neocutis scar treatment

At the very least, its important to keep skin moisturized during your recovery, says Dr. Nowak. The PRP adds to the efficacy of the treatment, making it about 1520% better. PRP is packed with growth factors that encourage your cells to regenerate, so youll also get a bigger boost of collagen from each microneedling session. This cosmetic procedure uses a non-invasive laser technology to safely, discretely and efficiently treat fine-line wrinkles; diffuse excessive redness; and help manage large pores, uneven skin texture, and scarring. NEOCUTIS - Skincare Rooted in Research | DermWarehouse Lips. Once youre numb, your skin is cleansed and dried. However, microneedling treatments willhelp improve the appearance of the scars. They adopt the latest technology and most advanced techniques to remove keloid scars and restore a natural-looking texture to the skin. Interested in Neocutis? Neocutis is a specialty biopharmaceutical company that delivers breakthrough anti-aging skin treatments. Call us today to book a consultation with one of our skincare experts to find out more about the benefits of using NEOCUTIS products. Plus, receive a Neocutis Micro Night Riche 15ml ($78 value) when you spend $200 or more on the brand. Ting and Freeny and our clinical team are among the first dermatologists in the Bay Area to offer this groundbreaking modality for keloid scar tissues. Dr. Usha Rajagopal also provides the latest in cutting edge cosmetic dermatology procedures, specialized medical skin services and state-of-the-art laser treatments. Those who are trying to heal from cosmetic surgery treatments can benefit from NEOCUTIS line of products that bear advanced wound-healing technologies. For example, the skin on your forehead is much thinner than the skin on your cheeks, so wed start at about 0.5 mm and maybe go as deep as 2.5 mm over the cheeks or deep scars, says Dr. W. John Bull, a plastic surgeon in Naperville, Illinois, in a RealSelf Q&A. APT Medical Aesthetics has a wide range of NEOCUTIS products to help repair skin conditions and aid post-surgery wound healing. NeoCutis Products | Anti Aging & Healing Skin Care | SkinCareRx.com Free U.S. During your consultation, Dr. Ting and the team at California Dermatology Care will discuss all of this and more to help decide if this treatment is right for you. Additionally, some but not all keloid scar treatments may be covered by your health insurance provider, so it is important to check with our medical providers and/or billing office to review your insurance policy before embarking on a specific treatment plan. Beauty Refresh: Up to 20% off some of our most coveted brands with code REFRESH. They tend to develop on the neck, shoulders, chest, backs and ears. Kitchener, ON N2H 2P2. You should notice a difference in your skin texture a week after your first treatmentmost patients first notice a reduction in pore size, according to Dr. Emerand improvement on acne scars or deeper wrinkles after at least three treatments. This means that recovery time is relatively short. }. Bridgetown Aesthetics Liposuction & Coolsculpting Portland, Reduction of scarring, fine lines, and wrinkles, Visible reduction of fine lines and wrinkles, Diminished imperfections, fine lines, and wrinkles. RealSelf members give microneedling an 85% Worth It Rating, and the science behind the treatment, which dates back to the early 1900s, is also stacking up. They harness the power of two ingredients that help maintain skin's healthy, youthful appearance: Processed Skin Proteins, which are rich in growth factors, antioxidants, collagen and other essential nutrients, along with peptide-rich Micro Protein Complex. NEOCUTIS products are created with patented, specialized formulations and technologies that target impurities and certain skin conditions. Submit your question about this product to our talented team of Customer Care Representatives, and we'll get back to you as soon as possible! Products: 2023 New Advanced Scar Removal Gel, Scar Cream Gel - Retinol, Allantoin, Vitamin E, Tummy Tuck, Keloid, Acne Reducing Treatment - Advanced Post Surgery Supplies - Scar Cream for Surgical Scars What Make Advanced Scar Removal Gel Special? For patients with more severe scars, additional sessions may be necessary. Best Treatments for Dark Under-Eye Circles - Dermatology and Laser Centre Recovery time is usually just a few days, depending on your treatment intensity. Founded in 2003, the Neocutis line helps to speed the healing of cuts and burns while eliminating the process that leads to scarring. Injury, trauma, burn, or surgery can create a scar on the skin, but that is not something you have to live with. #section_1369410634 .ux-shape-divider--top svg { Oakville ON, L6J 7W5, 385 Frederick, St. Frederick Street Mall, With