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.?
Answer: 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 include: Pressure Massage Topical paper tape therapy Topical or intralesional steroids Topical silicone gel preparations or sheeting Although Cocoa butter, Vitamin E, or Mederma have been touted by other practitioners, there is minimal scientific data to fully support these claims.
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CONTACT NOW Answer: 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 include: Pressure Massage Topical paper tape therapy Topical or intralesional steroids Topical silicone gel preparations or sheeting Although Cocoa butter, Vitamin E, or Mederma have been touted by other practitioners, there is minimal scientific data to fully support these claims.
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CONTACT NOW Answer: Scar removal The good news about scar treatment is that they can always be improved. Pigmented scars can be lightened, red and purple scars can be corrected, depressed scars can be raised, raised scars can be flattened and scar texture can improve. The reality is, it often takes multiple types of treatment to address each aspect of the scar, and even with great improvements, scars will never fully be gone. Lasers can help change the pigment, red or purple color and texture of the scar. Fillers and mechanical subcision can be used to raise depressed scars. Various injectable treatments can flatten scars. The right combination of those treatments will depend on your individual needs, goals and anatomy. It takes an expert in scar revision to help choose and present your options, and you need someone who has all of those mentioned treatment modalities available. To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon. Cameron Chesnut #realself500 Physician
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CONTACT NOW Answer: Scar removal The good news about scar treatment is that they can always be improved. Pigmented scars can be lightened, red and purple scars can be corrected, depressed scars can be raised, raised scars can be flattened and scar texture can improve. The reality is, it often takes multiple types of treatment to address each aspect of the scar, and even with great improvements, scars will never fully be gone. Lasers can help change the pigment, red or purple color and texture of the scar. Fillers and mechanical subcision can be used to raise depressed scars. Various injectable treatments can flatten scars. The right combination of those treatments will depend on your individual needs, goals and anatomy. It takes an expert in scar revision to help choose and present your options, and you need someone who has all of those mentioned treatment modalities available. To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon. Cameron Chesnut #realself500 Physician
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October 18, 2016
Answer: Hypertrophic scars have many great treatment options There are many treatments for hypertrophic scars but the best treatment really depends on the patient and their specific scar. Some mild scars are best treated with daily massage and over-the-counter silicone sheets. More significant scars can be injected with steroid to reduce their substance. Depending on your skin color, lasers can be used to destroy scar tissue and redness. However, lasers can cause skin of color to change color and that is why it is very hard to speak in generalities. Furthermore, dermabrasion or even scar excision/revision are options. Your local board-certified dermatologist or plastic surgeon should be able to review your specific needs and make a plan of care that works best for you.
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CONTACT NOW October 18, 2016
Answer: Hypertrophic scars have many great treatment options There are many treatments for hypertrophic scars but the best treatment really depends on the patient and their specific scar. Some mild scars are best treated with daily massage and over-the-counter silicone sheets. More significant scars can be injected with steroid to reduce their substance. Depending on your skin color, lasers can be used to destroy scar tissue and redness. However, lasers can cause skin of color to change color and that is why it is very hard to speak in generalities. Furthermore, dermabrasion or even scar excision/revision are options. Your local board-certified dermatologist or plastic surgeon should be able to review your specific needs and make a plan of care that works best for you.
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January 5, 2018
Answer: Scar treatment options Thanks for sharing. Scars can be acquired from trauma or even after a surgical incision. Some people can be more prone to hypertrophic scarring and fortunately less commonly keloids. Certain areas of the body can be more prone as well such as the sternum and deltoid areas. There are effective treatment options which may include:TIME - almost all scars will improve with time.Silcone gel or sheetingScar massage/pressurepressure garments digital massageKenalog/Cortisone injections- may be repeated every 4-6 weeksLaser resurfacingFractions CO2Pulse Dye laserIPLSurgical excisionConsult with a board certified facial plastic or plastic surgeon to review your options.
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CONTACT NOW January 5, 2018
Answer: Scar treatment options Thanks for sharing. Scars can be acquired from trauma or even after a surgical incision. Some people can be more prone to hypertrophic scarring and fortunately less commonly keloids. Certain areas of the body can be more prone as well such as the sternum and deltoid areas. There are effective treatment options which may include:TIME - almost all scars will improve with time.Silcone gel or sheetingScar massage/pressurepressure garments digital massageKenalog/Cortisone injections- may be repeated every 4-6 weeksLaser resurfacingFractions CO2Pulse Dye laserIPLSurgical excisionConsult with a board certified facial plastic or plastic surgeon to review your options.
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June 17, 2015
Answer: Combo therapy best for hypertrophic scars Daily scar massage helps to mobilize and flatten the scar. Silicone gel or sheets will help to flatten scar and minimize hyperpigmentation (dark coloring) of the scar (wear daily and/or nightly for best results). Laser or IPL treatments can help minimize the pink/red pigment of the scar. Wearing SPF 30-50 is essential to prevent hyperpigmentation if the scar is exposed to sunlight. Steroid injections (1-3 treatments) at 6 week intervals as needed to flatten scar- but overuse can cause atrophic scars where the skin thins and becomes sunken down, so dont want to overdo it with the steroid.
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Answer: Combo therapy best for hypertrophic scars Daily scar massage helps to mobilize and flatten the scar. Silicone gel or sheets will help to flatten scar and minimize hyperpigmentation (dark coloring) of the scar (wear daily and/or nightly for best results). Laser or IPL treatments can help minimize the pink/red pigment of the scar. Wearing SPF 30-50 is essential to prevent hyperpigmentation if the scar is exposed to sunlight. Steroid injections (1-3 treatments) at 6 week intervals as needed to flatten scar- but overuse can cause atrophic scars where the skin thins and becomes sunken down, so dont want to overdo it with the steroid.
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February 8, 2017
Answer: Best hypertrophic scar treatment? Hello! Thank you for the question! It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Other things that have been shown to add some benefit, albeit controversial, are silicone sheets, hydration, and topical steroids. In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process. If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself. For hypertrophic scars, if that's what yours is and not a keloid scar, steroid injections will likely help - to decrease the size, flatten, decrease redness/itching, etc. Hope that this helps! Best wishes!
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Answer: Best hypertrophic scar treatment? Hello! Thank you for the question! It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Other things that have been shown to add some benefit, albeit controversial, are silicone sheets, hydration, and topical steroids. In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process. If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself. For hypertrophic scars, if that's what yours is and not a keloid scar, steroid injections will likely help - to decrease the size, flatten, decrease redness/itching, etc. Hope that this helps! Best wishes!
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