Endopeel techniques like Endopeels main product never lead to any hypotrophic scarring.
Hypotrophic scarring can have as causes :
Too much anaesthetic cream or gel containing lidocaine and tetracaine on the area which needs to be treated
The presence of epinephrine in the anaesthetic solution
Any anaesthetics added with epinephrine ( or not) can lead to necrosis, even if such events are rarissime
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