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[Wounded skin is fragile and sensitive] 
Wounded skin is extremely fragile.

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It's even more vulnerable to XXX.

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[Post-Inflammatory Hyperpigmentation, which can be severe]
Post-inflammatory hyperpigmentation, PIH,

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can appear quite intensely.

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That’s why I strongly recommend applying it!

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PD: Dr.Lee, I got a cut earlier. 
Can I borrow a Medifoam, please?

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(Drawer opening sound)

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Here’s the Medifoam!

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PD: Not this one, I mean the thin one you use after mole removal.

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Duoderm?

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Here’s the Duoderm!

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PD: I’ve seen both at the pharmacy a lot.

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Which one is better?

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(Hmm...)

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It’s hard to say which one is better.

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They serve slightly different purposes.

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〈Effective scar management methods 1. Today's topic〉
Hello.

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[Dr.Lee, Chief Director of Jfeel clinic]
I'm Dr.Lee, and I'm all about bringing out your most beautiful look.

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When we get a cut, fall,

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or injure ourselves, what's left behind?

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[Scar] 
A scar is left behind.

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Especially when it happens on the face,

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the first thought might be,

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"What if a scar forms..?"

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If left unattended, thinking it’ll heal on its own,

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it could lead to pigmentation

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or fail to heal in its original form.

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However, we can minimize scars.

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Today, I’ll be sharing effective scar management methods.

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〈Effective scar management methods 2. Why do scars form?〉
So, why do scars form?

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When there’s a wound or skin damage,

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[Immune response and inflammation in the skin]
an immune response and inflammation occur.

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That’s when fibroblasts get activated

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and start producing things like new collagen tissue.

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If your skin is really sensitive,

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it might overproduce

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and form something we all hate, like keloids.

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But if it doesn’t produce enough,

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it can heal with sunken, indented scars.

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〈Effective scar management methods 
3. What to do if you get a wound〉

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[Scar prevention relies heavily on early management!]
Early care is super important.

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If the scar gets infected

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and causes inflammation,

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[Higher likelihood of scar formation] 
there's a much higher chance it’ll leave a mark.

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When the wound is dirty,

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[Clean dirty wounds with sterile saline]
it’s good to clean it with sterile saline.

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[What if you have nothing at home??] 
If you have absolutely nothing at home,

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[Rinse under running tap water]
rinsing with running tap water is very effective.

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In the case of burns,

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it’s really important to cool the area with cold water

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until the heat subsides.

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[Hydrogen peroxide, Alcohol]
Hydrogen peroxide, alcohol,

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[Povidone]
and povidone, the red one

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[Not used quite often these days]
are all pretty harsh on the skin, so they’re not commonly used anymore.

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Especially with povidone,

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it can damage healthy cells too.

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So unless you're using it strictly for sterilization,

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it's best not to apply it on open wounds.

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[Deep or contaminated wound]
If you feel like the wound’s already heavily contaminated,

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[Use povidone when there's a high chance of infection]
then using povidone strictly for sterilization can be helpful.

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After applying it, wait about 1 to 2 minutes

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for it to dry and fully take effect.

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To prevent inflammatory reactions,

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[Normally, we use antibiotic ointments]
we usually apply antibiotic ointments

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and at home, people typically use ointments like Fusidic acid or Madecassol.

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Once you’ve cleaned the wound and applied an antibiotic ointment,

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[Next step is sealing and moisturizing]
it’s really important to seal it and keep it well-moisturized.

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When the wound dries, scabs form easily.

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[If scabs form, the likelihood of scars increases]
If scabs form, the likelihood of scars increases significantly.

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When scabs are forming

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or when the wound starts to heal through inflammatory reaction,

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it often becomes very itchy.

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[Don't scratch even if itchy!]
Please avoid scratching at all costs during this time.

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〈Effective scar management methods 4. Duoderm VS Medifoam〉
Then,

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what type of treatment is suitable?

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Conventional bandages or gauze

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are traditional dry dressings

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which simply keep the wound dry.

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[bandages or gauze are used for minor abrasions]
These are used for minor abrasions

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and primarily serve to protect the wound from external exposure.

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[These days, moist dressings (healing tape) are commonly used]
These days, it’s pretty standard to use moist dressings,

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what most people call healing tape.

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(Duoderm - hydrocolloid)
There’s the hydrocolloid type, commonly known as Duoderm,

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(Medifoam - foam-type)
and the foam type, which is referred to as Medifoam.

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[Foam-type : soft like sponge]
As you can see, the foam type has a soft, sponge-like feel.

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[Hydrocolloid: Thin film material]
And this one’s much thinner.

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Each has its pros and cons.

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[Hydrocolloid(Duoderm)]
Hydrocolloid dressings like Duoderm

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[Adhesive and waterproof]
are adhesive and waterproof

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so they’re often applied after mole removal on the face.

