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Reduce summertime rosacea flare-ups

The sun, heat, and humidity can all trigger rosacea and lead to flare-ups. Find out how you can enjoy summer while reducing flare-ups.



JAK inhibitors: A newer type of medication

JAK inhibitors are helping patients with alopecia areata, eczema/atopic dermatitis, psoriasis, and vitiligo. Here’s what you need to know.

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Find out why dark spots appear and what can fade them.



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If you have what feels like razor bumps or acne on the back of your neck or scalp, you may have acne keloidalis nuchae. Find out what can help.

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Laser hair removal

You can expect permanent results in all but one area. Do you know which one?



Scar treatment

If you want to diminish a noticeable scar, know these 10 things before having laser treatment.



Botox

It can smooth out deep wrinkles and lines, but the results aren’t permanent. Here’s how long botox tends to last.

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Free materials to help raise skin cancer awareness

Use these professionally produced online infographics, posters, and videos to help others find and prevent skin cancer.



Dermatologist-approved lesson plans, activities you can use

Free to everyone, these materials teach young people about common skin conditions, which can prevent misunderstanding and bullying.

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Find a Dermatologist

You can search by location, condition, and procedure to find the dermatologist that’s right for you.



What is a dermatologist?

A dermatologist is a medical doctor who specializes in treating the skin, hair, and nails. Dermatologists care for people of all ages.

Treatments, Procedures, and Home Remedies

Treatment options for facial scars

When a wound heals, it may eventually turn into a scar. Facial scars come in numerous forms and may be caused by injuries, acne, burns, or surgery. Since your face is constantly exposed to the environment, scars on this part of your body may have a harder time healing. Whereas you may be able to cover up or protect other areas of your body while a wound heals, your face is open to the elements for most of the day. It may not be possible to fully protect wounds on the face as they heal, and it may be difficult to keep treatments (e.g., ointments, creams) from rubbing away. The good news is that if you’re looking to treat facial scars, you have a lot of options to consider. Read through these popular methods, and discuss all of the benefits and risks with a dermatologist.

Dermabrasion is one of the most effective and most popular methods for treating facial scars. Unlike microdermabrasion kits you can buy at the drugstore, dermabrasion is performed by a dermatologist. They use a wire brush or a wheel to exfoliate the top layer of skin on your face.

Some of the complications of dermabrasion include:

  • infection
  • darkening of the skin
  • redness and swelling
  • uneven skin tone

Pros

  • Many people see a 50 percent reduction in their scars.

Cons

  • Dermabrasion can be very uncomfortable.
  • It’s not a good choice for people with sensitive skin.
  • It’s not a good choice for people with autoimmune disorders.

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Chemical peels contain mild acids that are applied in a single layer on the skin. As a result, the upper layer of skin (epidermis) exfoliates and rolls off, exposing a new layer of skin.

There are three types of chemical peel:

  • Deep peel: This peel uses phenol and is the most common type used for scars because it gets deeper into the skin.
  • Superficial peel: This peel has milder effects and might improve discoloration associated with minor scars.
  • Medium peel: While also used for discoloration, the glycolic acid in this peel is most often used for antiaging treatments.

Deep peels are so intense that, according to the American Society for Dermatologic Surgery, they can take up to three weeks to heal. Your face will be bandaged, and the dressings need to be changed several times a day. You may also need to take antiviral medications to prevent illness.

Chemical peels are popular skin treatments, so they are widely available. However, for scar treatment, you should only get a peel from a board-certified dermatologist.

Pros

  • Chemical peels are widely available.
  • They may treat other skin problems besides scars, such as age spots and wrinkles.
  • They can result in smoother, younger-looking skin.

Cons

  • Chemical peels can leave skin more sensitive to the sun, which can lead to burns and scarring.
  • They may irritate sensitive skin, especially if you have a history of eczema.
  • They may worsen symptoms of rosacea and psoriasis.
  • They’re not recommended for pregnant and nursing women.
  • They don’t work as well on people who have darker skin.

