hypertrophic-scar

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Got the dreaded piercing bumps? Save yourself some time and watch this instead of asking us. 

- kat

I've Made A Treatment Plan!

For my hypertrophic scar. An unfortunate and unexpected result of my navel piercing, but usually not permanent.

In the mornings I’m going to do a 5 minute hot water sea salt soak, followed by a little bit of tea tree oil. Then at night, before bed, I’m gonna apply some 1% hydrocortisone cream, because I’ve heard that helps.

If anyone has successfully gotten rid of one of these scars, I’d love to hear what worked for you!

UPDATE: This has worked wonderfully, and my scar still has redness but it is practically flat. Just be careful with the tea tree oil. I didn’t find it drying, but a lot of people do, so use it sparingly!

anonymous asked:

So what should I use to get rid of acne scarring fairly quickly?

honestly there’s no way to get rid of acne scarring quickly. the time and extent to which ur skin will heal really depends on your genes, how deeply into your skin the scar tissue goes, and the type of scar left behind– there is a big difference between acne marks and bone fide acne scars
acne marks can be divided into two categories: post-inflammatory erythema and post-inflammatory hyperpigmentation.
-post-inflammatory erythema, or PIE, usually appears on the skin as pink, red, or even purple marks following acne lesions and can take up to several months to disappear naturally. PIE stems from the body’s natural increase in hemoglobin to the inflamed area, and as such will be more prominent on lighter skin tones. Since it is a vascular response to skin trauma or injury, PIE is best treated by focusing on reducing skin stressors and adding ingredients that are anti-inflammatory. This means preventing further damage from free radicals by using sunscreen, avoiding physical scrubs that will exacerbate the wounds already caused by your acne (this includes trying to pick at your blemishes), and protecting your skin barrier by using low pH cleanser. Look for products with niacinamide (you’ll probably need a concentration of at least 4%), vitamin C (for success in fading PIE, look for at least 20% concentration of L-ascorbic acid, or azelaic acid which has been shown to reduce redness), retinoids (these work by stimulating collagen to mask the damaged capillaries that cause PIE, but since retinoids can cause redness it might not be the best option), and green tea and camellia extracts. realistically tho, the best cure for mild PIE is time. these marks arent permanent and usually go away within a few weeks 
-post-inflammatory hyperpigmentation (not the same as sun spots, freckles, or melasma) manifests as brown spots and fade even more slowly than PIE. PIH is caused by an overproduction of melanin, which is the body’s natural way of protecting damaged skin from further damage. as such, PIH is best treated by avoiding further UV exposure (i.e. broad spectrum sunscreen with at least spf 30) that could lead to an imbalance of melanocytes in the skin and ingredients that act as melanin inhibitors (just a psa im NOT talking about skin bleaching or lightening!!!! when i say melanin inhibitors, im referring to products that lessen the severity of our body’s natural reaction to injury, which is to send excess melanin to the affected area). just like for PIE, vit c, AHA, and vit a (like rosehip seed oil) work well for PIH (particularly at a higher concentration, like 20% for vit c and 30% for AHA). niacinamide (disrupts the transfer of melanin between cells) works particularly well with n-acetyl glusosamine or tranexamic acid to fade melanin-related discoloration. other ingredients that are effective for treating PIH inhibit the tyrosinase enzyme, which is responsible for melanin production. alpha arbutin (gentler form of hydroquinone; can be used to spot treat) and licorice root (due to its naturally occurring glabridin) work extremely well. kojic acid (can be found in fermented rice products) complements hydroquinone; however, hydroquinone is somewhat of a harsh treatment and may not be an option for darker skin tones as it has a tendency to create a lightened “halo” around the area that it’s applied to.
-acne scars occur because of tissue damage in the skin that caused an imbalance in collagen production during wound healing. these can appear as hypertrophic scars (most common on the chest and back and caused by overproduction of collagen) or atrophic scars (common aftermath of clinical cystic acne on the face and the result of an underproduction of collagen in the damaged skin). i honestly don’t know if there are any home remedies or over-the-counter products to improve these types of scars where textural damage is involved. the most effective treatments include lasers (work by restructuring collagen in the skin; but psa erbium laser resurfacing doesn’t work well for deeper skin tones), dermal fillers (these can range from hyaluronic acid to botox), and steroid injections (such as cortisone; these are especially effective for the tough, leathery scars known as keloids), all of which should be handled by a licensed dermatologist. there is some evidence that dermarolling (which is an at-home version of micro-needling) can help atrophic scars by creating microtears that stimulate the body’s healing mechanism of collagen production; however, the likelihood of damaging your skin and getting bacterial infections due to poor aftercare and sterilization are really high and i personally wouldnt recommend the practice.
regardless of what type of post-acne troubles ur having, pls be gentle and patient with your skin!💕💕💕

