{"id":1155,"date":"2019-10-09T11:21:58","date_gmt":"2019-10-09T00:21:58","guid":{"rendered":"https:\/\/pclscoffsharbour.com.au\/?p=1155"},"modified":"2020-06-05T14:05:20","modified_gmt":"2020-06-05T14:05:20","slug":"scarless-surgery","status":"publish","type":"post","link":"https:\/\/pclscoffsharbour.com.au\/scarless-surgery\/","title":{"rendered":"Scarless Surgery!"},"content":{"rendered":"\r\n

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

\"\"
Before Surgery<\/figcaption><\/figure><\/div>\r\n\r\n\r\n\r\n
\"\"
After Surgery<\/figcaption><\/figure><\/div>\r\n\r\n\r\n\r\n

The intradermal naevus<\/strong> is a mole which appears clear,\r\noriginating in the deep dermis and slowly increasing in size to finally project\r\nthrough the epidermis.<\/p>\r\n\r\n\r\n\r\n

The Carbon Dioxide laser<\/strong> is a high precision\r\ninstrument which gives us the ability to remove the microscopic epidermis, and\r\nwith it, the epidermal part of the intradermal naevus.<\/p>\r\n\r\n\r\n\r\n

As the epidermis heals by regeneration, no scar is produced,\r\nas shown in the before and after photographs below.<\/p>\r\n\r\n\r\n\r\n

The dermal component of the intradermal naevus is left in\r\nsitu.<\/p>\r\n\r\n\r\n\r\n

Long-term follow-up confirms the lack of recurrence of this\r\nproblem with this treatment.<\/p>\r\n\r\n\r\n\r\n

An extreme version of this treatment is used in carbon dioxide full-face resurfacing where the skin of the entire face is treated with the carbon dioxide laser for exceptional results.<\/p>\r\n","protected":false},"excerpt":{"rendered":"

Is it possible? Yes it is, and has been practised at this Centre since 1996! What is the secret? A thorough understanding of the structure […]<\/p>\n","protected":false},"author":2,"featured_media":1725,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[18,19,20],"tags":[],"yoast_head":"\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\n\n\t\n\t\n\t\n