Laser and Platelet-rich Plasma treatments to reduce or remove scars

     Scars are areas of collagenous tissue that replace normal tissue after injury. Scarring is a normal biological process. With the exception of very minor cuts, every wound results in some degree of scarring.

     Scar tissue is composed of collagen, but the structural arrangement of the protein fibers is different; instead of a random basketweave formation of the collagen fibers found in normal tissue, in fibrosis the collagen cross-links and aligns in a single direction.This makes scar tissue weaker than the normal random-alignment collagen. Scars from acne, surgery, trauma, etc. are frequently long lasting and unsightly because of pigmentation and uneven skin surface. Sometimes these scars can be disguised by makeup and other times the scars can be revised with corrective plastic surgery. Sometimes neither is satisfactory. RejuvaScar is a procedure to return scar tissue to its normal color, texture, and level.

     Given the opportunity, scar tissue can reorganize and become more normal. The opportunity arises when the cells that make collagen (fibroblasts) are stimulated to produce more. When this happens the turnover of collagen is increased and the new collagen tends to be arranged more randomly - that is, normally. Of course when the old collagen is removed the unevenness and discoloration of the skin that it caused goes with it.

      At Rejuvacare we use two different, complementary methods to reduce scars - laser light and platelet-rich plasma (PRP). The heat from a laser beam slightly damages cells in the lower layers of the skin. These cells then send out a signal to nearby stem cells calling for help. The stem cells migrate to the damaged area; differentiate into fibroblasts; and start making new collagen. Their growth factors and cytokines also tell the surrounding cells to start remodeling. The result is new, stronger, smoother, more evenly colored skin. This works especially well for acne scarring.

      The mechanism is similar for PRP. The difference is that PRP contains its own growth factors and cytokines. When injected into the skin these signalling molecules start the remodeling process while calling for the stem cells to come make more collagen.  Again, the stem cells become fibroblasts; make new collagen; and the area is rejuvenated.

     These two modalities can be used separately or together depending on the nature and extent of the scar.

Click here to schedule your appointment for an initial evaluation in our Port Angeles, Washington office.

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