anonymous asked:

(Tw scars and tw burns) I have had 3 scars from getting burnt while cooking (they were 2nd degree burns) but they’ve healed well, without me doing anything (besides not picking at scabs). Can I assume my body will heal top surgery scars well? And do other methods of fading scars work? Natural ones like lemon juice etc

Jay says:

Past scars tend to be a pretty clear indicator of how future scars will look. Top surgery scars are different from burn scars, but the general process of healing is similar. If you have other surgical scars, or if you’ve had cuts that required stitches, those might be better indicators of your body’s scarring habits. 

Lots of things will help fade scars. Initially, some surgeons will recommend nothing but normal paper tape on the scars to prevent stretching for a few weeks, then switching to over the counter scar treatments. Using silicone scar strips, silicone gels, mederma and similar creams, and other topical things like that are probably the best. I’ve heard of people getting steroid injections for things like keloid and hypertrophic scarring as well but that’s not super common. Avoiding sunlight for the first year is one of the most important things though. The sun will make the new scar tissue heal worse. 

I’ve heard that you should avoid putting citrus on the skin because it makes the sun damage the skin more, so I’d certainly avoid putting lemon juice on top surgery scars if they’ll be exposed to the sun.

Keeping the scars hydrated (and nipple grafts especially, if you get the free type of nipple graft, because the grafting process can make the nipples lose the ability to hydrate themselves for a time) can help them heal better and keep you comfortable. 

Lee says:

I’m going to repeat something I’ve said before:

It depends on if you’re getting implants or having your breasts removed; there isn’t just one type of top surgery. And even then it depends on the type of procedure you get, how long you’ve been healing from it, and a bunch of different factors like how you take care of your scars and what type of scarring your body is prone to. For example, what your top surgery results look like after 1 month is pretty different than what they’ll look like after 5 years as your chest will have had time to settle, the swelling will be gone, and the scars will be healed more.

On the transfeminine side, the links Breast Augmentation and The difference between a MTF Breast Augmentation and a “Regular” Breast Augmentation should be helpful. You can look at transbucket or look at individual surgeon’s websites (Example) to see what their results and techniques are! Transfeminine top surgery scars are often less noticeable because they’re placed under the breast which hides them a bit.

We have a transmasc Top Surgery FAQ if you’re trying to get an idea of what the different types of procedures are or learn more about how to get top surgery. You can look at some transmasc top surgery pictures here if you want to get an idea of what it could look like after top surgery, or look at transbucket if you want to search by procedure type (you need to get an account to see the pics but that’s easy to do) or search “top surgery” on tumblr and filter it so it’s only photo posts.

The pictures below are of different people in the early stages of healing from transmasc top surgery (the ones with an asterisk are on transbucket, so you need to make an account to see those):

I’ve tried to include more pictures of trans people of color as there’s a lot of pictures of white ppl after top surgery you can easily find online. Also, scars often look different on a person of color especially because we tend to be prone to keloid scarring.

Here are some YouTube videos of people who have had top surgery:

The scars from transmasc top surgery again vary by procedure; peri-areolar is going to have a lot less noticeable scarring than a double mastectomy with grafts. The scars continue to fade after the early stages; most pictures online are the first year after surgery, but scars fade a lot more by the 4th and 5th year so what your chest looks like after 1 year isn’t the way it’ll always look.

