Can scar revision surgery be used to correct a hypertrophic scar on the forehead?
Doctor Answers 4
Plato's Scar Serum and hypertrophic scars
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.
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 scar therapy products. Instead, with just two applications a day my patients now perform scar therapy in the comfort of their own home. Glad to help.
Hypertrophic Scars Respond To Intralesional Injections And Fractional Microneedle Therapy
Once the scar is completely flat, i.e. flush with the surrounding normal skin, a decision has to be made as to how to proceed. If the resulting ivory-colored flat spot is acceptable, nothing more need be done. Certainly scar excision followed by dermabrasion (scarabrasion) is an option. Alternatively, a far less invasively, fractional medical microneedle therapy can be considered to improve the surface texture of the scar and possibly its color, as well.
Should the decision be made to go ahead with further treatments, the timing is next important. In general I prefer to wait until the child himself/herself becomes bothered by the scar and is emotionally willing and able to comply with treatments. For more detail on fractional medical microneedle therapy, check out the archives of Realself.com