Is it possible?<\/strong>
Yes it is, and has been practised at this Centre since 1996!<\/p>\r\n\r\n\r\n\r\n
What is the secret?<\/strong>
A thorough understanding of the structure of skin is a requirement.<\/p>\r\n\r\n\r\n\r\n
The skin is made up of a microscopic superficial layer\r\ncalled the epidermis and a deeper thicker layer called the dermis.<\/p>\r\n\r\n\r\n\r\n
The epidermis<\/strong> consists of mainly basal cells which\r\nare the basic skin cells, and melanocytes which produce pigment to protect the\r\nskin cells.<\/p>\r\n\r\n\r\n\r\n
The dermis <\/strong>has a scaffolding called the extracellular\r\nmatrix (ECM) on which are deposited the myriad structures and cells of the\r\ndermis. The ECM gives strength to the dermis but also the ability to form scars\r\nas a result of injuries such as surgery.<\/p>\r\n\r\n\r\n\r\n
The epidermis on the other hand does not have an ECM and\r\nhence does not cause scarring with injuries; instead, it heals by regeneration.<\/p>\r\n\r\n\r\n\r\n
Hence, to have scarless surgery, the injury needs to be\r\nlimited to the epidermis.<\/p>\r\n\r\n\r\n\r\n
Below are examples of a patient with intradermal naevi\r\ntreated with the carbon dioxide laser with very good results, showing adequate\r\nremoval of the lesions and with no scar production.<\/p>\r\n\r\n\r\n\r\n