Child Scar from Barbed Wire Fence

Question

My 7yr old daughter, hit a barbed wire fence and now has a gash across her check. The doctor at the hospital used glue and put steri strips across the cut (no stitches needed). Any idea what kind of scar she will have and if it will heal okay? What can we put on the scar afterward to make the appearance less?

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Houtan Chaboki, MD · Answer

Injuries, especially in children, are always troubling. Generally, avoid sun exposure and follow the instructions of your physician to maximize healing after facial injury. Speak with a plastic surgeon now in your area to help determine appropriate options during the healing process to minimize scarring. Only after a comprehensive evaluation can he/she determine appropriate options for you.

Darryl J. Blinski, MD · Answer

Hard to answer. Why not seek a plastic surgeon's in person opinion than over the internet without a photo? Seek this in your area.

	From MIAMI Dr. B

Steven Wallach, MD · Answer

It is hard to predict what the final scar will look like. It may take a year or more to mature and soften. The best thing to do is follow with a plastic surgeon or a dermatologist if there are problems with healing. Some recommended pressure dressings, others recommend silicone gels, and silicone sheeting. Sun block is also recommended to avoid hyperpigmentation form the sun.

Child Scar from Barbed Wire Fence

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