a nightly use of BIO-CREAM, patients may be provided with the following benefits: BIO-SERUM by Neocutis is an intense hydration treatment that is composed of PSP and collagen. Related: 3 Treatments You Should Never Do at Home. Related: The 8 Best Foundations That Cover Up Redness After Microneedling. The BIO-ESSENTIAL collection proudly features patented PSP (Processed Skin Proteins), a naturally balanced blend of essential skin nutrients including Human Growth Factors, Interleukins, and other Cytokines. SRT for keloid is typically covered by most PPO insurance carriers (subject to typical copay, deductible and coinsurance) and Medicare though preauthorization may be required. Located in beautiful Union Square, her practice-the San Francisco Plastic Surgery and Laser Center-has been a Bay Area leader for 20 years for cosmetic plastic surgery of the face, breast and body. Neocutis Medical Grade Skin Care [FAQ] | RealSelf Serving the residents of San Ramon, Livermore, Hercules and beyond, Dr. Ting has helped countless men and women treat keloid scarring and achieve better skin health. We received hundreds of five-star reviews on Yelp, DemandForce, Google, and RealSelf. Acne scar treatments can vary depending on the extent and severity of the scarring. In the hands of board-certified dermatologic surgeon, scar surgery can: Reduce the size of a keloid. . This routine may include: This procedure is highly suitable for patients seeking to treat hypertrophic scars or to further smooth out skin texture and skin tone of already flattened scar tissues after utilizing above mentioned modalities. The Neocutis line stimulates natural skin regeneration. The texture of this cream is perfect for me. Youll pay up to $600 more to add platelet-rich plasma (PRP), for a combination treatment called a Vampire Facial. Acne scar treatments can vary depending on the extent and severity of the scarring. I actually find it difficult to look at my face in the mirror. Dermatologic Surgery and Laser Center | UCSF Health Though they are not usually dangerous, keloid scars can create prominent cosmetic concerns that affect your appearance and confidence. If you have any questions or concerns regarding a Neocutis product you received from LovelySkin, please contact our Customer Care team. "Fresh" scars that are still red and hyper pigmented scars (dark spots) can often be treated with microdermabrasion,Refinity peels, or bleaching cream. Please read our Terms of Use and Privacy Policy for more information. After surgery, the skin must knit together smoothly. Because of these different factors, and the individuality of each patient and how their body heals, an initial consultation is necessary to determine the proper scar treatment for your specific case. It is intended for skin that is normal to oily, created with shiny skin in mind and is suitable for either gender. | Terms of Use | Privacy Policy, Web Design & Digital Marketing by The Influence Agency, You can see how this popup was set up in our step-by-step guide: https://wppopupmaker.com/guides/auto-opening-announcement-popups/, Powered by the fusion of science and Swiss technology, the award-winning NEOCUTIS skincare line effectively addresses skin concerns such as wrinkles, pigmentation, oxidative stress, and hydration. Refer a patient. While SRT-100TM can be used to treat keloid without incision utilizing a protocol of one SRT session per week for 4 weeks in a row, SRT modality has the highest success rate (in excess of 90%) when it is performed once daily, 3 days in a row, preferably within 24 hours of surgical excision of the original keloid skin tissue. Our Shipping Policy, Return Policy: Whether applied to speed healing after surgery or as part of your custom anti-aging skincare regimen, you will see visible results in your skin quality. Please note that we'll answer your email withinone week, due to high volume of emails in our office. San Francisco Board Certified Plastic Surgeon, Dr Usha Rajagopal and her highly trained staff bring an integrated and comprehensive team approach, along with womens insight and sensitivity, to the art of cosmetic surgery. Youll need a series of multiple treatments (at least three) to get the full benefits, and follow-up sessions are required to maintain them. