انواع الليزر للبشره

[$نرجس$]

توني ادري ان الاظاافر لهاا لييزر لعلااجهااا ما ظنتي احد سمع عنه شووفوو ياحظي ليزر لعلااج مشااكل الاظاافر

Ugly,thick, embarrassing,fungus toenails - Houston, TX Foot Doctor

 

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Acne scars and surgical scars may be a cause of a person's emotional and or physical pain and affect their quality of life. In severe cases, scars can even limit a person's mobility.


Surgical scar removal procedures are painful and invasive and have a risk for complications. Laser scar removal from Palomar® offers a noninvasive solution that uses fractional laser technology to deliver rapid, reliable scar removal with less risk, less pain and minimal downtime.

Our fractional laser technology is the driving power behind our acne and surgical scar removal procedure. We use pulses of laser light to coagulate scar tissue and trigger healthy new tissue to form in clients' skin. Healing time is minimal, infection risk is eliminated and little to no pain is felt.

Laser scar removal with Palomar is appropriate for use on all skin types, making ours the preferred method of scar removal for excellent clinical outcomes.

 

[يجازيك بحبك]

جزاج الله خير نرجس والله حطيتي فيني امل ان الندوب تروح
وأشكرج على مجهودج يالغلا ......

 

[صمت ودموع]

والله صاجه أختي نرجس...أكثر دكاترتنا يتفلسفون على الفاضي..وكل ما قلنا لهم عن أجهزه أو تقنيه علاجية يديده ما يعرفونها ويقولون مأكو..خرابيط..الله يجزاج كل خير على جهدك

 

[$نرجس$]

صمت نورتي الموضوع قلبي

 

[سـما]

انا اذكر ان هالموضوع رديت عليه
وكانت الردود شكثر وبصفحة ثانيه بعد مو صفحة وحده !
شفيها اختفت الردود !؟

 

[سـما]

من اروع المواضيع
وفعلا عشان نشوف بعيونا ومحد يقص علينا
من الدكاترة ويقولون ما فيه شي يشيل اثار العمليات
وجذب و و و
لان موعندهم هالاجهزة ف يجذبون علينا

 

[$نرجس$]

فدييتج سمااا اي شساالفه اناا من اليوم مستغربه قاعده اقوول هااااااا الحيين سهراانه على الموضووع وحااطه اساامي الاجهزه واشلون الطريقه ...
وتختفي !!!!

 

[يجازيك بحبك]

أنا هم طالع عندي الموضوع مكرر مرتين عادي عادي اهم شئ الفايده وجاري البحث
عن جهاز الندوب
كملي نرجس ويعطيج العافيه ...

 

[$نرجس$]

يجاازيك الله يعاافيج قلبي

 

[$نرجس$]

Lasers | Types
Types

• Types
• Benefits
• Dark Skin
• Back to Lasers

V-Beam Perfecta™ Pulsed Dye Laser

Our Center has participated in the development of this new laser with the Candela Corporation for the treatment of facial blood vessels, port wine stains and hemangiomas. This laser offers dramatic improvement in the treatment of blood vessels as post treatment bruising and crusting is uncommonly seen and the laser has demonstrated to be extraordinarily safe. The benefit of this laser in the treatment of port wine stains and hemangiomas is seen with less post treatment darkening. There is also the potential for increased improvement in the birthmark treatment as a result of the new parameters available with this laser. The V-beam utilizes the dynamic cooling spray which helps minimize discomfort and has been very well accepted by our patients. Dr. Geronemus has presented one of the first papers on the V-beam at the annual American Academy of Dermatology meeting in San Francisco in March of 2000.In The News

• Port wine stains clear faster with shorter pulsed dye laser treatment intervals (2011)
• Ask Val, Beauty Gazette, O Magazine. (2010)
• Dr. Geronemous on the Gretchen Project (2009)

Before and Afters

 

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EkkyLite Laser Assisted Skin Healing (LASH) - Before & After Images