Top surgery scars do fade and become less noticeable over time, but they don’t always fade completely even if you do everything possible in scar care because everyone’s body is different, and some people are more prone to keloid scarring and the like than others. If you look at The Complete Guide to Post Surgery Care, there’s some info on scar care, but there’s nothing wrong with having scars; some trans people are happy with their scars, and even proud of them!

Some people do find their scars fade away almost completely, but you can’t know for certain in advance what’ll happen to you, although how your body usually handles scarring is an indicator. If you need to explain away your scars, here are some other surgeries that leave similar scars!

Here are some videos and pics of people several years post-op when their results have had time to settle and scars have faded a bit:

  • This post is a transmasc person who covered their top surgery scars with tattoos
  • This post is a transmasc person 4 years after double incision top surgery
  • A video of someone 4 years post-op
  • A video of someone 4 years post-op
  • This is a video of someone 5 years post-op
  • A video of someone else 5 years post-op
  • This post is a transmasc person 5 years post-op after t-incision top surgery
  • A video of someone 7 years post-op
Classification of burns

Burns occur when some or all of the cells are destroyed by heat, cold, electricity, radiation, or caustic chemicals.

According to the depth of tissue injury: superficial or epidermal (first-degree), partial-thickness (second degree), or full thickness (third degree). Burns extending beneath the subcutaneous tissues and involving fascia, muscle and/or bone are considered fourth degree.

Superficial: only the epidermal layer is involved. They do not blister but are painful, dry, red and blanch with pressure. An example would be the sunburns.

Superficial partial thickness: Form blisters within 24hrs. Painful, red, blanch with pressure. Scarring is rare but pigment changes may occur. Fibrinous exudates and necrotic debris may accumulate predisposing to bacterial colonization.

Deep partial thickness: Damage hair folicles and glandular tissue. They are painful to pressure only, almost always blister. They don’t blanch with pressure. These burns cause hypertrophic scarring, if they involve a joing, dysfunctions are expected.

Full thickness: They destroy all the layers of epidermis and often the subcutaneous tissue. They are usually anesthetic or hypoesthetic. Hairs can easily be pulled. Blisters do not develop. Scarring is severe with contractures.

Fourth degree: Deep and potentially life-threatening that extend into underlying tissues such as fascia, muscle, and/or bone.

Death Note Theories: Color Symbolism and Facial Detail

Well, I just finished Death Note. Take that into consideration when reading these seeing as how I am new to the whole end of the anime thing. 

Unnamed Shinigami

Who is this? Most theories suggest that it is a reincarnated Light. Of course, this seems rather obvious, right? Possibly, due to Rule II: 

The human who uses the notebook can neither go to Heaven nor Hell.

It is said they go to nothingness. It is confirmed by Ryuk that there is no Heaven or Hell, finalizing the belief that you either go to nothing, or you are a shinigami, I suppose. 

Now, this may be just me being extremely detail oriented, but I can’t get past the line starting from the left of his jawline that leads up across his face to his right eye. Why? Because it is the remnant of a hypertrophic scar or hyper pigmentation. When I say scar, there is only one person I could be referring to:

It could also be his friend. Who knows? Once again, just messing around with theories. 

Color Symbolism

Ready for a theory most people always talk about? Color symbolism, which Death Note makes quite obvious. 

Red is the color of fire and blood, so it is associated with energy, war, danger, strength, power, determination as well as passion, desire, and love.

For the sake of it being Light, that fucking asshole, we will focus on the words strength, war, danger, power, passion, and determination, above all else. 

Whereas the latter color: 

Blue is the color of the sky and sea. It is often associated with depth and stability. It symbolizes trust, loyalty, wisdom, confidence, intelligence, faith, truth, and heaven. 

The thing is…Light and L aren’t the only characters who have had colors for thoughts. 

Near is blue as well. My theory? Red are characters that are dominated by thirst for power, strength, justice, and danger. Blue are characters dominated by wisdom, confidence, truth, and heaven (or the good side of things). 

Opposed to when in his usual thoughts when the red is quite literally only one shade of red other than the shading of his hair, his eyes are two shades when he is breaking down. They are dark red and almost a bit white.

Dark red is associated with vigor, willpower, rage, anger, leadership, courage, longing, malice, and wrath.