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Laser resurfacing has the same goal as chemical peels and dermabrasion: to remove the top layer of skin. Unlike acids and tools, laser resurfacing uses high-powered laser beams for skin removal.

There are two types: erbium and carbon dioxide laser resurfacing. While erbium is the safest method for the face, carbon dioxide appears to be the most effective in treating scars. Once you leave the doctor’s office, you will need to keep the area bandaged until it completely heals.

Pros

  • Laser resurfacing has a faster healing time (3 to 10 days) than other treatments.

Cons

  • It’s not a good choice for people still experiencing acne breakouts.
  • It’s not as effective on people with darker skin tones.
  • It can cause infections, scarring, and changes in skin pigmentations.

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Plastic surgery is another treatment option. Unlike the procedures listed earlier, surgery is a more invasive process in which the scar tissue is surgically removed or altered with a scalpel. Depending on your goals and the severity of the scar, your doctor may remove the scar or the epidermis or even move the scar to minimize its appearance. Unlike the other treatment options, you may need to see a plastic surgeon instead of a dermatologist for this procedure. Always look for a board-certified surgeon with a proven record of success with plastic surgery for facial scars.

Pros

  • Plastic surgery usually has a better outcome than any other treatment. There are also several different treatments available for scars.

Cons

  • Its high cost can keep it from being an option for most people. More complicated procedures also have a higher risk of causing infections and leaving scars.

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Home remedies are considered a more affordable and less invasive way to treat facial scars. Many of these remedies are already available in your pantry or medicine cabinet. The following are some options:

  • Petroleum jelly: Its hydrating effects may prevent scars from getting worse.
  • Bleaching kits: These are sold over the counter.
  • Honey: It may help reduce redness and infections.

Pros

  • Home remedies are the most affordable options.
  • They are also more widely available because they can be purchased at drugstores.

Cons

  • There is no guarantee that home remedies will effectively treat facial scars, and little research has been done to confirm their efficacy.
  • There’s also the risk of allergic reactions of the skin.

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Treating skin wounds can help minimize or even prevent scars from occurring in the first place. If you have a wound or cut on your face, make sure you keep it clean. Applying petroleum jelly or Vaseline to the wound can help keep it moist and prevent scab formation. It is not necessary to apply topical antibiotics, like Neosporin, because simply washing the wound with mild soap and water is sufficient.

Wearing sunscreen can help minimize the appearance of scars once they have healed. By applying sunscreen to your face every day, you can prevent a scar from turning brown or red from sun exposure. In some cases, sunscreen can even help scars fade. Make sure to use SPF 30 or higher.

Numerous treatments are available for facial scars, but the ultimate choice depends on your budget, risks, and the type of scar you have. It’s important to work closely with your dermatologist to determine the best option for you. It’s also important to bear in mind that most scars are permanent. Though a given treatment might significantly reduce a scar’s appearance, it may not remove the scar entirely.

Once a wound has turned into a scar, it’s not likely to worsen. If the area begins to itch, turn red, or grow, see your doctor right away.

Treatment of scars and scars on the face in the clinic El.En. We use complex methods and the latest equipment. We are waiting for you Shmitovsky proezd 16 p.1 in Moscow

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Anastasia

Thanks to the hands of Svetlana Mishaevna Khalatyan, a miracle happened – I now have beautiful ears. My face has completely changed! As soon as everything healed, I immediately made an appointment with a hairdresser for a haircut, which I had long dreamed of. I am very pleased with the changes that have occurred due to this operation!

Rating: 5/5

Lydia

Many thanks to your clinic for your attention to patients and excellent results! When I underwent the V2LR technology procedure, which was recommended to me to correct MPGs and restore their aesthetic appearance, I felt beautiful and desirable again! Life has become beautiful again! Thank you for a new word in medicine and a sensitive attitude! I assure you, your clients appreciate it.

