Scarring, whether from planned surgical procedures or a sequela of inflammatory conditions such as acne, striae, burns or trauma, is often associated with considerable emotional impact. I've been using Tretinoin for the last 6 months now, so I wanted to update you all on how it's going. Follow post OP instructions until you get a full all clear from your doctor. After about a month of applying it once at night, I've noticed good results so far, with the color fading and the scars flattening out considerably. This paper focuses on a comprehensive and practical approach to classifying and managing scars in terms of colour and texture, and discusses topical treatments ac… Retin-A for Scars Function. On a less anecdotal point, I also have small burn marks on my left cheek that were pigmented and slightly raised. One of the tretinoin creams is used to treat fine wrinkles, dark spots, or rough skin on the face caused by the damaging rays of the sun. I've just had surgery that had left a 2.5 inch scar on the side of my neck. In a study published in 1995 in the Journal of International Dermatology, researchers found that applying tretinoin to atrophic scars twice a week over three months improved scars in 93 percent of the 28 patients in the study. The goals of the treatment are to prevent infection and provide a better environment for faster reepithelialization of the wound. Results: The silicone gel and tretinoin cream effectively prevented hypertrophic scars and keloids and improved scar effects in the two treatment groups compared with those in the control group. It was deep enough to require stitches and left a slight scar. This is the time when doctors typically recommend massage of a surgical scar to help soften it and prevent excess contracture." Within weeks, you'll notice acne scarring is reduced and any uncomfortable itching has probably subsided. The silicone gel and tretinoin cream effectively prevented hypertrophic scars and keloids and improved scar effects in the two treatment groups compared with those in the control group. Retin-A, also known by its generic name tretinoin, causes dead skin cells to flake off at an accelerated rate,... Retin-A and Scars. It's still healing and you'd be surprised at how much it can fade with just time. I have Mederma PM, which acts as a quasi moisturizer, that I've been hesitant to throw on afterwards. Studies. If you’re suffering from a rogue quarantine breakout, retinol can help get rid of those pimples (and the scars they leave behind) right away, when combined with other anti-acne products. There are many cosmetology centres in Delhi where you can take … I've just had surgery that had left a 2.5 inch scar on the side of my neck. It's waaay too early to be applying stuff to your incision. I applied multiple times per day for about 10 weeks and it helped with the color significantly. A study conducted by the Department of Dermatovenerology at the Sarajevo University Hospital Center showed that tretinoin successfully treated acne scars in 79 percent of patients. Ask any questions, stay moisturized, and may your Purge be swift! I asked my derm if tretinoin would fade them but he said it was unlikely due to the nature of the scar and how scar tissue works. 2- What're some reasonable results to expect if I continue daily use of Tretinoin at the 3 month mark (2 months from now), 6 (5 from now) and year marks? Use tretinoin once or twice a day after washing with a mild cleanser. Tretinoin is a prescription cream that is used to lessen wrinkles, decrease acne and reduce acne scarring. Pat your face dry with a clean towel and then wait 20 to 30 minutes to be sure the skin is thoroughly dry. During the procedure, a hole is punched in the skin. At the point I started tret it was already several years old but I haven't seen any progress with it. Ask any questions, stay moisturized, and may your Purge be swift! From month four to 12, the scar is remodeling into its final form. tretinoin scar removal A 19-year-old male asked: i have this dark spot on my forehead that won't go away no matter how much i put scar removal or dark spot removal cream on it. I cant find any info regarding when it's okay to put tret on the scar, anyone experienced with this, did you think it was beneficial? Various sunscreens with high SPF rating. It's quite neat and healing well 2 weeks later. Even then I was just using vitamin c serum. Jess Wilson was prescribed retinol for a quarantine breakout last May, and her skin cleared in just weeks. Tretinoin was once the most commonly used topical retinoid for the treatment of acne, but newer retinoid medications (eg. I didn't think my acne scars would ever fully go away, but here I am 10 months later with massive progress and hope! Thanks, yes I think you're right, I wont be putting anything except basic moisturiser and spf on it for now. Doctors give trusted answers on uses, effects, side-effects, and