The episode before the second to last episode was called Malice, I’m pretty sure. But in his eyes? There is white.

White is associated with light, goodness, innocence, purity, and virginity. It is considered to be the color of perfection.

He is coming to his realization: His rage and willpower is overpowering his better judgement of a perfect society. It has completely taken over. 

Wow, this theory sucks. Well, whatever. Hope you enjoyed it anyways.

- Emily

anonymous asked:

in that acne scar post, u mentioned the different kinds of actual scars that are more common on my face versus body, do they look any different or is tje main difference under the skin?

hypertrophic scars (the ones that occur most commonly on the body) are the result of excess deposits of collagen, meaning that they appear as raised bumps. hypotrophic scars (the ones that occur more commonly on the face) are the result of mutilated subcutaneous fat and tissue and a lack of collagen during the healing process, appearing as depressed “potholes” in the skin

anonymous asked:

What is wrong with getting piercings done with guns?

What is the APP Position on Ear Piercing Guns?

It is the position of the Association of Professional Piercers that only sterile disposable equipment is suitable for body piercing, and that only materials which are certified as safe for internal implant should be placed in inside a fresh or unhealed piercing. We consider unsafe any procedure that places vulnerable tissue in contact with either non-sterile equipment or jewelry that is not considered medically safe for long-term internal wear. Such procedures place the health of recipients at an unacceptable risk. For this reason, APP members may not use reusable ear piercing guns for any type of piercing procedure.
While piercing guns may seem to be a quick, easy and convenient way of creating holes, they have major drawbacks in terms of sterility, tissue damage and inappropriate jewelry design. These concerns are addressed below.

Reusable ear piercing guns can put clients in direct contact with the blood and body fluids of previous clients.

Although they can become contaminated with bloodborne pathogens dozens of times in one day, ear piercing guns are often not sanitized in a medically recognized way. Plastic ear piercing guns cannot be autoclave sterilized and may not be sufficiently cleaned between use on multiple clients. Even if the antiseptic wipes used were able to kill all pathogens on contact, simply wiping the external surfaces of the gun with isopropyl alcohol or other antiseptics does not kill pathogens within the working parts of the gun. Blood from one client can aerosolize, becoming airborne in microscopic particles, and contaminate the inside of the gun. The next client’s tissue and jewelry may come into contact with these contaminated surfaces. There is thus a possibility of transmitting bloodborne disease-causing microorganisms through such ear piercing, as many medical studies report.

As is now well known, the Hepatitis virus can live for extended periods of time on inanimate surfaces, and could be harbored within a piercing gun for several weeks or more. Hepatitis and common staph infections, which could be found on such surfaces, constitute a serious public health threat if they are introduced into even one reusable piercing gun. Considering the dozens of clients whose initial piercings may have direct contact with a single gun in one day, this is a cause for serious concern. Babies, young children, and others with immature or compromised immune systems may be at higher risk for contracting such infection.
Additionally, it is not documented how often piercing guns malfunction. Some operators report that the earring adapter that holds the jewelry will often not release the earring, requiring its removal with pliers. These pliers, which contact contaminated jewelry immediately after it has passed through the client’s tissue, may be reused on multiple customers without full sterilization. Few, if any, gun piercing establishments possess the expensive sterilization equipment (steam autoclave or chemclave) necessary for such a procedure.

Piercing guns can cause significant tissue damage
.

Though slightly pointy in appearance, most ear piercing studs are quite dull. Piercings must therefore be accomplished by using excessive pressure over a larger surface area in order to force the metal shaft through the skin. The effect on the body is more like a crush injury than a piercing and causes similar tissue damage. Medically, this is referred to as “blunt force trauma.” At the least, it can result in significant pain and swelling for the client, at the most in scarring and potentially increased incidence of auricular chondritis, a severe tissue disfigurement.
Occasionally the intense pressure and speed of the gun’s spring-loaded mechanism is not sufficient to force the blunt jewelry through the flesh. In these cases, the earring stud may become lodged part way through the client’s ear. The gun operator, who may not be trained to deal with this possibility, has two options. S/he can remove the jewelry and repierce the ear, risking contamination of the gun and surrounding environment by blood flow from the original wound. Alternately, the operator can attempt to manually force the stud through the client’s flesh, causing excessive trauma to the client and risking a needlestick-type injury for the operator. How often such gun malfunction occurs has not been documented by manufacturers, but some gun operators report that it is frequent.