ليزر ايكي لايت لازاله جروح العمليات التجمليه لصدر شلت الصور قبل وبعد عشان مخاالفه والنتاايج حلووه
Scars following breast reduction surgery. Top images show results using EkkyLite Bottom images show scarring without EkkyLite LASH System

 

[ذات الهمة العالية]

مشكورة

زين مدحيلى لو على الخاص اماكن زينه للكلف والمسامات

 

[غاده بنت وليد]

..~


ما تقصرين يا احلا نونو

مواضيعك دايما هادفه مفيده والاحلا معلوماتك كامله،،

شكا لك يا صديقتي العزيزه..

وعساك دايم بافضل حال،،
،،~

 

[غاده بنت وليد]

موضوع خطير وحلو مشكووووووووووووووووره كل شي يوصله التطور الا باالخليج عندنا
مطبقين حكمة قديمك نديمك لوجديدك اغناك هههههههههه

..~


ooooool ياحلوك والله صاااادقه..~

 

[freethinker]

مبددددعه نرجس كلعاده طبببعا .. يعطيج العافيه على هلموضوع الي متعووب عليه وايد استفدت :*

 

[يجازيك بحبك]

أب أب ....

 

[$نرجس$]

هاذي انواع الكريمات الي تستعمل لعلااج خياط العملياات التجميليه الجرااحيه لصدر وفي هم ليزر

Hypertrophic Scarring and Keloids

We all worry about whether a scar is going to heal into a fine - white line. ​

There are some major key factors to remember about a scar healing:

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  Good genetics
  
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  Good surgical skill by your surgeon with closure of the incision​
• Minimal tension or movement of the surgical incision​
• Keeping the incision clean - showing no signs of a infection​
• No smoking​
• No sunlight or UV light​
• Tape pressure​

By maintaining constant pressure on the wound with special bandages/tape or silicone sheeting pads. According to several studies, coverings like these help to flatten scars-including keloids - which are scars with ropy tissue that grows uncontrollably over their natural boundaries.

• Hypertrophic Scars

Hypertrophic scars occur due to an abnormal response to trauma or injury. After a wound or an incision from surgery has occurred to the epidermis, both skin cells and connective tissue cells called fibroblasts begin multiplying to repair the damage. All scars are made up of “connective tissue” and fibroblasts to help close the wound.

The hypertrophic scar is one that is widened, but yet does not extend beyond the original boundaries of the wound or incision. Hypertrophic scars tend to reach a certain size in which they eventually stabilize or revert and eventually they might fade with time. Hypertrophic scars normally do not get as big as keloids either, and can be present in all racial groups. Treatments for hypertrophic scars include Silicone Sheeting and creams that seem to help with the appearance of the scar, and it usually takes 3 months or more to see an improvement.​

• Keloids

Keloids on the other hand are not as common as hypertrophic scarsand only affect 10% of the people are considered benign tumors. These keloids appearance is raised red growths above the surface of the epidermis and form large mounds of scar tissue. Keloids are nothing more than abnormal scar tissue that grows beyond the boundaries of the original site of the skin injury the fibroblasts continue to multiply even after the wound is filled in. The upper chest area, shoulders, and upper back are all areas where keloids tend to form.

The main trigger for a keloid scar is inflammation. Anytime the skin is injured in some way - either from a cut, surgical incision or infection, the healing process begins. When the healing process starts, it involves a complex array of cells. These mast cells produce and release "histamine" early in the healing process. It is the histamine that attracts the fibroblasts. Fibroblasts are cells within our body that is responsible for the production of collagen. And collagen is the body's building block for scar formation.
The difference between a person that has normal scar formation and a person that is proned to keloid scars is that the process where there histamine release occurs from the mast cells is finished within six weeks. But in a person that has a tendency for keloids, the histamine signal never stops. This is the reasoning on why a keloid will itch, because the histamine production is never turned off completely. ​

• Various symptoms of Hypertrophic and Keloid Scarring

Symptoms associated with Keloids and Hypertrophic scars include:​

• pigmentation of the skin​
• pain​
• itchiness ​
• redness​
• raised dome shape shiny scars​
• color of the scar can range from pink, red or purple​

Treatment of Keloid and Hypertrophic scars include:

• cryosurgery (freezing)​
• excision​
• laser​
• x-rays​
• steroid injections​
• 5-FU injections​
• interferon​

• Where do Keloids form the most?