cautions: Dr. Akin on tretinoin scars: Effective treatment of your acne will prevent additional scarring. it hasn't always been there though i'd say it came about a year or 2 ago, i'm aware that laser removal is an option but i don' Tretinoin for Scar Removal Back in April I was attacked by my fathers dog and suffered a traumatic wound to my nose that left two noticeable scars and one less noticeable scar. Tretinoin works by peeling the upper layer of the skin. New comments cannot be posted and votes cannot be cast. In this video, we tell you the creams you can use to reduce the appearance of scars. By removing dead skin cells from the face and replacing them with newer, fresh skin cells, tretinoin can improve acne and reduce some signs … For those interested in the damage done and timeline of healing: 2 Months ago, 8-10 weeks into healing process from initial attack, 2 days ago, almost 4 full months since the attack. They're not pigmented but are raised. Citing Literature Number of times cited according to CrossRef: 17 Currently using 0.01 gel. I'm also using tret mainly for acne, so getting rid of the scar isn't my main priority. It works partly by keeping skin pores clear. Keloid scars occur when the skin overreacts to the injury, after which they grow and darken. I've heard that people don't see progress with wrinkles until the 1 year mark though so it's possible it may just take longer. I've had them for more than 15 years and they've never faded (though I got pico laser on them a couple weeks ago and that removed the pigmentation entirely). Constantly applying the cream will cause the scar to be less prominent. Tretinoin works by regulating the speed at which your body replaces old skin cells—a process known as skin cell turnover. Tret hasn’t removed the scar, but it has reduced discoloration and unevenness for me without a doubt. I know I should consult with a doctor, buy my family are pushing me to look for a surgical or medical scar, keloid removal treatment. A study from 2004 shows that regular use of 0.05% tretinoin gel, often in combination with a 5% trichloroacetic acid (TCA) solution, can produce some flattening of acne scars. If you have deep, depressed scars, punch-graft surgery may help. Back in April I was attacked by my fathers dog and suffered a traumatic wound to my nose that left two noticeable scars and one less noticeable scar. Conclusion To prevent hypertrophic scars and keloids and improve scars after surgery, application of a silicone gel retin a for keloid scars a tretinoin cream to the wounds is needed. The best treatments for getting rid of scars, according to dermatologists, using silicone-based sheets and gels like ScarAway, Strataderm, and Kelo … I will be, dont intend to rely solely so reddit advice. At this point, continue using the medication until otherwise directed by your doctor. I didn't put anything on mine for almost 9 months. Thankfully, there was no structural damage. A scar can be treated by topical creams like tretinoin, vitamin c or dimethicone based creams minor procedures like dermarollers, chemical peels, subsicion etc Lasers Scar revision surgery( also a minor day time procedure, done under Local anaesthesia) Lasers and scar revision surgery will give good result in your case. I'm only 9 months in though and I've read that people don't begin to see progress with wrinkles and atrophic scarring until the 1 year mark, so I'm not totally discouraged yet. However, no significant difference was noted between the two treatment groups. Not exactly a surgical scar, but I have a 1'' scar above my left eyebrow from an accident. The procedure has already caused enough trauma. According to this study, the best results occured in relatively young scars, with superficial and ice pick scars usually improving the most over the course of treatment. Adapalene, Tazarotene) are now becoming more popular. From the side effects to the results. 1- I was wondering if there is anything I could do in order to help with the effects of the tretinoin aside from continuing to use it daily at night and with Mederma SPF 30 during the daylight hours. After a 10-12 week waiting period, in which I used primarily Mederma, Strataderm and Mederma SPF 30 as topical to assist in healing, I was given .05% Tretinoin by my dermatologist in the middle of July. Tretinoin (Renova, Avita, Retin-A, Atralin) cream. By three months, a scar is strong enough to hold the skin together. Is Tret on its own enough? 