Rating: 5/5

Marianna

I had hyperhidrosis for about 3 years, mostly only my palms sweated, but sometimes so much that drops of sweat literally dripped. Somehow by chance I found out about Botox injections and did it. I decided to contact the El.N clinic without the slightest doubt, since my friend works here. I am extremely pleased with the result – now I can not think about the problem of excessive sweating at all.

Rating: 5/5

Oksana

I got a nose injury and decided to have plastic surgery. It may be hard to believe, but I have been looking for a doctor for several months. I ran from one clinic to another until I came for a consultation with Svetlana Khalatyan. I trusted her completely and she did not disappoint! Now my nose is perfectly coordinated – shape, proportions, and most importantly, it breathes!)) I am very grateful to Svetlana Mishaevna and I want to advise her to everyone who has been looking for a plastic surgeon for a long time!

Rating: 5/5

Ekaterina

My husband persuaded me to have the operation. He also made an appointment for me to see a doctor in this clinic. Our intimate life suffered greatly from the fact that I have small breasts. But before the birth, the husband put up with this, because she was elastic, and after the birth of her daughter and six months of feeding, her breasts began to look completely ugly. I saw that my husband did not like me and was very worried because of this. Therefore, when my husband insisted on the operation, I decided to agree. But most of the fears turned out to be in vain. I was so afraid of postoperative pain, but in reality there was nothing terrible. After the operation, I had to wear special underwear for several months. But this is a small price to pay for the fact that my husband looked at me with different eyes. It is very pleasant to feel like a desired woman, and only for the sake of this it was worth overcoming all your fears. Many thanks to the doctors of the clinic for their professionalism and patience.

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Antonina

Otoplasty is a minor, but still a surgical intervention, and therefore I cannot call it safe. The risk, of course, is minimal, but this does not mean that it does not exist at all. If you can do it, it’s best not to. In the clinic El.N. I was operated on by the surgeon Sveta Khalatyan. She is a professional, you can see it right away. It was pretty painless, but long – about an hour. The stitches were removed quickly, in 5-6 days. I did not notice any scars, the ears began to look much more aesthetic.

Rating: 5/5

Victoria

I want to thank the specialists of the ElEn clinic for their professionalism and good service. The entire staff is very attentive and caring – both the girl at the reception and the beautician. They treated me like a VIP client, although I did not have the most expensive procedure of all offered by the clinic. I have undergone several RF-lifting procedures. After them, she began to look noticeably younger. There are practically no wrinkles left, flabbiness of the skin is gone, and the contour of the face has acquired clearer lines. The procedures themselves are painless and do not cause severe irritation. A month has passed since the last session, the result is not disappointed. Thank you! 🙂

Rating: 5/5

George

Before visiting the ElEn clinic, I went to different doctors and even tried folk remedies to treat impotence, but everything was unsuccessful. Here I was able to receive not only modern and quite effective treatment for erectile dysfunction, but also quality service. And although the course of 15 procedures cost me quite a lot, I have no regrets. I think that health is worth much more.

Rating: 5/5

Laura

I recommend the laser surgery clinic to everyone El. En. and tummy tuck surgery. I no longer hoped to see my tummy as toned as it was before. The birth of a child, then the struggle with excess weight – all this made him unattractive. But the tummy tuck surgery solved all the problems. The only inconvenience is the need to wear compression underwear for several months. But the pleasure of seeing yourself slim and beautiful pays for all the disadvantages of surgical intervention.

Rating: 5/5

Michael

Two years ago he received a lacerated wound on his cheek. The doctors carefully sewed up, but the scars still could not be avoided. Although they say that they adorn a man, it is still difficult to get used to the scars on the face. Zhenya persuaded me to visit a beautician. So I ended up in EL.N. at a reception at Beburova Elizaveta Alexandrovna. The doctor carefully examined me and advised laser treatment of colloid scars. Only 2 months have passed since the visit to the clinic, but the result is already noticeable. The scars began to dissolve, are already less visible. I go for a session every 3 weeks, so far I have done 2 procedures, I need 2-3 more. The procedure is practically painless, takes very little time, of course, after it the skin turns red, but this redness quickly subsides.