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[Hydrocolloid]
It’s used for smaller wounds

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that ooze just a little, nothing too deep.

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It’s great for light wounds

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that don’t really need antibiotic ointment.

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And when used on the face,

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it blends in with your skin tone,

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so it’s barely noticeable.

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The foam type, known as Medifoam,

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is often used for larger wounds that ooze a lot,

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like scrapes or burns.

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When there’s a risk of infection,

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you can apply antibiotic ointment first and then use Medifoam.

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So if there’s a lot of oozing or you need the ointment,

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[Recommend foam type more]
Medifoam is the better choice.

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Shh! Keep this to yourself!

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〈Effective scar management methods 5. Healing Tape Q&A〉
PD: People change their healing tape at different times.

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PD: What do you recommend?

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[Normally recommended for 5 days to a week]
Generally, it's good to keep it on for about 5 to a week.

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Especially in the first 2–3 days, the fluid that comes out

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contains growth factors.

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[In the beginning, the more ooze it holds] 
The longer Duoderm holds onto that,

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the faster it regenerates.

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But if it starts swelling up

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and the fluid’s leaking out,

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[It's not helpful] 
it’s no longer really helping.

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[If it's swollen, grind it!]
If it's too swollen, change the band.

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I have a tape allergy..

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It's usually the adhesive that causes the reaction.

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If you feel itchy, take it off right away

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[Recommend using ointment]
and apply something like Fucidin on Madecassol.

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[Pigmentation due to allergy is more annoying] 
If you end up with pigmentation from a tape allergy,

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that can be even more of a hassle to deal with.

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PD : If I have a scab, can I put a regenerative bandaid on it?

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Since this is a hydrocolloid tape,

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it's helpful to put on when the ooze is coming out.

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No matter how much you stick it on a dried wound,

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you don't even need to replace it.

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Because ooze doesn't come out,

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there is no point in using a hydrocolloid bandaid!

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PD : Then what about a really small scab?

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When the scab is just about to form,

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[At that time, stick it on]
it's helpful to stick it on.

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PD : Some people stick regenerative bandaid on acne,

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PD : does that work?

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There is a special tape for acne,

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and it has ingredients to calm it down.

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So the acne tape

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 is definitely effective on acne.

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[What if you stick a regular hydrocolloid bandaid on acne??]
When you stick Duoderm on acne,

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there are pimples where ooze keep coming out,

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it's effective on those.

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But acne is likely to have bacteria inside.

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So when you stick Duoderm on,

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there's a chance that it's holding the bacteria itself.

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Just get an anti-inflammatory injection.

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〈Effective scar management methods
6. What is important after a wound heals?〉

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[Moisturizing is important after a wound heals]
The most important thing after a wound heals is moisturizing.

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Because it needs good moisturizing

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for our skin to regenerate well.

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And the most important thing is

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[It's essential to block the sun!]
UV protection.

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If healthy skin is exposed to UV rays

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pigmentation occurs.

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[Wounded skin is fragile and sensitive] 
Wounded skin is extremely fragile.

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It's even more vulnerable to UV rays.

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[Post-Inflammatory Hyperpigmentation, which can be severe]
Post-inflammatory hyperpigmentation, PIH,

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can appear quite intensely.

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That’s why I strongly recommend applying it!

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[What about old scars?]
So what’s the best way to treat older scars?

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The basic rule with scars is,

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if it’s still red, that means it’s still in the healing phase,

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 so treatment tends to be more effective.

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But if the scar’s turned white,

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results may take longer to show.

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[For early-stage scars, use scar ointment]
In the beginning, I recommend

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using scar-specific ointments

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like Dermatix Ultra Gel or Scar Gel.

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You can easily find them at your local pharmacy.

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[Older scars may need laser treatment]
If it’s been too long and the scar isn’t improving,

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laser treatment is usually the way to go.

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Especially for keloids or hypertrophic scars,

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you may need to consider steroid injections.

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You can also see some improvement with treatments

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like peeling or microneedling.

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These days, microneedling

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or a treatment called needle RF

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which uses fine needles and high frequency

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can give you some better results

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Today we went over how to care for scars, how was it?

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If you get a wound,

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make sure to take care of it properly from the start.

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Even if a scar is left behind,

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it usually fades

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over time.

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So try not to worry too much.

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[Scar care takes consistency]
Scar care takes time,

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so don’t rush it.

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Just stay consistent and take it step by step.

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[Subscribe Jfeel TV]
If you found today’s video helpful,

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don’t forget to like, subscribe, and turn on notifications.

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Thank you for watching until the end.

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All of you will look beautiful.

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[Subscribe, like, and turn on notifications!]
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