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. Prescription-strength topicals such as imiquimod or 5-fluorouracil, Vbeam Prima/Perfecta and Excel V Vascular Laser Therapy, Schedule Your Consultation Today with Dr. William Ting and the clinical staff at Californias Leading Dermatology Clinic. Sign up to our newsletters and receive the latest exclusive discounts and deals, Neocutis Micro Night Riche 15ml (Worth $78.00), Neocutis LUMIRE FIRM RICHE Extra Moisturizing Illuminating Tightening Eye Cream (0.5 fl. Acne scar treatments can vary depending on the extent and severity of the scarring. If you have any questions about our procedures or treatments, please get in touch with us today. Peptides are specialized proteins that support the natural building blocks of skin. If your skin is fair, youll stay pink for a day or two longer than people with olive or brown skin. They help promote skin tissue repair and regeneration and can stimulate the production of collagen. Anyone who wants to improve overall skin health, or is concerned with skin aging, can use NEOCUTIS products. This anti-aging cream works to diminish fine lines, soften a rough texture, improve skin firmness and create a more even skin tone. Whether you want to book an appointment, find out a bit more about our services, or want to simply ask a few questions, we would love to hear from you! Thats why youll heal especially quickly if you also have PRP. Your individual course of treatment will be determined by your skin care professional and is based on your treatmentgoalsand the health of your skin. I used Neocutis Bioserum for years but it became so expensive I had to stop using it. Product Types. The team at APT Medical Aesthetics were awesome & showed me the range of treatments available to finally give me clear skin. Other potential complications include infection and hyperpigmentation. Below are the different scar treatments we offer. In a 2015 study on pitted acne scars, biweekly treatments produced a good to very good response in rolling and boxcar scars, which are shallow, while icepick and deeper scars had a moderate to poor response. Neocutis BIO GEL Moisturizing Hydrogel (formerly BioGel Bio-restorative Hydrogel) works to revive dull, aging and sensitive with an innovative formula. #section_1369410634 .section-bg.bg-loaded { APT Medical Aesthetics is proud to have established long-standing relationships with many of our clients, based on trust and confidence. SkinMedica Scar Recovery Gel with Centelline | LovelySkin Neocutis BIO SERUM FIRM Rejuvenating Growth Factor and Peptide Treatment (1 fl. Some providers recommend waiting anywhere from two to three weeks before microneedling over fillers, so double check with your provider. I mainly purchased this cream to use on my upper lip area where I recently had to have stitches. PSP, the key ingredient in Bio-Cream, is a proprietary blend of . Simultaneously, additional heat generated in dilated capillaries, found in red areas such as cheeks, reduces visible redness and flushing. Studies also show that early and late stretch marks can be improved by microneedling, however, doctors on RealSelf stress that consistent and long-term treatmentoften six or seven sessionsis needed to make them less noticeable. NEOCUTIS | APT Medical Aesthetics Laser Genesis is an innovative and technologically advanced way to treat scarring, aging, and skin damage found on the face, neck, and in some cases, the body. The products are particularly used as pre- and post-treatments to aesthetic procedures. Their line of skincare products supports your natural healing by stimulating the production of collagen, elastin, and hyaluronic acid. While SRT-100TM can be used to treat keloid without incision utilizing a protocol of one SRT session per week for 4 weeks in a row, SRT modality has the highest success rate (in excess of 90%) when it is performed once daily, 3 days in a row, preferably within 24 hours of surgical excision of the original keloid skin tissue. Published November 11, 2020 Updated August 23, 2022, Consult with a doctor virtually or in person. Its more expensive but delivers more of an anti-aging punch, according to Dr. Devgan. keep skin moisturized during your recovery, early and late stretch marks can be improved by microneedling, Ablon, Glynis. height: 150px; Love the treatment I had done at APT and so do the ladies at work! These human growth factors are proteins that play a major role in maintaining healthy skin structure and function. Our knowledgeable staff members are trained in the specialized formulations and benefits of NEOCUTIS products, and we can help you find the right ones for your personal needs. It most likely will include microneedling maintenance treatments at some point, but if you continue to maintain an effective home care regimen, in addition to regular skin care treatments you should be sitting pretty, for six months to a year before you need a maintenance treatment., Patients over 40 and those with heavily sun-damaged skin will need touch-ups every three to four months, says Dr. Connie Hiers, a plastic surgeon in San Antonio. Its a form of fractional treatment, which means only a fraction of the skins surface is affected. Peptides and growth factors trigger natural skin renewal for anti-aging and faster healing after