Rating: 5/5

Yuliya

About a month ago I finished the epilation course of 4 sessions. Since I have fair hair, cosmetologist Alina Vyacheslavovna recommended a neodymium laser for the bikini area and armpits. Each procedure did not last long and practically did not cause any discomfort. I am very glad that I turned here: I really liked the result and the attitude of the staff.

Rating: 5/5

Zhenya

As a smoker, cleaning and oral hygiene are vital to me. I visited many clinics, including paid ones, but I received the required level of treatment in a few. In “El. En.” I came across by accident – and for several weeks now I have been your client. You bribe with the speed and efficiency of the procedures, although the path to me is not close to you.

Rating: 5/5

Sveta

After the treatment of cervical erosion, she regularly went to the local hospital for examinations. Then I began to go to you in “El. En.” (the staff is friendlier, and there are no queues). The last time, in addition to the usual procedures, I went for an ultrasound scan (there was a suspicion of stones in the bladder), during which the uterus and ovaries were also checked. And “successfully”! It turned out that I had a recurrence of erosion, probably due to a past pregnancy. It’s good that at least there were no stones. Now I am waiting for the operation on the uterus. I hope this time there will be no relapses.

Rating: 5/5

Grisha

Recently I noticed that my hair began to get dirty quickly and became greasy. I bought a special shampoo, but it did not help. To keep my hair looking normal, I had to wash my hair twice a day. I decided to see a specialist. The doctor said that in order to normalize sebum secretion, it is necessary to undergo a course of laser therapy. I agreed to the procedure. The result was noticeable after 3 sessions, after the end of the course, the hair became normal.

Rating: 5/5

Andrey

Passed a comprehensive examination at the ElEn clinic to find out the causes of infertility. I liked that all the necessary tests can be done in one place and here you can get qualified advice or undergo treatment. I was satisfied with the service of the clinic and the staff. I want to express my special gratitude to Dr. Alexander Kalashnikov, who helped me solve my problems. Thank you very much.

Rating: 5/5

Irina

Not so long ago I suffered terribly from the fact that my labia minora hung from under the labia majora. And the point was not only in beauty, but also in the fact that when walking it caused discomfort !!! Thank you for letting me know that labioplasty exists. The operation at the laser technology clinic was carried out under local anesthesia, and after 2 weeks I felt like an absolutely normal woman. Thank you!!!

Rating: 5/5

Aslan

Hello! Grateful for the operation. Everything went quickly and painlessly. Satisfied with the result.

Rating: 5/5

Angelina

I had excessive sweating. She was very complex about this and experienced discomfort when wearing clothes. Thanks to the modern method of laser treatment of hyperhidrosis in El. En. Clinic, I got rid of this problem forever! The procedure lasts only an hour and immediately after it you can go home! Thanks a lot!

Rating: 5/5

yandex.ru-Ulyana Skornyakova

Back in early April I did lips here. After the procedure there is no bruising done well using quality consumables. Many thanks to Magomedova Z.R.

Rating: 5/5 A high professional, attentive and responsive in working with patients, always solves the problem using a modern and competent approach.

Rating: 5/5

Olga Nechaeva

At this point in time I have done only 4 laser hair removal procedures in this clinic. The result is simply gorgeous. If I had known that it didn’t hurt and had such an effect, I would have come here much earlier

Rating: 5/5

Stepan Surovov

Good clinic, booked for the near future. They did an ultrasound of my abdomen. After the procedure, the doctor explained everything in detail and answered all my questions. The price was the same as quoted over the phone. Recommend

Rating: 5/5

Olga Pavlova

A modern medical center with an excellent team of doctors and a flexible pricing policy. I have done many procedures and the results are always good. Naturally, I recommend it.

