Scar Removal: Q&A
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Best Hypertrophic Scar Treatment?
Basically, 2 years ago, I was playing football with friends, fell bad, and got this really bad "cut/gash" on my knee.
It eventually turned into a hypertrophic scar, and since then, I have gotten a number of hypertrophic scars on my body (2 small ones on my chest, 1 near my elbow, and the 1 on the knee).
Before this, I have never gotten a hypertrophic scar so its confusing. Basically, I would like to know the best way to treat these scars. I've heard the steroid injections are effective? Any creams (mederma, vitamin E pills) etc.?
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10 Doctor Answers |
Asked by
nYc91
in NEW YORK
+5
Hypertrophic scars and keloid treatment
You must first distinguish between hypertrophic scars and keloids. The former generally tend to grow for up to two years but then mprove over time after that. Keloids tend to exhibit continuous growth.
Hypertrophic scars are commonly associated with wounds that exhibit delayed healing: tissue loss, healing by secondary intention, third degree (full thickness burns), etc.
IF your scars are hyperftophic, they will tendi to resolve. However, interventions which have been recommended...
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+2
Scar Treatment
After distinguishing the difference between hypertrophic scars and keloids.
I would recommend silicone gel sheets , massaging the scar, Kenalog injections.
in extreme cases of Hypertrophic scars a scar revision can be done followed by the aforementioned methods to minimize scarring.
Best of Luck!
+2
Hypertrophic scar treatment
My approach to hypertrophic scars include:
1. intralesional cortisone +/- 5-Fluorouracil
2. Silicone (either sheeting or liquid paint-on silicone (available as a product called ScarGuard MD))
3. Manual massage
4. Vascular laser if the scar is not only thickened but pink/red.
Good luck.
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+2
Silicone sheets, Kenolog, and compression
The treatment of a hypertrphic scar include the following:
1-Silicone sheets. Easier to use on the limbs ,however some are designed for the trunk.
2-Kenolog injection: Dilute steroid injection is an effective treatment for hypertrphic scars.The scar will flaten,become less itchy. It will still be the a scar though.
3-Compression: Works well in limbs and faces.Used more commonly in burn scars.
Hope that helps!
+1
Best treatment for thick scar revision and treatment
Bad scars can manifest in many different ways, including pigmentation, thickening, and depression of atrophic scars. Thick scars are best treated in my practice with IIT, cortisone injections, pressure management, and laser.
+1
Best and Safest Hypertrophic Scar Treatment if the 1540 Non Ablative Fractional Laser
Pressure, massage, Silicone Tape and Steroids have been mainstays of the treatment of Hypertrophic Scars for years. MOst serious Hypertrophic Scars eventually are treated with either Steroid Skin Tape or Steroid injection.
However, although the Steroid does reduce the Hypertrophic Scar, all too often the Steroid Injection causes complications:
Atrophy of Fat-the fat beneath the scar dissolves and the wound or scar widens and becomes depressed and looks worse
The skin...
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+1
Hypertrophic scar treatment
Injection of Kenalog and 5-fluorouracil into scar every 2 weeks until improvement seen - may take up to 6-8 sessions
Combine these scar injections with pulsed dye laser treatment (Vbeam) every month
You will see reduction in size and thickness of scar, a softening of the scar, a reduction of the redness, improved texture and reduction of itch and pain if present.
+1
Hyretrophic scars
These can be a very difficult problem. I personally use low dose Kenalog injections done carefully and over time to adjust the scar as best as possible and not make the problem worse. I will also use a silicone cream ( ketacote ) on the area or even a silicone sheet if the patient will be compliant with it. Some people have had success with laser therapy even though I have not.
+1
PDL, Gemini, Tunable Dye, Hypertrophic scars, keloids
I have found the PDL-Pulse Dye Laser to be most effective for hypertrophic scars or keloids. I have also used the KTP and Gemini and Tunable Dye laser effectively-especially when the keloid is peristing. This is best combined with Triamcinolone acetonide injection. In tough cases we only add interferon which may give cold symptoms and Cordran tape as well as other modalities. IPL is not risky in my experience.
+1
The best treatment for hypertrophic scars is to avoid them in the first place
The best treatment for hypertrophic scars is to avoid them in the first place. Unfortunately, scars cannot always be avoided. However, if you know that you are a poor healer and tend to make excessive scars, you should always notify your surgeon first so that if you sustain another injury somewhere else or have to have surgery, then your surgeon can take further precautions to help maximize the appearance of your scar. If possible always avoid surgery in visible areas.
As far as treatment...
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