Can a hypertrophic scar be removed with excision?
Doctor Answers (5)
Hypertrophic scars and treatment in Los Angeles
Raffy Karamanoukian MD FACS
The gold standard for hypertrophic scar therapy is pressure and time - occasionally a year or more. If this fails then scar revision surgery may be considered. Although the results of scar therapy vary from person to person and scar to scar, the results are considered permanent. Basically, your pediatric plastic surgeon is absolutely correct in everything he is recommending.
Not infrequently potential patients avoid surgery because fear of an unsightly scar. To remedy this, I now utilize and formulate compounded topical creams to treat, relieve and minimize scars for each of my patients:
• new scars
• old scars
• surgical scars
• keloid scars
• stretch marks
• hypertrophic scars
• hyperpigmented (dark) scars
• various acne scars, and more...
These scar removal creams contain prescription strength medications each individually known to reduce and/or reverse the scarring process but never before compounded together into one high potency formulation. These medications are added to a base of anhydrous silicone (the most common ingredient in everyday topical scar therapy) and Pracaxi oil, found in the Amazon rainforest and known for its anti-inflammatory, antioxidant, antibacterial, and antifungal properties. Many health insurance plans actually cover the cost of the creams and they can be delivered directly to the patients door step. In other words, no need for multiple trips to the doctor for expensive and painful laser treatments, or wasted money on minimally effective over-the-counter topical scar therapy gels or silicone sheets that are unsightly and/or fail to stay on. Instead, with just two applications a day my patients now perform scar therapy in the comfort of their own home. Glad to help.
Laser treatments often better option for scars
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Facial scar in a 10 year old.
It frequently takes up to 18 months to two years in a child for a scar to mature or to be the way it will look for the remainder of the patient's life; so it still may improve with time. By the same token if a scar looks lousy after 12 months, it will probably not look that great in another 6 to 12 months.
Although your son is a minor, I would leave the decision about timing up to him. Kids become body conscious at the time of puberty, about 10 years in girls and somewhat later in boys, so right now it may be not a problem, and if that were the case, I would wait until he requests it.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.