Rating: 5/5

Tatyana Gavrish

Came for epilation. This was my first time doing this, and I was a little nervous. But everything went perfectly, the specialist performed neatly and completely painlessly. My legs are now in perfect order, beauty. Thank you very much for the quality of services.

Rating: 5/5

Zhanna Belous

The papilloma was removed surprisingly quickly. The equipment in the clinic is modern, the removal process was painless. The specialist pointed a laser at the papilloma and everything quickly burned. Literally a minute and everything is ready, the papilloma is removed. Great result, great clinic. Thank you for helping patients quickly and efficiently.

Scars, or scars – the causes of appearance, in what diseases it occurs, diagnosis and methods of treatment

Acne

Acne

Keloid

Burn

Trauma

35136

08 September

Scars, or scars: the causes of appearance, in which diseases they occur, diagnosis and treatment methods.

Definition

A scar is a visible, palpable skin change formed after wound healing and is a rough connective tissue that lacks hair follicles and sweat glands.

The scar goes through several stages of formation.

1st stage – inflammation and epithelialization. Its duration is from a week to 10 days – the edges of the wound come together due to the formation of granulation tissue.

If during this period there was no infection or re-injury of the wound, and also if the skin damage was not too deep, then a barely noticeable scar will appear at the site of the injury.

Stage 2 – the formation of a “young” scar. It can last up to a month from the moment of injury. A “young” scar is bright pink and stretches easily. New collagen and elastin fibers begin to form.

3rd stage – the formation of a “mature” scar. Its duration is up to three months. At this time, the collagen and elastin fibers are organized into bundles, the blood supply to the scar is reduced and it becomes less bright.

If during this period there is a repeated injury, then the scar can develop into a hypertorophic one.

Stage 4 – the final maturation of the scar, which occurs about a year after the injury. The scar becomes dense and pale (compared to the surrounding skin) – this is due to the excessive tension of collagen fibers and a very small number of blood vessels in the scar area.


Varieties of scars (scars)

The division of scars occurs on the basis of their correspondence to the level of the skin surface.

Normotrophic scars are located flush with the surface of the surrounding skin. They are usually whitish, flat and do not extend beyond the edges of the injury.

Atrophic scars are located below the level of the surrounding healthy skin, which is explained by the lack of collagen and elastin fibers in them. Such cicatricial changes include, for example, striae (stretch marks), the effects of chickenpox and post-acne scars.

Hypertrophic scars protrude above the surface of the skin, but do not extend beyond the wound. Their color matches the color of the surrounding skin or is slightly pinker. Hypertrophic scars also include keloids – scars that are prone to constant growth, which is accompanied by itching, soreness and burning. They rise strongly above the surface of the skin, go beyond the boundaries of the wound, can be red, burgundy or cyanotic, which is explained by their rich blood supply.

Possible causes of scars

Scars can remain on the skin after any injury that penetrates the dermal layer – purulent inflammation, deep incision (including after surgery), thermal or chemical burns, exposure to radiation.

Cicatricial changes in the skin are formed after some diseases of the skin and subcutaneous fatty tissue, for example, after acne and demodicosis.

A special group consists of patients with connective tissue dysplasia. Pathological scarring in the form of hypertrophic and keloid scars, striae, wide atrophic scars of the “tissue paper” type is explained in them by the peculiarity of collagen formation.

Which doctors to contact if a scar appears

Dermato-cosmetologists, laser therapists and surgeons deal with the correction of cicatricial deformities of the skin.

Diagnostics and examinations in case of scarring

To select the treatment tactics, the doctor examines the scar tissue, finds out the “age” of the scar and the circumstances under which the injury was received – incised wounds heal more smoothly, crushed, chopped and lacerated wounds heal worse forecast.

Instrumental diagnostics is required in cases where it is necessary to determine the condition of underlying tissues.