When used on structural tissue such as cartilage, more serious complications such as auricular chondritis, shattered cartilage and excessive scarring are common. Gun piercings can result in the separation of subcutaneous fascia from cartilage tissue, creating spaces in which fluids collect. This can lead to both temporary swelling and permanent lumps of tissue at or near the piercing site. These range from mildly annoying to grossly disfiguring, and some require surgery to correct. Incidence can be minimized by having the piercing performed with a sharp surgical needle, which slides smoothly through the tissue and causes less tissue separation. A trained piercer will also use a post-piercing pressure technique that minimizes hypertrophic scar formation.
Cartilage has less blood flow than lobe tissue and a correspondingly longer healing time. Therefore infections in this area are much more common and can be much more destructive. The use of non-sterile piercing equipment and insufficient aftercare has been associated with increased incidence of auricular chondritis, a severe and disfiguring infection in cartilage tissue. This can result in deformity and collapse of structural ear tissue, requiring antibiotic therapy and extensive reconstructive surgery to correct. Again, medical literature has documented many such cases and is available on request.

The length and design of gun studs is inappropriate for healing piercings.

Ear piercing studs are too short for some earlobes and most cartilage. Initially, the pressure of the gun’s mechanism is sufficient to force the pieces to lock over the tissue. However, once they are locked on, the compressed tissue cannot return to its normal state, is constricted and further irritated. At the least, the diminished air and blood circulation in the compressed tissue can lead to prolonged healing, minor complications and scarring. More disturbingly, the pressure of such tight jewelry can result in additional swelling and impaction. Both piercers and medical personnel have seen stud gun jewelry completely embedded in ear lobes and cartilage (as well as navels, nostrils and lips), even when pierced “properly” with a gun. This may require the jewelry to be cut out surgically, particularly in cases where one or both sides of the gun stud have disappeared completely beneath the surface of the skin. Such consequences are minimal when jewelry is custom fit to the client, allows sufficient room for swelling, and is installed with a needle piercing technique which creates less trauma and swelling.

Jewelry that fits too closely also increases the risk of infection because it does not allow for thorough cleaning. During normal healing, body fluids containing cellular discharge and other products of the healing process are excreted from the piercing. But with inappropriate jewelry, they can become trapped around the hole. The fluid coagulates, becoming sticky and trapping bacteria against the skin. Unless thoroughly and frequently removed, this becomes an invitation to secondary infection. The design of the “butterfly” clasp of most gun studs can exacerbate this problem. Again, these consequences can be avoided with implant-grade jewelry that is designed for ease of cleaning and long-term wear.

A further note on ear piercing studs:

Most ear piercing studs are not made of materials certified by the FDA or ASTM as safe for long term implant in the human body. Even when coated in non-toxic gold plating, materials from underlying alloys can leach into human tissue through corrosion, scratches and surface defects, causing cytotoxicity and allergic reaction. Since manufacturing a durable corrosion- and defect-free coating for such studs is extremely difficult, medical literature considers only implant grade (ASTM F138) steel and titanium (ASTM F67 and F136) to be appropriate for piercing stud composition. Studs made of any other materials, including non-implant grade steel (steel not batch certified as ASTM F138), should not be used, regardless of the presence of surface plating.

Misuse of ear piercing guns is extremely common.

Even though many manufacturers’ instructions and local regulations prohibit it, some gun piercers do not stop at piercing only the lobes, and may pierce ear cartilage, nostrils, navels, eyebrows, tongues and other body parts with the ear stud guns. This is absolutely inappropriate and very dangerous.

Although gun piercing establishments usually train their operators, this training is not standardized and may amount to merely viewing a video, reading an instruction booklet, and/or practicing on cosmetic sponges or other employees. Allegations have been made that some establishments do not inform their employees of the serious risks involved in both performing and receiving gun piercings, and do not instruct staff on how to deal with situations such as client medical complications or gun malfunction. Indeed, surveys conducted in jewelry stores, beauty parlors and mall kiosks in England and the US revealed that many employees had little knowledge of risks or risk management related to their procedure.