surgery. Whether your skin has been damaged by trauma or time, their full line helps to restore a healthier appearance with continued use. Consistent use will leave the skin looking youthful, firm, and supple. Skin will calm down and look prettier within a week., RealSelf Tip: Consult with your provider prior to your microneedling procedure about how to pretreat your skin. By utilizing pharmaceutical-grade ingredients originally intended for wound healing and scars, Neocutis products are clinically proven to reduce the signs of aging. Generally speaking, treatment consists of a combination of topical treatments and procedures. Eyebrows. The building blocks of firm, healthy skin include collagen, elastin, and hyaluronic acid. However, when a keloid scar forms, medical treatment is usually the most reliable and effective method of removal. Tell your doctor if youre prone to cold sores so you can start taking an antiviral medication a few days prior to your treatment. It absorbs well and improves skin quality. PSP, the key ingredient in Bio-Cream, is a proprietary blend of growth factors, cytokines and interleukins. As a result, the skin looks progressively better over time, says Dr. Lara Devgan, a plastic surgeon in NYC. Apply to the treated area immediately after treatment and as needed, or as directed by your skincare professional. Patients can return home immediately afterward. This treatment also works to soften and relax the tension in scars, improving mobility for patients with uncomfortable physical symptoms. Based on your condition, our dermatologists can design a personalized at-home regime for addressing the keloid scar and protecting the injury site. 2023 San Francisco Plastic Surgery & Laser Center. Great team of professionals . Boosts collagen to promote post-procedure recovery, Widely studied and clinically tested ingredients for post-treatment care, Glycerin infuses moisture into compromised skin, Lipids add hydration to promote skin elasticity, Wild Yam Root helps counteract dryness and enhances skin tone, Proprietary Protein blend helps nurture and calm treated skin, Nourishing vitamins and extracts soothe skin, Dimethicone helps prevent excessive dryness, irritation, friction, and rubbing. This is helpful for those experiencing oxidative stress. Though keloid scars are not usually harmful to your health, they can cause both uncomfortable physical symptoms and cosmetic concerns. It is effective for all skin types and improves the general appearance of the faces skin. Neocutis LUMIERE Bio-Restorative Eye Cream, Dermalogica Pro Size Dynamic Skin Recovery SPF 50, Clinical Skin Retinol + AOX Renewal Cream, Sothys Hydra-Protective Cream 5oz Pro Size, How to Get the Most from Your Beauty Product Samples, 5 Skincare Mistakes You Dont Want to Make. Most people notice an improvement in the appearance of their scar after the initial treatment, and the natural repair process of the skin continues to progress following the procedure. Eyelashes. Showing 1-20 of 71 results. Individual results may vary. We are very grateful! When I started using it, I only applied it to my neck and saw a more. --divider-top-width: 100%; For information on Mircodemabrasion, laser skin resurfacing or Bellafill acne scar treatments pricing, please see our costs list here. Some patients, especially those with darker or ethnic skin tones, may also experience minor pigmentary changes in areas treated with Cryoshape. By using medical-grade and prescription-strength skincare to prepare skin prior to the procedure, supply it with core nutrients during recovery, and protect it from further damage, youll absolutely achieve maximum results., The microneedling was much less expensive and much less painful than lasers, with less downtime. Originally founded on the basis of wound healing over 15 years ago, Neocutisis rooted in the goal to give you skin that looks and feels new (neo = new, cutis = skin). BIO-CREAM by Neocutis is a bio-restorative skin cream for nightly care routines. Scar surgery: During this treatment, a dermatologic surgeon cuts out the scar. Additionally, any residual keloid tissue left after Cryoshape tends to respond better to conventional therapies such as intralesional steroid rejection, which can be used as a follow-up treatment for improved results. NEOCUTIS AFTERCARE was used as needed post-treatment. These rejuvenating products are safe for at-home treatment of scarring, skin imperfections, signs of aging, or skin redness . We are open weekdays for class sessions and by request. This was first prescribed by a doctor. Thank you for the message. oz. The most common wounds that trigger this issue include: Men and women are equally likely to develop keloid scars. Eyes. Only one promo code can be used per purchase. Neocutis is a science-based product