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Skin Care Routines and Treatments Module 05
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5. Module 05- Scar Treatments
Table of Contents 5. Module 05- Scar Treatments .......................................................................................................................... 1
5.1 Deep about Scar treatments ..................................................................................................................... 2
5.1.1 Types of Scar Treatments ................................................................................................................. 3
5.2 The Caveman Regimen ............................................................................................................................ 5
5.2.1 Theory behind the caveman regimen ................................................................................................ 5
5.2.2 The caveman regimen in practice ..................................................................................................... 6
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5.1 Deep about Scar treatments
Some people will develop scars after they’ve had acne. This is not always connected to the severity of the
acne they suffered from, as people have different responses to inflammation. Some people have a ‘secondary
inflammatory response’ to trauma, and they are more likely to get scarring after their acne has cleared up.
Those with a ‘single inflammatory response’ tend not to scar.
To prevent scarring, first try to clear the acne. It is very important that you do not pick at your skin, as this is
the main cause of scarring. Leaving your skin mostly untouched is the best way to prevent getting scars
when your skin clears up.
If, when your acne is cleared, and you find you have scars, you might choose to find treatment to reduce
them. It is important to remember that many scars cannot fully heal, but they can be improved. Experts
recommend that you do not take scarring too seriously, as it poses no threat to your health, and is often seen
more severely by the person who has the scarring than by others.
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5.1.1 Types of Scar Treatments
Topical creams: In gel, cream or liquid form, you apply them direct to the scar up to three times daily.
Alternatively, silicone gel sheets can be purchased and applied to the scar with pressure.
Microdermabrasion: Carried out at a spa or at the esthetician, it improves skin glow and texture. A
handheld vacuum pump creates friction against the skin with very finely ground crystals at very high speed,
which detaches some of the outermost skin cells.
Cryosurgery: In this type of treatment, cold liquid nitrogen gets applied to the scar for between 10 seconds
to 120 seconds. Sometimes steroid injections are also used. The liquid nitrogen freezes the scar and damages
the tissue. After the tissue dies it is sloughed off and the area becomes flat. Side effects can include
blistering and permanent lightening of the skin.
Skin rolling/needling: A needle-studded roller, tattoo gun without ink or a 30-gauge needle is used to
puncture the skin. This induces trauma, which is then healed with collagen remodeling. It can take up to a
year for results to be seen.
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Punch techniques: There are three types of punch techniques. Punch elevation cuts a portion of the scar
and levels it to the surrounding skin level. Punch excision removes the scar, and then the wound is stitched
up. Punch grafting removes the scar, and then replaces it with skin from another area in the body, such as
from behind the ear.
Steroid injection: Steroids can be injected into raised scars to interrupt the inflammation, thereby reducing
the scar.
Cytotoxic injection: An injection of antibiotics or cancer drugs is made into the scar to improve its
appearance.
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5.2 The Caveman Regimen
The caveman regimen is an unusual skincare plan that has recently gained attention in skincare online
communities in general, but particularly among those talking about acne online. Celebrities such as Alexa
Chung, Lady Gaga and Selma Hayek are said to follow this skincare regime. In this section we’ll discover
the theory behind the regimen, and what it is like to put it into practice.
5.2.1 Theory behind the caveman regimen
The caveman regimen has a few different variations. From the most extreme to the least extreme:
1. Not washing the face at all. Not letting water touch the face at all. Do not use any products on the face.
2. Washing the face with only water. Do not use any products on the face.
3. Washing the face with a gentle cleanser or soap, but very infrequently, such as once a week.
Some adherents of this regimen say that the more extreme the approach, the better the results.
The theory behind this skin regimen begins by talking about the acid mantle. The acid mantle is a protective
layer of skin that develops when you enter puberty. It’s made of sweat and sebum and it protects your body
from bacteria that could potentially invade your body and harm you. The pH of the acid mantle is 5.5, which
is slightly acidic.
The caveman regimen’s theory puts forward that we consistently strip the acid mantle from our skin by
washing it too often, using harsh chemicals with pH ratings that don’t suit our skin. This is one of the
reasons why the caveman regimen advises against washing the skin with bar soap, as it is alkaline, but rather
washing with a slightly acidic based product, if at all.
The theory goes on to postulate that as the acid mantle breaks down, the skin is less protected from irritation
and bacteria, and this leads to acne. Some people have even gone as far to say that sometimes we might
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create acne, or at the very least severely exacerbate it, through the irritation we cause our skin with cleansing
products and excessive washing.
To counteract this, the caveman regimen advises against washing the face at all, and against using any
products, even natural products, on the skin. The theory states that letting the natural oils and sweat build up
and protect your face will eventually make your acne decrease or go away altogether. This is letting the skin
heal itself without interfering in any way.
5.2.2 The caveman regimen in practice
The reason it is recommended that you don’t let water touch your face at all is because it can cause irritation.
In most places in the world, there are chemicals in the tap water, such as chlorine and fluoride, which can
harm the skin. In addition, water itself is quite drying. Washing with water on its own will dry the skin,
meaning that the skin will need moisturizer. As no forms of skin product are recommended during the
caveman regimen, it is better for the skin not to come into contact with water at all.
When you begin the caveman regimen, there will be a noticeable difference to the skin. For the first few
days, your face is likely to become very dry, very oily, or a mixture of both. Blemishes and zits may look
worse than they usually do, and you might suffer from breakouts. During this stage, it is especially important
that water is not used. Most acne sufferers wash their face twice a day and use a number of products to try to
heal their skin. As we stop doing so, the skin needs time to adjust. One of the first things it will do is
building up a dead skin layer, also known as a ‘dead skin mask’. This is not very noticeable, but may be dry,
flaky and itchy at first. Though this may give your skin a slightly rough appearance, it remains to protect
your skin as it heals, and it regulates sebum production.
Part of the theory behind this is that your skin renews itself every 28 days. Four weeks after beginning the
caveman regimen, your skin is likely to have improved significantly. At this point, some people choose to
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wash their face with a gentle cleanser to remove the dead skin layer, but others maintain it is more effective
to let your skin shed naturally. By this point, your skin is better able to regulate itself and produce the correct
amount of sebum you need without creating acne. Inflammation in the skin will decrease. Any spots or
blemishes you have will be smaller and will go away more quickly.
Some people are reserved about trying this regime for many reasons. One is that people may find it
unhygienic, and worry that without cleaning their face more bacteria and dirt will find its way into their
pores, causing acne. The theory behind the caveman regimen refutes this, though.
Other reasons include that women might want to wear makeup, and the caveman regimen is not compatible
with skin makeup (though eye makeup is fine). Men would have to use a beard trimmer on the closest
setting, rather than shaving as usual. The hair has to be washed very carefully to make sure water does not
touch the face. Though a couple of splashes do not matter much, you will want to avoid anything more than
that.
The caveman regimen is best alongside a healthy diet and exercise. Though irritation from the outside is not
always the cause of acne, it is often one of the factors keeping it going. That said, all other causes of acne
should also be explored, such as diet, lifestyle, stress levels etc.
During the caveman regimen, it is advisable to focus on your skin as little as possible. If necessary, avoid
mirrors. Not focusing on the acne helps to lower your stress levels and stay on track. Many people find it
difficult to ‘do nothing’ for their acne, especially if they’ve been used to trying many different remedies and
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strategies, but great reviews have been posted on acne.org, where this method is rated 4/5, and 63% of
people have rated it 5/5