Considering that a large proportion of gun piercers’ clientele are minors or young adults, it is not surprising that few gun piercing complications are reported to medical personnel. Many clients may have been pierced without the knowledge or consent of parents or guardians who provide healthcare access. Therefore, the majority of the infections, scarring and minor complications may go unreported and untreated. Furthermore, because of the ease of acquiring a gun piercing and the lack of awareness of risk, many consumers fail to associate their negative experiences with the stud gun itself. They believe that, since it is quicker and easier to acquire a gun piercing than a manicure, gun piercing must be inherently risk-free. Often it is only when complications prove so severe as to require immediate medical attention that the connection is made and gun stud complications get reported to medical personnel.

Despite these pronounced risks associated with gun piercing, most areas allow gun piercers to operate without supervision. Recent legislation has begun to prohibit the use of guns on ear cartilage and other non-lobe locations, and the state of New Hampshire has made all non-sterile equipment illegal, but these changes are not yet nationwide. It is our hope that, with accurate and adequate information, consumers and the legislatures will understand and reject the risks of gun piercing in the interests of the public health.

References Cited:

  • Pediatric Emergency Care. 1999 June 15(3): 189-92.
    Ear-piercing techniques as a cause of auricular chondritis.
    More DR, Seidel JS, Bryan PA.
  • International Journal of Pediatric Otorhinolaryngology. 1990 March 19(1): 73-6.
    Embedded earrings: a complication of the ear-piercing gun.
    Muntz HR, Pa-C DJ, Asher BF.
  • Plastic and Reconstructive Surgery. 2003 February 111(2): 891-7; discussion 898.
    Ear reconstruction after auricular chondritis secondary to ear piercing.
    Margulis A, Bauer BS, Alizadeh K.
  • Contact Dermatitis. 1984 Jan; 10(1): 39-41.
    Nickel release from ear piercing kits and earrings.
    Fischer T, Fregert S, Gruvberger B, Rystedt I.
  • British Journal of Plastic Surgery. 2002 April 55(3): 194-7.
    Piercing the upper ear: a simple infection, a difficult reconstruction.
    Cicchetti S, Skillman J, Gault DT.
  • Scottish Medical Journal. 2001 February 46(1): 9-10.
    The risks of ear piercing in children.
    Macgregor DM.

anonymous asked:

what made you get rid of some of your piercings?

I got rid of my industrials (I had three, all at different times) and my cartilage piercing because I kept getting really bad hypertrophic scarring that wouldn’t go away. I still have leftover scarring. I got rid of my labret because the backing kept getting caught on my teeth when I ate and I was scared that I would accidentally rip open my lip.

This is not Penny related and tmi but I have an infected cyst in my leg and I can’t see the doc until Monday and I KNOW they’re gonna have to remove it… last time I got a cyst removed (FROM THE SAME LEG), it was NOT a fun experience. I get hypertrophic scars and the one I got from the removal took YEARS to fully heal.

I’m so prone to cysts, it’s why I don’t shave often, because I get ingrown hairs and those often lead to cysts in my case… *sigh*

Types of Wound Healing

1.) Healing by first intention

  • aka. primary wound healing or primary closure
  • Describes a wound closed by approximation of wound margins or by placement of a graft or flap, or wounds created and closed in the operating room.
  • Best choice for clean, fresh wounds in well-vascularized areas
  • Indications include recent (<24h old), clean wounds where viable tissue is tension-free and approximation and eversion of skin edges is achievable.
  • Wound is treated with irrigation and débribement and the tissue margins are approximated using simple methods or with sutures, grafts or flaps.
  • Wound is treated within 24 h following injury, prior to development of granulation tissue.
  • Final appearance of scar depends on: initial injury, amount of contamination and ischemia, as well as method and accuracy of wound closure, however they are often the fastest and most cosmetically pleasing method of healing.