  • Soft tissue ultrasound.

Ultrasound of soft tissues

Examination of soft tissues to detect pathological changes and diagnose neoplasms.

RUB 1,790

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  • MRI of soft tissues.
  • Laboratory methods are used for long-term non-healing and inflamed wounds.

    • Clinical blood test.

    Clinical blood test: general analysis, leukoformula, ESR (with microscopy of a blood smear in the presence of pathological changes)

    Synonyms: Complete blood count, UAC. Full blood count, FBC, Complete blood count (CBC) with differential white blood cell count (CBC with diff), Hemogram.
    Brief description of the study CBC: general a…

    Up to 1 working day

    Available with home visit

    RUB 810

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  • Wound culture.
  • Culture of wound exudates and tissues for microflora and determination of sensitivity to an extended spectrum of antimicrobials

    Synonyms:
    Wound/tissue Culture. Aerobic Bacteria Identification and Antibiotic Susceptibility extended testing.
    Brief description of the study “Sowing wound discharge and tissues for microflora and determination …

    Up to 7 business days

    Available with home visit

    2 520 RUB

    Add to cart

  • Examination of wound exudate.
  • Wound cytology to assess the need for secondary suturing.
  • How to deal with scars

    In order to prevent the formation of coarse scar tissue in case of skin injury, it is necessary to create all conditions for the favorable course of the first stage of scarring – without purulent inflammation and additional trauma. The cleaner the wound and the faster its edges “stick together”, the more elastic the scar will be. Otherwise, there is a risk of developing pathological scarring.

    It is important to protect the scarred skin from the sun so that it does not become hyperpigmented.

    If the patient has a tendency to form coarse scar tissue, or if the next of kin has such a tendency, the doctor should be informed. Currently, there are drugs and methods to avoid or reduce the risk of formation of pathological scar tissue.

    Treatment

    You need to seek medical help immediately after receiving a deep skin injury: the doctor will treat the wound, remove non-viable tissues and foreign particles (if any have penetrated the wound), apply sutures and a bandage.

    For the correction of existing scars, there is a whole arsenal of techniques, methods and their combinations into combined protocols. When choosing, the doctor focuses on the location of the scar, the depth and angle of damage, and the individual characteristics of the patient. Some therapies are contraindicated in patients with bleeding disorders, those who have taken isotretinoin or glucocorticosteroids for a long time (the last 6 months before the start of treatment), people with decompensated forms of diabetes mellitus, with a hereditary predisposition to keloid formation.

    Treatment of scars can be divided into conservative and surgical.

    Conservative treatment includes occlusive dressings with silicone gel, patches with glucocorticosteroids, compression therapy, injections of glucocorticoids and botulinum toxin A, cryodestruction with liquid nitrogen, electro- and phonophoresis, chemical peeling.

    Surgical techniques include surgical excision of scar tissue, laser destruction and mechanical abrasion (currently it is rarely used due to significant trauma). The essence of the surgical technique lies in the excision of the edges of the cicatricial deformity and their suturing. It is not used in the tactics of maintaining a keloid scar.

    Among ablative laser technologies, there are two tactics of management: total (solid) destruction-polishing and fractional destruction-polishing.

    For the correction of keloid scars, various combined protocols are chosen, the essence of which at the first stage is to suppress the blood supply to the scar tissue and transfer the course of the process into a hypertrophic scar, at the second stage, the tactics of correcting a conventional hypertrophic scar are used.

    Fractional non-ablative laser treatment is recommended for treatment of atrophic scars and striae.

    Sources:

    1. Federal clinical guidelines for the management of patients with keloid and hypertrophic scars. Russian Society of Dermatovenerologists and Cosmetologists. 2015.
    2. Clinical protocol for the diagnosis and treatment of patients with cicatricial skin lesions. Association of Oral and Maxillofacial Surgeons and Dental Surgeons. 2014. – 40 p.
    3. Kovaleva L.