0.1% tret on a 2 week old incision is probably going to disrupt the healing process. Several studies have convincingly shown that pretreatment with tretinoin speeds wound healing. I think it probably helped mine though. My cleanser and moisturizer changes a bit as I am trying to get to HG status. I'm not sure if that would apply to the cut scars as well though. New comments cannot be posted and votes cannot be cast. But I'm not under the care of a dermatologist, tret self prescribed and I doubt my ENT doc will know the answer anymore than the collective knowledge of r/tretinoin. Press J to jump to the feed. If the scar is not deep, then it can be removed quite easily. Purely anecdotal, but I have a deep scar above my left eyebrows and on the side of my nose from a bad fall (hit my head on the edge of a sharp counter) and they haven't changed at all in the 3 months I've been on tret. If you wish, a dermatologist can make scars less visible using a laser, microsurgery, injections and/or dermabrasion. 9 months does sound like a long time though. ... Surgical Acne Scar Treatments (5) Although tretinoin was originally developed as a treatment for acne, several studies suggest that it can also help to heal acne scars. How Does Tretinoin Work for Acne Scars? 1,2,3 Kligman and associates evaluated healing after punch biopsy and found the wounds on arms pretreated with tretinoin cream 0.05% to 0.1% were significantly smaller – by 35% to 37% – on days 1 and 4, and were 47% to 50% smaller on days 6, 8, and 11, compared with the untreated arms. Thankfully, there was no structural damage. To prevent hypertrophic scars and keloids and improve scars after surgery, application of a silicone gel or a tretinoin cream to the wounds is needed. That said, I cannot say for certain which products have helped, but I use the following regularly: Hada Labo Gokujun Premium Lotion (It’s really a thick toner) AM and PM after cleanser. Tretinoin cream is a topical derivative of vitamin A, which is used to treat acne but also has many properties that can help fade discolored skin and other certain types of scars. Generally tretinoin is an effective acne scar treatment. Looks like you're using new Reddit on an old browser. Press question mark to learn the rest of the keyboard shortcuts. Tretinoin (Retin-A) is a topical retinoid that is used as a treatment for active acne symptoms and minor acne scarring. I have like 3-4 hypertrophic scars and have been curious if it would work on me. Squalane Oil (as needed if I feel my moisturizer needs some oomph). If you don’t want to treat your scar through lasers or surgery, then Tretinoin cream .025 will be a right choice for you. These treatments remove the outermost layer of the skin and promote collagen production. As a result, patients often seek the advice of physicians regarding scar revision. The site may not work properly if you don't, If you do not update your browser, we suggest you visit, Press J to jump to the feed. It's quite neat and healing well 2 weeks later. Place a pea-size amount on your fingertips and smooth over your acne scars. Retin-A is probably most effective against post-inflammatory hyperpigmentation and shallow scars. Does me derma really work as people say ??? The scar … Scars are a common complaints especially after acne has resolved. I have a dog bite scar on my upper lip, and I’ve noticed that it has flattened out and the skin feels softer since taking skincare seriously. Press question mark to learn the rest of the keyboard shortcuts. I cant find any info regarding when it's okay to put tret on the scar, anyone experienced with this, did you think it … The first three months involves the formation of the scar to seal and heal the injury. Surgical options for acne scars include punch techniques, excisions, and subcision. If the acne scar isn’t very deep, topical treatments such as tretinoin topical (commonly known as Retin-A), microdermabrasion, or chemical peels may work to minimize the appearance of scars. Tretinoin is used to treat acne or other skin diseases as determined by your doctor. A place for Tretinoin/Retin-A users, new and old, to discuss, ask questions, and enjoy the effects of Tretinoin! Conclusion: To prevent hypertrophic scars and keloids and improve scars after surgery, application of a silicone gel or a tretinoin cream to the wounds is needed. However, no significant difference was noted between the two treatment groups. Tretinoin on surgical scars, any experience or advice? Daily. I'm not sure about old scars. Due to the limitations of surgical techniques, many burn patients require additional treatment to improve the texture and appearance of their skin.10,11The use of topical tretinoin improves the appearance of keloids and hypertrophic scars and seems to increase skin elasticity in scar sequelae.12-15The topical use of tretinoin with glycolic acid in both restored skin and in grafted skin has been shown to increase … Grade 1 Acne Scarring This involves mainly surface and colour issues, with areas of scarring showing up as flat, pink areas, and in some cases brown (especially in darker skin types) or too white. But this scares me a lot. Tretinoin is a form of Vitamin A and is sold under a variety of brand names, including Retin-A, Renova and Avita. Scars can be unsightly and difficult to remove. 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