Areas of the body that are involved with high movement, such as the knees and shoulders - are more likely to develop keloids than other parts of the body. The upper portion of the chest area (décolleté) is also another area that has a predilection for keloid production. If keloids develop in these prone areas the chances are that you developing keloids in the facial and neck area are probably much less.

• TYPES OF SCARS

Difference Between Hypertrophic and Keloid Scarring​

Hypertrophic Scars​

 

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Difference Between Hypertrophic and Keloid Scarring​

Hypertrophic Scars




Keloid scars



Develop soon after injury



May have delayed development after injury



Subside with time



Rarely subside with time



Limited boundary



Overgrows wound boundary



Size proportional to injury



Minor injury may produce a large scar



Occurs across areas of motion/tension



Occurs in any areas



Improve with surgery



Often worsened by surgery​

Hypertrophic Scarring

2010 Copyright © CosmeticSurgeryForums.com

Hypertrophic Scarring

2010 Copyright © CosmeticSurgeryForums.com

Keloid Scarring

2010 Copyright © CosmeticSurgeryForums.com

Keloid Scarring

2010 Copyright © CosmeticSurgeryForums.com

See More Scar Photos here

• Who is at RISK for Hypertrophic or Keloid Scarring

Hypertrophic scars normally do not get as big as keloids, and can be present in all racial groups. Keloids however tend to target racial groups which have a lot of melatonin in their skin, such as African American, Asian or Pacific Islander.





Dr. Lam talks about the difference of Hypertrophic Scarring and Keloids​

• Treatments for Hypertrophic or Keloid Scars

Different treatments available to treat problematic scars

• Kenalog or Celestone Soluspan

The best and first line treatment of a Keloid is to inject long-acting cortisone. Kenalog and Celestron Soluspan are steroids that are injectedonce a month. After several injections with cortisone, the keloid usually becomes less noticeable and flattens out within three to six months time.

• 5-Flurouracil injections (5-FU)

5-FU injections can also be used alone or in combination with corticosteroid injections into keloid scars. This treatment stops fibroblasts from making new scar tissue. 5-FU is also used as a chemotherapy agent normally.

• Excision or scar revision surgery:

This can be risky with a patient that is prone to keloids. If surgery with a scar revision is considered, some surgeons like to inject steroids or apply a pressure dressing to the wound site after cutting away the affected keloid. Radiation is also considered after the excision of the affected area, so the keloid will not grow back.

• Cryosurgery:

Liquid Nitrogen is used to destroy tissue of both benign and malignant lesions by the freezing and re-thawing process. Applying liquid nitrogen does flatten out the keloid scar and is effective, but the side effect of this treatment is hyper-pigmentation after the fact.

• Interferon:

Interferon is being used with some success with keloid scars. Interferon has been evaluated for efficacy in managing many diseases that involve the immune system. Injections of interferon into the actual keloid have shown promise in reducing the size of keloids, though it's not yet certain whether that effect will be a permanent result.

• Pulse-dye Lasers:

Pulse-dye lasers are also another method of reducing the sign of the keloid scar. These lasers tend to soften up the excessive scar tissue with making the scar flattened and less red. This treatment is very safe and not very painful; however it might take several treatments to see an improvement.

• Silicone Sheeting (ReJuveness):

Silicone sheeting has helped many patients with their keloid scarring, however this method of treatment takes several months of wearing a sheet of silicone gel. Some doctors prefer “compression bandages” which have helped some see a positive end result. Both methods require a lot of time and patience on the part of the patient.