that boosts three types of collagen with a proprietary set of peptides: Collagen I: Coarser collagen fibers that lend elasticity to the skin structure, allowing it to stretch. San Francisco Plastic Surgery & Laser Center1244 Larkin Street, Suite 200San Francisco, CA 94109 (415) 392-3333 hello@sfcosmeticsurgery.com. Based on an in-depth examination of your skin type and the current condition of your scar, our dermatologists can recommend the most appropriate method of removal to ensure you achieve optimal results. To reduce the size of a scar even more, a patient may also receive an injection of a medication, such as corticosteroid or 5-FU. oz. Deliberately inserting tiny needles into your skin may sound a little medieval, but most skin rejuvenation treatments (including lasers and chemical peels) trigger a similar kind of wound-healing response, to kick-start a regeneration process at the cellular level. Nevertheless, it is important that patients haverealistic expectations for the outcomeof the treatment to ensure patient satisfaction. For some patients, they can also cause discomfort, tenderness, itchiness or irritation. Product Overview. The most popular products by NEOCUTIS are the brand's eye cream, known as LUMIRE, and Intensive Anti-Aging MICROSERUM. Neocutis products that are formulated with Processed Skin Proteins, or PSP, contain various proteins and human growth factors to rejuvenate the skin in a whole new way. Only if they think it will actually benefit you. The downsides of Cryoshape include it not being covered by any insurance carriers, though it may be submitted to pre-tax HSA/FSA accounts. When I smile, hundreds of little wrinkles form as the skin bunches up between the scar tissue caused by the needles, she posted six months after her treatment. It's great to have an all-in-one post procedure treatment. Over 150 different growth factors have been identified and they occur in natural physiological ratios.Neocutis has <5% identifiable growth factors. --divider-width: 100%; The NEOCUTIS BIO-ESSENTIAL product range includes cleansers, moisturizers, treatment serums, and eye creams. Any residual keloid tissue after SRT can be further flattened with intralesional 5-fluorouracil/cortisone injection at later date. Saturday & Sunday : Closed. Hands. El-Domyati, Moetaz, et al. Not oily but puts a little blt of shine, I typically use serums, cream, and some oil after cleansing at night and this cream has been robust in that a little goes a long way. The needles used in microneedling treatments are incredibly tiny and remarkably gentle, and your medical providers at Bridgetown Aesthetics will ensure that you are comfortable during the process. Generally, using a product with growth factors and peptides to supply the building blocks necessary for the skin to repair itself is recommended. The cortisone injection may be performed alone or in combination with a potent anti-proliferative medication called 5-fluorouracil to provide significantly greater flattening effect of keloid tissues. Unretouched photographs of subject at baseline andafter Fraxel Laser Treatment (depth 700 microns). NEOCUTIS products do not contain harmful chemicals, dyes, or fragrances; aligned with this, their products can also be used by those with sensitive skin. We've created a skincare brand that speaks to the needs of your lifestyle, to regenerate, rebuild, and restore the appearance of skin. Application Area. Get a second opinion. LUMIRE Bio-restorative Eye Cream is powered by 30% more PSP to help smooth the appearance of fine lines and wrinkles. oz. 20% Off With Code REFRESH + $78 Gift 4.68 Stars 75 Reviews 75 $275.00 Quick Buy Log in/sign up to use your Favorites list! I haven't noticed any changes in fine lines yet but it does make my face feel smoother. Neocutis BIO GEL Moisturizing Hydrogel (1.69 oz.) - Dermstore US With regular use of BIO-SERUM, patients may achieve: BIO-GEL by Neocutis is a part of a nightly treatment regimen intended to reduce skin imperfections, reverse the signs of aging, and protect skin from dehydration. 75 Reviews Earn 1375 reward points when purchasing this product as a rewards member* $275.00 One Time Purchase $220.00 Auto-Replenish $275.00 Subscribe to this product to save 20% Quantity Add To Cart This product is currently out of stock and unavailable. Their products also give skin the proper environment to diminish and prevent the visible signs of aging. Neocutis Bio Gel Firm; Makeup. Discover the value of SkinMedix. Use the enter key to expand submenu items. By reducing reddish skin tone of the keloid tissues with combination of the advanced vascular lasers at California Dermatology Care, Dr. Ting and the clinical team can help you minimize unwanted visual attention drawn to the keloid or hypertrophic scar