{"id":4580,"date":"2022-09-07T14:30:33","date_gmt":"2022-09-07T12:30:33","guid":{"rendered":"https:\/\/claser-algerie.com\/fr\/?p=4580"},"modified":"2022-09-07T14:30:37","modified_gmt":"2022-09-07T12:30:37","slug":"cicatrices-dacne-et-lasers-3","status":"publish","type":"post","link":"https:\/\/claser-algerie.com\/fr\/cicatrices-dacne-et-lasers-3\/","title":{"rendered":"Cicatrices d&rsquo;acn\u00e9 et lasers"},"content":{"rendered":"\n<p>Les glandes s\u00e9bac\u00e9es sont situ\u00e9es profond\u00e9ment dans la peau rendant d&rsquo;autant plus difficile la<br>prise en charge des cicatrices d&rsquo;acn\u00e9 qui sont la r\u00e9sultante de la r\u00e9ponse inflammatoire de<br>l&rsquo;organisme vis-\u00e0-vis du s\u00e9bum, des bact\u00e9ries ou des cellules mortes contenues dans le follicule<br>pilo-s\u00e9bac\u00e9.<br>Il faut souligner qu&rsquo;il n&rsquo;a pas \u00e9t\u00e9 d\u00e9montr\u00e9 de corr\u00e9lation stricte entre la gravit\u00e9 de l&rsquo;acn\u00e9 et<br>l&rsquo;apparition des cicatrices, mais il est d\u00e9montr\u00e9 le r\u00f4le d\u00e9favorable d&rsquo;un retard de prise en<br>charge du traitement de l&rsquo;acn\u00e9 et des excoriations ou \u00ab manipulation des boutons \u00bb.<br>Enfin, tout traitement des cicatrices ne peut pas \u00eatre entrepris chez un patient atteint d&rsquo;une acn\u00e9<br>non trait\u00e9e et au minimum 6 mois apr\u00e8s la fin d&rsquo;un traitement par isotr\u00e9tinoine per os.<br>Les cicatrices d&rsquo;acn\u00e9 sont classiquement d\u00e9crites selon 3 types : \u00e9ryth\u00e9mateuses et<br>pigment\u00e9es, hypertrophiques et surtout atrophiques :<br>-Les cicatrices \u00e9ryth\u00e9mateuses et pigment\u00e9es sont plus fr\u00e9quentes chez les sujets \u00e0 peau<br>mate ou noire, et apr\u00e8s une exposition solaire. L&rsquo;indication d&rsquo;un traitement reste une discussion<br>au cas par cas, en consid\u00e9rant la demande du patient, le prix du traitement et surtout la notion<br>d&rsquo;\u00e9volution spontan\u00e9ment favorable.<br>La protection solaire au quotidien est une \u00e9vidence, l&rsquo;utilisation de cr\u00e8mes d\u00e9pigmentantes peut<br>\u00eatre propos\u00e9e, plus rarement celle des lasers vasculaires, Q-switched, fractionn\u00e9s non ablatifs,<br>ou des Lampes Intenses Puls\u00e9es.<br>-Les cicatrices hypertrophiques r\u00e9gressent \u00e9galement le plus souvent favorablement<br>contrairement aux cicatrices ch\u00e9lo\u00efdiennes qui n\u00e9cessitent une prise en charge sp\u00e9cialis\u00e9e, non<br>d\u00e9crite ici.<\/p>\n\n\n\n<ul><li>Les cicatrices atrophiques repr\u00e9sentent la majorit\u00e9 de la demande des patients. On en<br>d\u00e9crit plusieurs types :<\/li><li>en \u00ab V \u00bb ou en \u00ab pic \u00e0 glace \u00bb : trous fins (- en \u00ab U \u00bb : d\u00e9pressions \u00e0 bords abrupts nets et \u00e0<br>fond r\u00e9gulier et plat.<\/li><li>en \u00ab M \u00bb : plus large avec des bords en pente douce.<br>En dehors du visage, et en particulier au niveau du d\u00e9collet\u00e9 et du dos, elles sont souvent<br>associ\u00e9es \u00e0 des l\u00e9sions appel\u00e9es \u00e9lastolyse p\u00e9rifolliculaire : petites taches blanches et de<br>consistance molle, bomb\u00e9e par rapport aux t\u00e9guments adjacents.<br>Le traitement des cicatrices atrophiques est complexe et n\u00e9cessite le plus souvent l&rsquo;association<br>de plusieurs techniques.<br>La proposition d&rsquo;un traitement est toujours personnalis\u00e9 \u00e0 chaque patient et ne s&rsquo;entend en<br>g\u00e9n\u00e9ral qu&rsquo;au niveau du visage en raison du co\u00fbt des techniques qui ne sont pas, pour la<br>plupart, prises en charge par les organismes de s\u00e9curit\u00e9 sociale. L&rsquo;information \u00e9clair\u00e9e du<br>patient a ici une importance primordiale pour d\u00e9terminer la motivation du patient, et de la<br>compr\u00e9hension du niveau de r\u00e9sultat attendu.<br>1 \/ 3<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Les glandes s\u00e9bac\u00e9es sont situ\u00e9es profond\u00e9ment dans la peau rendant d&rsquo;autant plus difficile laprise en charge des cicatrices d&rsquo;acn\u00e9 qui sont la r\u00e9sultante de la r\u00e9ponse inflammatoire del&rsquo;organisme vis-\u00e0-vis du s\u00e9bum, des bact\u00e9ries ou des cellules mortes contenues dans le folliculepilo-s\u00e9bac\u00e9.Il faut souligner qu&rsquo;il n&rsquo;a pas \u00e9t\u00e9 d\u00e9montr\u00e9 de corr\u00e9lation stricte entre la gravit\u00e9 de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":4342,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/claser-algerie.com\/fr\/wp-json\/wp\/v2\/posts\/4580"}],"collection":[{"href":"https:\/\/claser-algerie.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/claser-algerie.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/claser-algerie.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/claser-algerie.com\/fr\/wp-json\/wp\/v2\/comments?post=4580"}],"version-history":[{"count":1,"href":"https:\/\/claser-algerie.com\/fr\/wp-json\/wp\/v2\/posts\/4580\/revisions"}],"predecessor-version":[{"id":4581,"href":"https:\/\/claser-algerie.com\/fr\/wp-json\/wp\/v2\/posts\/4580\/revisions\/4581"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/claser-algerie.com\/fr\/wp-json\/wp\/v2\/media\/4342"}],"wp:attachment":[{"href":"https:\/\/claser-algerie.com\/fr\/wp-json\/wp\/v2\/media?parent=4580"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/claser-algerie.com\/fr\/wp-json\/wp\/v2\/categories?post=4580"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/claser-algerie.com\/fr\/wp-json\/wp\/v2\/tags?post=4580"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}