Silicone Sheeting has been around since the early 1980’s, and some patients have seen a remarkable difference in the appearance of keloid or hypertrophic scarring. Silicone sheeting is soft and pliable and will mold to any part of the body.
ReJuveness Silicone Sheets can also last up to 6 months or has been proven effective on old raised red scars (up to 20 years old) as well as newly formed scars.​

• Silicone Sheeting

 

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Silicone Sheeting for the Treatment of Scars

Image courtesy of Scar Site
Image of how Silicone Sheeting works​

• ReJuveness Silicone Sheeting:

ReJuveness silicone sheets are made of USP medical grade six-silicone which can be cut to any size and shape. ReJuveness is soft and pliable and easily conforms to any body part. ReJuveness is proven effective at healing and preventing hypertrophic and keloid scars resulting from burns, plastic surgery procedures, surgeries, acne, cuts and abrasion.

Image courtesy of Rejuveness​

• Silcone Silicone Sheeting:

Oleeva Clear Transparent Silicone Sheeting is a silicone sheeting offering transparency and remarkable stretch and conforming characteristics.

Oleeva Fabric Silicone Sheeting with Fabric Backingis a silicone sheeting with a fabric backing. The silky fabric backing makes it easy to wear under clothing, it also reduces shear force and edge roll-up when used under pressure garments.
Oleeva Scar Shapes Precut Shapes for Scar Management Following Surgeryare made from Oleeva Fabric and shaped specifically to treat scarring from breast, abdominal and other surgical procedures. The designs of these products ensure proper placement and coverage.

Image courtesy of Oleeva Scar Management Sheeting​

• Syprex Silicone Sheeting:

Syprex scar treatment sheet is the most cost effective scar care product available when compared to other scar management methods. Made in the USA of pure medical grade silicone, 0.6mm thick (the thickness of a credit card), soft and flexible.

Image courtesy of Syprex Silicone Sheeting
Syprex Silicone Sheeting​

• PMT Corp Silicone Sheeting:

Soft, reinforced silicone gel shapes that have been developed to soften and lighten hypertrophic and keloid scars. The GelShapes are specifically designed for the treatment of scars resulting from breast lifts,breast reduction, abdominoplasty, TRAM flap and C-section procedures.

Image courtesy of PMT Corp Silicone Sheeting​

• ScarEase Silicone Sheeting & Gel:

ScarEase Sheets and ScarEase Gel are indicated for use in the management of hypertrophic and keloid scars. When used following surgical procedures, ScarEase may prevent hypertrophic and keloid scarring. ScarEase Sheets may work better in certain cases, but have use limitations. Since ScarEase Sheeting is self adhering, it supplies gentle mechanical pressure on the skin surface. This is a benefit!

Image courtesy of ScarEase​

• Neosporin Scar Solution:

The thin, flexible layer of silicone in NEOSPORIN® SCAR SOLUTION® Silicone Scar Sheets covers and protects your scar like normal, healthy skin, significantly improving the appearance of scars.

Image courtesy of Neosporin Scar Solution​

• Curad Scar Therapy:

Clinically proven. Reduces raised, colored and keloid scars. Virtually invisible. Curad Scar Therapy Clear Pads are virtually invisible. They are perfect for any skin color as they blend with your natural skin tone.

Image courtesy of Curad Scar Therapy​

• Scar Gels and Creams

Over the Counter Scar Treatments

• Scar Guard:

Scar Guard offers four different treatments for the management of scars (old and new) – and is the most powerful and effective treatment developed. It is a clear liquid that forms a fine flexible film within a few seconds after painting it onto the scar. This film helps to protect the scar from irritation while delivering silicone cortisone and vitamin E throughout the day.

Image courtesy of ScarGuard​

• BioCorneum plus spf30

BiioCorneum is the only 100% Silicone Scar Treatment with an SPF providing UVA/UVB Protection. It minimizes the appearance of scars while protecting them from harmful rays from the sun. This product is only sold in physician offices and medspas, and comes in different product sizes 10g, 20g and 50g gel. BioCorneum dries within minutes forming an invisible silicone sheet over the affected area. This breathable, flexible, waterproof layer binds with the stratum corneum (the outer layer of dead skin cells) - providing hydration and protection to underlying tissue allowing the scar to mature through normal collagen synthesis cycles.

