Atrophic Scar Correction
What is an Atrophic Scar:
An Atrophic scar is a scar that has an inverted appearance.
Is this procedure age restricted?
We do require all clients under 18 years old to have consent from a parent or legal guardian. Identification is required as with all procedures for those under and over 18.
Do I need a consultation:
Yes, a consultation allows us to discuss your suitability, your medical history and health along with discussing the procedure, your aftercare and allowing you to ask any questions that you may have. An appointment must be pre booked and can be either in store or over the phone. We do offer the procedure on the same day as the consultation provide an email is sent with clear images prior and our inquiry form is filled properly. Please email for form.
The science behind the procedure in its simplest:
When a new piercing is placed in the skin, the underlying tissue heals and creates new tissue, this is the scar. The scar does not come from the upper most layer of the skin known as the epidermis, and the edges do not remain a 90 degree angle. The edges of the wound round down, effectively inverting the scar at the entrance and or exit. The centre of the piercing track being furthest from the edges tends to close the fastest in all standard piercing gauges, as it has less air to it and is moist in comparison to the outer edges. It's almost like the inside never truly heals. This is also why when a piercing placement has been worn for a long time, the passage may seem open from one end in oral piercings or both but not in the centre. In order for any wound to heal, it requires blood connection and supply. This means when we are reversing acne damage or a piercing scar, we must have two open wound edges to properly close the inverted scar tissue location. The scar cannot close on their own as it is the result of a healed wound. It can only shrink in diameter or depth at best. To close any atrophic scar tissue, all scar tissue must be removed as well as a small amount of healthy tissue for the two healthy edges to re seal. It is important to remember when considering this treatment that we are substituting one scar for a much better, less visible scar. Once the skin is damaged, it will always be damaged and there is no way to reverse this entirely. We can only minimise the appearance of the damage. (see image for results)
What alternative treatments are available for correction?
Acid and laser treatments are commonly used for scar treatment, however it is not suitable for near all piercing scars as a piercing scar is a true break in the skin. Acid and laser treatments are designed for more superficial scar tissue like minor acne and blemishes. In most cases these two treatment options require multiple costly treatments over a much longer time frame and may only soften the appearance rather than correct it.
How many treatments will I need?
The longer a piercing has been worn or a scar left untreated, the more tissue damage in surrounding skin will have been created from the scar. This creates both a case of muscle memory and weakness in the skin, resulting in both fine lines and wrinkles. The health of the skin and individuals age will also play a role in the final results. Depending on the scar tissue and each individual's desired results, a combination of treatments may be required. For example, if a client would like a truly flawless finish to improve surrounding skin tone and lines that may have resulted from the scar, then a combination of scar removal with a laser treatment like Fraxel may be the best approach. If the desired results are simply to remove the crater-like appearance, then laser would not be necessary. For acne and other non piercing related atrophic scars, only one treatment is commonly needed. For smaller piercing gauges (20ga - 16ga), only one treatment is needed. For larger piercing gauges (14ga - 10ga) it will depend on the location of the scar and the amount of scar tissue and stretch to the skin associated with the piercing. 1 treatment is normaly all that is needed but will be assesed prior. For piercing sizes larger than 8ga, alternative information is required as this is classified as reconstruction.
What is the healing like?
From the day of the procedure, there will be sutures left in the location for 7 - 10 days, depending on the correction. *Please note we do not offer dissolvable skin sutures as an option for cosmetic procedures, as they increase scar tissue development risks and increase risks of infection. Sutures are required to be removed after the 7 - 10 day time frame. Sutures are very discreet and a hair like thickness. Once feeling returns, a dull aching sensation is normal for 12 - 24hrs at maximum. After this it will go away and feel normal. Some light bleeding may happen on day one, not commonly after though. Bruising is always possible but most find it will be gone by day 2 and at very latest 14 days. There may be some tenderness to the area lasting around 14 days. More so when touched too much. The location should always be supported while sutures are in and for the following 1 - 2wks after removal. This can be done simply with a skin tone steri-strip.
When will I see results?
As soon as sutures are removed there is a noticable change, however the area will still be fresh. A more true to accurate results will be seen once the scar settles around 12 weeks. Before this, the location is still repairing rapidly. It will not be noticeable to others, but you may notice slight differences here and there. After 12 months, there will be very minimal change in the appearance, making your treatment to the location during the first year important for best long term results.
Consultation fee: $50.00 *Please note this fee is for your appointment and is required at time of booking to secure the appointment. No deposit, no booking, there is no payment required at the time of consultation. Treatment Price starts at $220.00. After a consultation Cherry will be able to give a set price for the procedure.