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NEW YORK, May 27, 2003

Preventing Those Ugly Scars
===========================
Dos And Don'ts To Help Wounds Heal
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By Tatiana Morales
 

(AP / CBS)
Special Report Summer Section

A roundup of stories with advice to keep you safe, stylish and
well fed this summer.
(CBS)  Scars are mainly collagen, a protein that's found in the second
layer of your skin. When you suffer any cut or scrape that's beyond
superficial, you cut down to this second layer, exposing the collagen,
which is then allowed to come to the skin's surface.

The key to preventing scars is to break up the collagen and not allow
it to bond to your skin's top layer.
Although it is possible to lighten, or even get rid of an old scar,
your best move is to stop scars before they form. Liz Vaccariello,
Fitness magazine executive editor, has six do's and don'ts for
everything from acne scars to cuts from kitchen accidents.

DON'T Use Hydrogen Peroxide: Who doesn't love those little bubbles
that froth up over a cut when it's swabbed with hydrogen peroxide? The
bad news is that while the solution cleans, it also destroys new skin
cells that immediately begin to grow when you hurt yourself. This
slows down the healing process and gives scars a greater chance of
forming.
DON'T Treat With Vitamin E. Vaccariello said she had been told her
entire life that vitamin E prompted healing, but more recent studies
show that it, like hydrogen peroxide, actually impairs healing. To
make matters worse, about one-third of people will develop an allergic
reaction to vitamin E.

DON'T Expose To Sun: Not only do ultraviolet rays slow the healing
process, the can discolor the scar. The sun stimulates the cells that
produce pigment, and when your skin is sensitive and healing, it's
prone to discoloration. Cover the area with SPF higher than 15.
DO Cover A Cut: Many people are confused by this tip, is it best to
let a cut "breathe," or should you always stick a Band-Aid over it?
The answer is - go with the Band-Aid. When you don't cover a cut, it
dries out and scabs over. This scab is not a good thing; it only
presents a barrier to healing. You want to keep a cut moist and
prevent a scab from forming. Vaccariello advises treating cuts with
Neosporin and covering with a band-aid for a week. Then continue to
dab the wound with Vaseline or something similar and keep covered
until new skin begins to grow.

DO Place Pressure On Cut: You know how sometimes when you lightly run
your fingers over your skin, you can feel your scars? You can go to
the store and buy special pads that apparently serve to flatten scars;
they don't allow the collagen to pop up above the skin when a wound is
healing. Some examples of these pads are: Curad Scar Therapy Cosmetic
Pads, ReJuveness Pure Silicone Sheeting, Scar Fx and Sypres Scar
Sheets.
DO Massage The Wound: Once new skin has grown, massage the mark. This
helps break down the dense bonds of collagen. If they are not allowed
to take hold, the appearance of the scar will be much less noticeable,
or may not form at all. Massage - with lotion - in a circular motion
for 15 to 30 seconds a few times a day. One lotion to try is Mederma.
It's a nonprescription ointment that contains onion extract and has
been shown to inhibit the formation of collagen. There are lots of
other products for sale that promise to lighten or prevent scars,
however, no studies show that they are effective.

All of these DOs and DON'Ts apply to preventing new scars. What about
old battle wounds? Your only real option for these marks, Vaccariello
said, is laser surgery.
There are new treatments out there, and specific laser treatments are
especially designed to treat certain scars. Some help smooth and
remove redness, others are perfect for acne scars, and still others
vaporize shallow scars and allow smoother skin to grow.

Ask your doctor what's right for you. The thing to remember here is
that these treatments are expensive - anywhere from $300 to $600 a pop
-- and you will need multiple treatments to make a scar lighten or
disappear.
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