Proven clinical efficacy in both prevention and treatment, with over 1,800 patients in published clinical trials.

Image courtesy of BioComeum ​

• Kelocote:

Kelo-cote is a patented topical silicone gel for the management and prevention of abnormal scars in the form of hypertrophic scars and keloids.

Image courtesy of Kelo-cote​

• ScarFade:

In 1998, ScarFade was introduced in the form of a topical silicone gel which is applied like a cream. It forms a micro-thin layer of silicone on the scar.

Image courtesy of ScarFade​

• ScarEase:

ScarEase Gel can be used to manage both old and new scars resulting from burns, surgical procedures and traumatic events. Most people like ScarEase Gel better than ScarEase Sheets because it is "easier to use."

Image courtesy of ScarEase Gel​

• Syprex Scar Cream:

Syprex Scar Cream works to help flatten, even, and fade dark or discolored skin while providing healing qualities for scars - old or new, caused by acne, surgery or trauma to the skin and stretch marks. Results are permanent and may be seen in as little as 4-6 weeks with full results in 3-9 months.

Image courtesy of Syprex Scar Cream​

• ReJuveness Scar Cream:

ReJuveness Cream is a combination of recent advancements in lipid and trans-dermal technology. Post surgical patients and clinicians are reporting accelerated healing and in many a near scar-less appearance at the lesion site.

Image courtesy of ReJuveness​

• Other Topical Treatments

Other Types of Topical Scar Treatments:

• Mederma:

Mederma comes as a silicone gel and also a new cream, which has a SPF-30 in it to protect the scar from the sun. The main ingredient is Cepalin, which is a proprietary botanical extract which comes from onions.

Image courtesy of Mederma
According to a small pilot study evaluating topical onion extract as treatment for post-surgical scars – published by PubMed – August 25, 1999, authors B.A. Jackson and A.J. Shelton, found that this main ingredient in Mederma concluded the following:
“Topical onion gel extract was ineffective in improving scar erythema and pruritus in our patients.” Most patients who have tried Mederma have suffered some sort of allergic reaction to it because of the onion extract, making the scars more angry looking than before treatment.”​

• Vitamin E:

helps by working on the collagen fibers and makes a scar softer and more pliable. However, in a double blind study, found that Vitamin E was indeed ineffective in reducing the symptoms of a hypertrophic scar or keloid.

Licensed image for CosmeticSurgeryForums.com
Vitamin E Capsules​

• Bio-Oil:

Bio-Oil is a specialist skin care product that is recommended for scars, stretch marks, uneven skin tone, aging, and dehydrated skin. It is formulated for use on both the face and body. product has improved the appearance of regular scars tremendously; however has very little effect on hypertrophic scars or keloids.

Image courtesy of Bio-Oil​

• Retin-A Micro:

Retinoic Acid or Tretinoin is derived from Vitamin A. Retinol, which is a less potent form of Retin-A also has some very strong medical studies backing the effectiveness of this type of topical cream to help with scar formation.

Image courtesy of Retina-A Micro/Ortho


Retin-A or Retinoic Acid is a prescription formulation of Vitamin A.
It is marketed under the brand names of: ​

• Retin-A Micro​
• Renova​
• Avage​
• Tazorac​

There is also the less potent over the counter products called Retinol. After your surgical wound has closed up completely, applying Retin-A to the scar fades out the redness it might have and helps with exfoliating the area.

At first, Retin-A can actually make the area look worse with redness, flakiness and peeling, for up to eight weeks. But by 24 weeks, patients will see dramatic marked improvements. Retin-A along with the application of steri-strips helps with keeping tension off of the incision site, so a thin scar will form. ​

Other Links:

• Scar Photos from Various Surgeries​