Wangsimni Dermatology: One-Day Papular Scar Treatment Using Potenza Radiofrequency

One-Day Papular Scar Treatment

Hello, this is Raon Dermatology Clinic in Wangsimni :)

Uneven skin texture and raised bumpy marks are often difficult to conceal even with makeup, making them a major concern. In particular, papular scars left behind after acne or wounds have healed do not subside on their own over time, which can feel especially frustrating! These changes can also reduce confidence in one’s appearance, but if you carefully assess the current condition and find an appropriate treatment plan, the process may not feel nearly as distant as it seems.

One-Day Papular Scar Treatment

What is a papular scar?

When people think of scars, they often imagine a depressed, sunken shape. However, there is also a type that rises above the skin surface. Medically, this is called a papular scar, and it typically appears as a white or skin-colored bump, mainly in areas with active sebum production such as around the nose or along the jawline. It can be understood as an abnormal healing result caused by excessive tissue growth during the inflammation subsiding process.

Papular scars tend to feel slightly firmer than the surrounding skin when touched, and even with time, they usually do not shrink and remain as they are. Because the nature of the tissue is fundamentally different from that of depressed scars, the treatment approach must also be different! It is easy to mistake them for ordinary acne marks or minor surface irregularities and leave them alone, but once they are established, it is important to remember that natural healing is difficult to expect.

What is a papular scar?

Why is treatment difficult?

Many people feel that improving papular scars is difficult because of structural changes deep within the skin. Looking inside the scar, collagen fibers are irregularly and densely intertwined, which makes medication penetration difficult, and because there is little blood vessel distribution, the regeneration speed itself is very slow! Since the already hardened fibrotic tissue reduces the skin’s flexibility, it is difficult to expect clear improvement with topical care alone.

In addition, a precise process is needed to lower the height of the raised area while matching the texture of the surrounding skin without creating a sense of mismatch. The more strongly the scar tissue is adhered to the surrounding normal tissue, the greater the technical skill required to separate and rearrange it! Due to these complex factors, satisfaction may be low with general laser treatment alone, and a method that directly stimulates the tissue itself must be used in combination to expect a positive prognosis.

<Why papular scar treatment is difficult>

• Scar tissue becomes firmly fibrotic

• Slow regeneration due to low blood vessel distribution

• Limited response to medication or laser

Why is treatment difficult?

How is it treated?

To manage raised tissue, methods using Potenza have recently been drawing attention. Potenza uses the principle of inserting micro-needles directly into the dermal layer to deliver radiofrequency energy! As the needles enter, they physically break apart the fibrotic scar tissue that has hardened together, and strong thermal energy is then delivered to induce remodeling of the abnormal collagen tissue.

Because only the targeted dermal layer is selectively heated while minimizing irritation and damage to the epidermis, the burden on recovery is relatively low. When energy is delivered to the precise depth, thermal coagulation points are formed, resulting in a gradual reduction in the enlarged scar volume. In addition, if regenerative ingredients such as Juvelook are injected in combination during the procedure, collagen synthesis becomes more active, and the skin texture can be expected to become even smoother and more refined :)

<Papular scar treatment using Potenza>

• Energy delivered to the precise depth

• Can be combined with Juvelook, etc.

• Minimal irritation and damage to the epidermis

How is it treated?

Can it improve with one treatment?

For busy modern people, the biggest question is whether a single procedure can deliver enough noticeable change. Fortunately, depending on the scar type and when it formed, there are many cases where a one-day treatment can produce satisfying results! If the scar is relatively new and the tissue has not yet become completely hardened, or if the papule is in an early stage with not much protrusion, even one intensive treatment can lead to a clear visual improvement.

The key here is how quickly the fibrotic tissue can be broken down and regeneration induced using micro-needles. Potenza’s thermal coagulation effect directly reduces the scar volume, and when regenerative ingredients such as Juvelook are appropriately used together, the density beneath the scar is filled in, making the flattening process faster :) Although results vary depending on each person’s regenerative capacity, if the conditions are right, it is entirely possible to ease the burden in just one day.

<Cases where one-day treatment is possible>

• The scar is relatively recent

• The papular elevation is not severe

Can it improve with one treatment?

When one-day treatment is difficult

On the other hand, if several years have passed since the symptoms appeared and tissue degeneration has become fixed, a more patient approach is needed. This is because older scars have extremely little blood vessel distribution, so the nutrient supply needed for regeneration is not smooth, and the tissue itself is very tough, making it more resistant to treatment! In such cases, repeated procedures of two to three sessions or more are needed to gradually break down the layered fibrotic tissue and repeat regeneration until a smooth result is achieved.

If you want to know whether your scar is suitable for one-day treatment, it can be helpful to try a simple finger test. If the scar area moves smoothly together with the surrounding skin when gently pinched with your finger, you may see a significant effect even with same-day treatment. But if the scar feels hard and separate on its own, that is a sign that a more comprehensive plan is needed! No matter the condition, if the tissue characteristics of each individual are accurately identified and delicate energy control is provided, even long-standing marks can be overcome sufficiently :)

When one-day treatment is difficult

One-Day Papular Scar Treatment