 2.) Healing by second intention

  • aka. secondary wound healing or spontaneous healing
  • Describes a wound left open and allowed to close by epithelialization and contraction.
  • Commonly used in the management of contaminated or infected wounds.
  • Wound is left open to heal without surgical intervention.
  • Indicated in infected or severely contaminated wounds.
  • Unlike primary wounds, approximation of wound margins occurs via reepithelialization and wound contraction by myofibroblasts.
  • Presence of granulation tissue.
  • Complications include late wound contracture and hypertrophic scarring

3.) Healing by third intention

  • aka. tertiary wound healing or delayed primary closure
  • Useful for managing wounds that are too heavily contaminated for primary closure but appear clean and well vascularized after 4-5 days of open observation. Over this time, the inflammatory process has reduced the bacterial concentration of the wound to allow safe closure.
  • Subsequent repair of a wound initially left open or not previously treated.
  • Indicated for infected or unhealthy wounds with high bacterial content, wounds with a long time lapse since injury, or wounds with a severe crush component with significant tissue devitalization.
  • Often used for infected wounds where bacterial count contraindicates primary closure and the inflammatory process can be left to débribe the wound.
  • Wound edges are approximated within 3-4 days and tensile strength develops as with primary closure.

4.) Partial Thickness Wounds

  • Wound is superficial, not penetrating the entire dermis.
  • Type of healing seen with 1st degree burns and abrasions.
  • Healing occurs mainly by epithelialization from remaining dermal elements.
  • Less contraction than secondary healing in full-thickness wounds
  • Minimal collagen production and scar formation.

source: http://www.medstudentlc.com/page.php?id=67

I take a few hurried steps backwards and she charges towards me. I manage to get my hands on her hips as she leaps from the ground and hoist her up over my head. She lets out a triumphant shout that is the unnatural love child of a battle cry and an excited dolphin. I try to keep her steady, shifting my feet to gain more balance. My right hand refuses to grip her properly and I can feel my wrist start to tremble.

“You…you gotta keep straight,” I insist as she drops her left hip.

“I am,” she says, squealing when I lose my grip and she rolls down into my arms.

quoted from ponacopuck’s Dance With Me

Any Apritello-themed activities did a lot to cheer me up when I’m in the middle of LDR again recently *sigh* and despite a lot of flaws in my recent (and first! after all these yearsss) drawing above (April’s hair details, April’s too long cat-eyeline, April’s uneven arms and ankles, Donnie’s face somehow a bit odd, Donnie’s smaller kneepads, and did I draw him too much taller than he should? the linings are messy, off balance of the shadows and lights, and so on), I’m quite happy during the process.

This is based on a particular part of ponacopuck’s fic Dance With Me (one of my fav TMNT fanfic writer indeed, you gotta check out her fics!) with a bit of modifications. Preceeded with her Click and Callous Logic, so that I showed a bit hypertrophic scar on Donnie’s right wrist and some jagged, broken plastron on the detail. I replaced the stars ornaments with snowflakes for winter, and I changed April’s updo hair into a simple backcombed hair, adorned with a shimmery gold headband and curled at the end, because that’s how I did my hair yearsss ago for my prom (except that I couldn’t curl my chin-length bob) because who doesn’t want to go to the dance and get a Dirty Dancing-inspired lift with Donnie?

Keloid/Hypertrophic scar on my tragus

Alright so I got my Tragus pierced for the second time in December (I originally had it pierced during the summer, but I had to take it out for cheerleading and it closed up :() and within a week, a bump had formed. 

Since I’d gotten a previous bump the first time, I just thought I’d treat it with tea tree oil. But that’s not working. I’ve been told to get it changed to a labret stud since it’s a captive bead ring. I can’t have it changed because I live in HickFuck, Virginia and the nearest piercing parlor is an hour or so away and I’m not going to change it myself since I might fuck it up even more.

I called a parlor today and they told me about the aspirin paste and told me to do it once a day, every day for a week and then every other day after the first week. The aspirin is supposed to “eat” the bump away. I really hope this works. I fucking hate the bump. 

Should I just stick with sea salt soaks in the morning and night and then aspirin paste at night and hopefully it’ll go away?