Simple, the treatment of hypertrophic and keloid scarring typically was to diminish the look of these scars by softening of the tissue surrounding the scar. Most treatments including light energies, medicines, and ablative devices did not work very well in releasing the hypertrophic tissue associated with these scars. Dermatologists used liquid nitrogen to diminish the scar with variable results but are limited by the size of the lesion, the need for several treatments, and a prolonged period of time to see results. Other therapeutic treatments including various laser light energies and corticosteroid injections have the inherent risk of skin atrophy and recurring keloids.
CryoShape™ was a medical device marketed in the United States with limited success but the concept remains today. Phlebotomy butterflies (1 port or 2 port) are now being used utilizing the same concept to ensure penetration of the inner scar tissue and can be used in association with commercial cryogen tanks or as part of the closed system. This concept has been performed since the 1990(s) in Europe, and will provide excellent thermal conductivity while easily penetrating the dense scar tissue. After anesthesia is administered the surgical session lasts only (5) to (30) minutes depending upon the presentation of the scar. The treatment is painless and very little post-procedure discomfort thus avoiding any type of suture or wound.
What this novel approach to hypertrophic scarring accomplishes is to induce necrosis of the inner scar tissue and leaves the surrounding skin and upper tissues undamaged. Initial destruction of dense disorganized collagen is followed by reorientation and restructuring of collagen as part of your normal dermal structure. The deep scar tissue is destroyed and the original skin pigmentation is preserved. Usually only (1) visit is necessary for a significant and immediate reduction in scar volume as evidenced in (9) out of (10) patients. There is minimal wound care needed post-procedure and the results are dramatic and long-term. Over 93% of patients have had significant improvement of keloid/hypertrophic scarring without recurrence. If redness is associated with the scar then IPL laser light energies are used to destroy the micro-vascular presentation associated with the scar.
Empire Medical Training now offers this information including protocols, white papers, videos, and other information associated with CryoShape™ as part of the Advanced Acne Therapies course and our Cosmetic Laser Certification course. Now there is a simple therapeutic remedy and a better way to treat hypertrophic and keloid scarring.
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