Dermopigmentation: Postsurgical scarring

Dermopigmentation: Postsurgical scarring

Cosmetology and plastic surgery not always can help to hide aesthetic face and body defects, such as scars, depigmented skin spots, partial alopecia. In these cases, the method of cosmetic dermopigmentation is used more and more often.

Plastic surgery, as it was told above, allows correcting crude aesthetic defects. But, unfortunately, appearing of postsurgical scars is one of the undesirable side effects of a plastic surgery. It is possible to correct some of them with the help of cosmetic care, but the others can be mased only. In these cases aesthetic and artistic dermographia can help. The more is contrast between healthy skin color and scar color, the more expressive the result is. Of course, it is necessary to mention that the result of filling aesthetic defects with the help of tattoo will look like a toner any way.

This skin area will not get a tan and in case of any change of healthy skin color it will be notable. There was an occurrance in our practice when after a huge crash 70% of the patient's facewas covered with cicatrical tissue. By the method of dermopigmentation the cicatrical tissue was painted like healthy skin. It gave fantastic cosmetic effect.

Here we can rate depigmented or cicatrical spots that appear after deleting skin formations by laser (molesarethemostoften). Thisspots are being filled with the help of dermopigmentation like healthy skin or a deleted mole can be re-established.

SUMMANDS OF SUCCESS

It is necessary to warn the patient about a possible additional correction (80% of cases) as pigment on the areas, where the skin is changed by connective tissue, is passed too bad. Often success depends on the home care after the procedure. Painstaking fulfilment of the specialist's prescriptions leads to smooth and neat tissue renewal and reduces the risk of complications (repeated infection and scarring).

STAGES OF THE PROCEDURE

Pigment matching is the first and very important stage. Specialst estimates healthy skin color and injuried area color. The selected pigment should be a little warmer than the healthy skin color, warm tints should dominate (yellow, orange) as it is important to remember that pigment will loose part of its warm colors after the tattoo healing and skin renewal.

Almost all the manufactures produce special collections of pigments for aesthetic dermopigmentation. Usually there are about 20 tints and it makes it possible to match a color for every kind of skin. Of course, accuracy of matching depends on the specialist experience. Pigment density defines the density and brightness of the area where it will be plotted. The more the contrast between the healthy skin and the injuried area is, the densier the pigment should be. It is necessary also to take into account the tint of the injuried skin (if it has). You can make a test on the first procedure. The matched pigment is being plotted on the small area and the result is being estimated after the total recovery. After the necessary corrections the specialist can fill the whole injuried area.

After the pigment selection it is necessary to select the method of plotting and prepare the equipment.

There are several main techniques used for dermopigmentation: contouring, filling, stumping. During the procedure specialist can choose one of them or their combinations. Contouring is used to make an accurate form or to plot the lines. It is used for lips, areola and hair imitation tattoo.

Filling makes it possible to fill required skin area homogeneausly. It is used in almost all kinds of the procedures.

Stumping is necessary to create a gradual crossing between the filled and healthy skin and for thin fillng as well.

Soreness is inevitable due to the fact that dermopigmentation process is connected with tissue injury, vessels and effectors. Power of pain sence depends on the individual pain limit, general physical and mental status etc. Methods of local anaesthesia (application and injectable) are used to make the procedure as comfortable as it is possible. For the application anaesthesia the cream "Emla" is being used. The cream is applied on the work area and is covered with the special "Tagoderm" plaster. (The cream "Emla" is interesting because of two anesthetics it contais - lidocaine and prilocaine. It provides maximal skin penetration due to the fact that it turns to the emulsion at a temperature of 25° С and due to the great amount of water it penetrates deeply into the skin). Such a bandage creates the necessary greenhouse effect that partly reduces the skin barrier function.

It is necessary to mention that each patient who comes to dermopigmentation specialist to delete aesthetic defects waits for a 100% result. Unfortunately there are a lot of unpredictable moments while working with skin, as it is live and "capricious" material. The success depends on the mutal understanding and trust between the specialist and patient. Patient should have maximum of the information about the procedure, clear envisage each stage of the procedure and realise the importance of the home care after the procedure. It is importante to explain to the patient specific features ofthe pigment choice taking into account color regulators they contain.

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