How can I treat this hypertrophic scar from upper bleph? (Photo)

Question

Im 8 months PO and ive developed a hypertrophic scar on this eye directly after surgery because of to much tension, I want to do an injection with 5FU. Is it possible to get any improvement with only 5FU to the scar? I’m scared of atrophy with cortisone injections. The person who can help me with 5FU injections didn’t tell me any after care or if I should massage the scar after? Can you please help me explain how to do after so I can have a nice eye again. Thank you very much

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear about your hypertrophic scar. Hypertrophic scars can be challenging, but there are several treatments available that can help improve their appearance. 5-Fluorouracil (5-FU) is one treatment option that has shown efficacy in reducing hypertrophic scars. Here’s a general guide on what to expect and how to care for your scar after 5-FU injections:

5-FU Treatment for Hypertrophic Scars
**What to Expect:**
- **Injection Process:** 5-FU is injected directly into the scar tissue. This may be done alone or in combination with a small amount of corticosteroid to enhance the effect and reduce the risk of atrophy.
- **Number of Sessions:** Multiple sessions are often needed. The frequency and number of treatments will depend on the response of your scar to the injections.

Aftercare Instructions
**Immediately After Injection:**
- **Ice Application:** Apply ice to the treated area immediately after the injection to help reduce swelling and discomfort. Wrap the ice in a cloth to prevent direct contact with the skin.
- **Avoid Touching:** Avoid touching or massaging the area for at least 24 hours to allow the medication to settle into the scar tissue.

**Following Days:**
- **Gentle Cleansing:** Clean the area gently with mild soap and water. Pat dry with a clean towel.
- **Avoid Irritants:** Avoid applying any harsh or irritating products to the area. Stick to gentle, fragrance-free moisturizers if needed.
- **Sun Protection:** Protect the treated area from sun exposure. Use a high-SPF sunscreen and wear sunglasses or a hat to shield the area.

**Long-Term Care:**
- **Scar Massage:** After the initial 24 hours, you may begin gentle scar massage if recommended by your healthcare provider. This can help soften the scar tissue. Use gentle pressure and a circular motion for a few minutes each day.
- **Moisturizers and Silicone Gel Sheets:** Consider using silicone gel sheets or silicone-based scar creams. These can help flatten and soften the scar over time.

Monitoring and Follow-Up
- **Regular Check-Ups:** Attend all follow-up appointments with your healthcare provider to monitor the progress of the treatment and make any necessary adjustments.
- **Report Concerns:** If you notice any signs of infection (increased redness, swelling, warmth, pain, or discharge) or if you have any concerns about atrophy or other side effects, contact your healthcare provider immediately.

General Tips
- **Patience:** Scar treatment takes time. Be patient and consistent with your aftercare routine.
- **Healthy Lifestyle:** Maintain a healthy lifestyle with a balanced diet and adequate hydration to support your skin’s healing process.

5-FU injections can be an effective treatment for hypertrophic scars, and careful aftercare is crucial to achieve the best results. Start with gentle care immediately after the injection, and follow your healthcare provider's recommendations for long-term scar management. Regular follow-up appointments will help ensure that the treatment is working and allow for any necessary adjustments.

Always consult with your healthcare provider or a specialist before starting any new treatment to ensure it’s appropriate for your specific condition and to receive personalized aftercare instructions.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

How can I treat this hypertrophic scar from upper bleph? (Photo)

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How can I treat this hypertrophic scar from upper bleph? (Photo)

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Our mission is to create a world where every investment in modern beauty is Worth It.