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Icepick scars are narrow, deep scars in the skin that form a hole or V-shape. Boxcar scars are square-shaped depressions with sharply defined edges. Rolling scars have sloping edges.
The vitamin C cream includes azelaic acid, an ingredient that “prevents acne scars from getting darker and helps to fade dark and pink spots over time,” says Dr. Shainhouse.
The exact mechanism of action of silicone gel sheeting has not been fully studied. Currently, many proposed mechanisms explain the efficacy of such treatment, including the occlusion and hydration effect, increased body surface temperature, polarized electric charge, immunological effects, etc. [9] The occlusion and hydration effect is the most studied mechanism of action.
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Mederma is a topical product used to improve scar appearance. It is a gel based on an onion extract. Mederma is product of HRA Pharma, a division of Perrigo. A Mederma marketing claim is that the product can can make scars "softer, smoother, and less noticeable". [1]
Single or multiple z-plasties can be used. Specific modifications include the double-opposing z-plasty (sometimes called a "jumping man" flap) which can be useful for release of webbing of the medial canthus or release of 1st web space contractures. It is one of the techniques used in scar revision, especially in burn scar contracture.
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