tissues. Micro-dermabrasion (also called a power peel) and laser skin resurfacingare non-invasive cosmetic procedures that refinish the look and texture of the skin. Dermatologist tested Free of color additives and fragrances Not tested on animals 15 ml (0.5 fl oz) $89.00 MSRP Find a Physician Description Additional information Key Benefits 33 Best Eye Creams for Every Skin Type, According to Dermatologists - SELF For optimal results, multiple injections may be required, and treatments may be repeated as necessary every four to eight weeks until satisfactory flattening of keloid scar tissue is achieved. If your matter is urgent or if you need to schedule an appointment ASAP, please call our office (415) 392-3333 to receive immediate assistance. Our knowledgeable staff members are trained in the specialized formulations and benefits of NEOCUTIS products, and we can help you find the right ones for your personal needs. It looks extremely disturbing., That said, it can be very safe if you see an expert. Provides SPF protection to scars; Cheeks. Because microneedling disrupts the skin barrier and leaves skin more sensitive, post-treatment skincare products should ideally be sterile (think single-use ampoules) or at least free from allergens that can cause rashes and contact dermatitissomething were seeing more and more when these treatments are being performed in offices that have no clue what theyre doing, says Dr. Michael Gold, a dermatologist in Nashville. Lipids(elasticity-promoting and moisturizing), Wild Yam Root ExtractExtract (hydrating and skin smoothing), Inactive Ingredients: Water (Aqua), Octyl-dodecanol, Petrolatum, Hydrogenated Polyisobutene, Glyceryl Stearate, Decyl Oleate, Glycerin, Propylene Glycol, Wheat Germ (Triticum Vulgare) Oil, Stearic Acid, Cetyl Alcohol, Ceteareth-20, Processed Skin Proteins (PSP), Myreth-3 Myristate, Ceteareth-12, Cetearyl Alcohol, Cetyl Palmitate, Wild Yam (Dioscorea Villosa) Root Extract, Borage (Borago Officinalis) Seed Oil, Tocopheryl Acetate, Glycosphingolipids, Carbomer, Methylparaben, Sodium Methylparaben, Ethylparaben, BHT, Phenoxyethanol, Disodium EDTA, Sodium Hydroxide, Propylparaben, Find a Physician Microneedling can be painful, so about an hour prior to the procedure, a topical anesthetic cream will be applied to the treatment area. The original microneedling device, a dermal roller that would be rolled over the skin, has mostly been replaced in doctors offices by automated devices that contain single-use, sterile needle cartridges with a varying number of needlesanywhere from a dozen to more than 160, depending on the device. Nightly use of BIO-GEL can help to provide the following benefits: Scar treatment is not a one treatment fits all approach. Neocutis NEO CLEANSE Gentle Skin Cleanser (125ml) 20% Off With Code REFRESH + $78 Gift 4.5 Stars 26 Reviews 26 $38.00 Quick Buy Dr. Jason Emer, a dermatologist in West Hollywood, California, calls microneedling an inexpensive approach for someone who may not be able to afford expensive lasers or peels to get something that makes their skin look brighter and younger.. Neocutis skincare works to reduce inflammation and pain, shorten recovery time, and trigger skin rejuvenation. Browse through our. "New treatment options also involve using the patient's own fat.". Collagen II: Finer collagen fibers that strengthen skin quality. Potential side effects may include swelling, redness/irritation, and/or bleeding in areas of needle penetration. They do an excellent job and i always leave happy.. Lady Patricia is an amazing lecturer and trainer ! The privately owned company with headquarters in . Availability: This product is no longer available. This popular procedure can help smooth lines and wrinkles, even skin tone (including stubborn melasma), minimize large pores, firm skin, and fade stretch marks and scars, including acne scars. Merz Pharma takes over Swiss dermatology specialist Neocutis of NEOCUTIS offerings and choose which one suits your needs most, and we will deliver it straight to your door. A moisturizing face serum that combats dull and aging skin. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Designed to calm and hydrate healing skin, it can be used immediately after ablative and non-ablative laser treatments and procedures like microneedling and chemical peels. The cream works well. Neocutis - Anti-Aging and Healing Skin Care | Dermstore Side effects associated with SRT for keloids are usually minimal and may include pigmentary changes in the treated area. RealSelf Tip: Microneedling is often paired with topical PRP, for a more potent treatment called a Vampire Facial. Youll see visibly firmer, smoother and softer skin with continued use of this anti-wrinkle cream.

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neocutis scar treatment