you notice any of these on your skin, visit us at Ambrosia clinic and we shall help you with the treatments that best suit your skin.

About the Clinic and Doctor

Dr. Priti Shukla - Cosmetic Surgeon

Dr. Priti Shukla is the best female cosmetic surgeons in Hyderabad. She has 18 years of experience in cosmetic plastic surgery and thousands of satisfied patients. Ambrosia Clinic is leading skin plastic surgery clinic of Hyderabad since 2009. Our team of dermatologist and Plastic surgeons at Ambrosia clinic offer services like hair transplantation, laser, skin care and plastic surgery.

Skin Grafting – Myths and Reality

Once I asked a group of first year medical students “what is plastic surgery”. Not surprisingly many answered that it was removing skin from a part of body and putting it elsewhere. This is what a lot of patients believe- that their face can be improved by putting new skin from their thighs.

Skin grafting is often considered synonymous with plastic surgery. This is a misconception which is slightly more educated than the older version when plastic surgery was thought to involve putting plastic in the body. Skin grafting and using synthetic materials like silicon (not plastic) to enhance the body are certainly the techniques used by plastic surgeons, but only occasionally. That is not what plastic surgery is all about.

Let me first explain how the skin grafting is done and why. Skin grafting is done when there is a large area where the skin is lost- because of burns or accidents. Skin from another part of the body (like thighs) can be used to cover the raw area to allow it to heal. The donor area is usually a hidden part like thighs, hips. Only a thin superficial layer of skin is removed from the donor area. The remaining skin of thigh grows back from its roots (sweat and oil glands) and heals in less than 2 weeks time. It’s like taking cuttings from plants to grow more plants. This is called partial-thickness skin grafting or simply skin grafting. Skin grafting is also done when a tumor or large mole is removed and there is a large gap. This can be covered with a skin graft.

Skin grafting is used extensively by plastic surgeons when dealing with burns, trauma, and cancers. Skin grafting is a lifesaving surgery in major burns. After accidents, it allows the wound to heal fast, and the person can go back to work. But skin grafting to improve a person’s skin or for removing scars is another story – with a not-so-happy ending!

Skin grafting is not a good tool for cosmetic plastic surgery because skin from another part of body will never match. After grafting the grafted skin tends to become darker than surrounding skin and has a different texture. This mismatch improves with time and care but never completely goes. So there is a good chance of a patchwork look. To overcome this full thickness skin graft from certain areas of body is used. Matching with full thickness graft is better than partial thickness graft- but still it is never a total match.

Whenever a mole, scar or a tattoo is removed from any part of body stitching the cut ends together with a line like scar, gives the best cosmetic result. Skin grafting can never match this and, therefore, it is done only as a last resort. True skills of the plastic surgeon lies in the ability to close the gap without using graft. Common situations where patient comes asking for grafting are:

  • Burn scars on face or body: Sometimes these patients have already had partial thickness grafting and they are unhappy with the look. If the scar is very bad and limited, full thickness grafting can Improve the scar by fifty percent. Still makeup will be required to look completely normal.
  • Acne scars on face: Patients who are very distressed about their acne scars request to replace the face skin with grafting. The face may look worse after skin grafting. These patients improve a lot with skin resurfacing procedures like dermabrasion and skin grafting is not required.
  • Tattoo marks: Cutting out the tattoo mark and stitching, or Q switched NdYAG laser is the best option. Skin grafting can be done if nothing else is possible.
  • White patches (vitiligo): Cutting and stitching is best for small patches. For larger patches thin partial thickness skin graft is used and patients are usually happy to get rid of white patch even if there is now a darker patch instead.
  • Pigmented patches: Here again skin grafting is not of much use because graft itself becomes darker. Only in few instances of dark birthmarks grafting is used.

Skin grafting has limited usage in cosmetic surgery and it is certainly not done by choice but only as a last resort when nothing else is possible.

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