Scar Removal Q&A
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Scar Removal Options for a Type I Diabetic?
asked 2 years ago by raychel510 in California Bay Area
Latest answer by Richard P. Rand, MD, FACS
Question viewed 287 times
Tags: legs, diabetes
I have two scars on my right leg that I want removed about 1" diameter each. The scars were dignaosed as necrobiosis lipoidica diabeticorum about 2 years ago and I was given a topical cortisone cream that didnt work and then just tried the steriod prednisone which also didnt help.
I am type 1 diabetic in good control and have been thinking about surgery removal. Any help or suggestions are REALLY APPRECIATED!!! I would rather have a clean scar than these ugly red lesions!
3 answers to Scar Removal Options for a Type I Diabetic?
+1
Plastic surgery and necrobiosis
When I was in academic plastic surgery, I worte a paper about NLD and since you can never "remove" a scar, only "revise" them, I would suggest you probably leave these alone. You might get an even worse scar if you manipulate these tissues.
+1
Diabletic leg scars and lesions: surgical options
I agree with Dr. Aldea. The legs, particulary in a diabetic, are prone to higher complication rates when compared to other parts of the body, especially when removing 1" lesions. If they were malignant, this would be different situation, They are benign, and although they are undesireable, the risks of removing these lesions are excessive, in my opinion.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
Necrobiosis Lipoidica Diabeticorum Scars
The management of Necrobiosis Lipoidica Diabeticorum lesions is controversial and many of us would have different opinions. As such I will give you my oipinion and I will be curious to see what my colleagues have to say.
Necrobiosis Lipoidica Diabeticorum lesions are an outward manifestation of a systemic inside process. EVEN if they could be magically removed without any complications they would frequently and eventually recur elsewhere.
To complicate matters, most areas of the legs do not...
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