Hypertrophic scar from upper bleph and 5FU injection? (Photo)

Question

I got injected with 5FU shots (no steroid/kenalog mix, only 5FU!!) in the eyelid today because of a hypertrophic scar, but I didn’t get any info/aftercare. What should I avoid the next couple of days? Also I feel a weird feeling in my body, like more anxiety and more rapid heartbeat. Is this normal? I know it’s a chemo drug and it’s not to play with but I have tried so much and nothing works so this was my last call.. please help me out

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Based on your concerns, I recommend treatment with CO2 resurfacing lasers in area of concern to help improve the skin texture. CO2 lasers emit high-energy light that is absorbed by water in the skin cells, creating controlled damage to the scar tissue. This stimulates collagen production and remodeling, helping to flatten and soften the appearance of hypertrophic scars. The heat generated by CO2 lasers penetrates deep into the skin, stimulating the production of new collagen and elastin fibers. This process helps to improve the texture and elasticity of the scar tissue over time. I hope this helps and best of luck!

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis.  We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. 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 discuss the best treatment options for your type of skin. .

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear you're experiencing these issues. Here are some general guidelines and considerations for aftercare following a 5-Fluorouracil (5-FU) injection for hypertrophic scars, as well as addressing your symptoms:

Aftercare Guidelines:

1. **Avoid Sun Exposure**:
   - Keep the treated area out of direct sunlight.
   - Use a broad-spectrum sunscreen with high SPF if you need to go outside.
   - Wear protective clothing, such as a wide-brimmed hat or sunglasses.

2. **Keep the Area Clean**:
   - Gently clean the treated area with mild soap and water.
   - Avoid scrubbing or using harsh chemicals on the area.

3. **Avoid Irritants**:
   - Do not apply makeup, creams, or any other skin products on the treated area without consulting your physician.
   - Avoid any activities that might cause excessive sweating or irritation around the treated area.

4. **Monitor for Signs of Infection**:
   - Look for increased redness, swelling, or pus, which could indicate an infection.
   - Contact your physician if you notice any of these signs.

5. **Avoid Strenuous Activities**:
   - Limit physical activities that might increase blood flow to the treated area, as this might exacerbate swelling or irritation.

Addressing Your Symptoms:

1. **Anxiety and Rapid Heartbeat**:
   - These symptoms can sometimes occur due to the stress of the procedure or as a side effect of the medication.
   - Practice relaxation techniques such as deep breathing, meditation, or gentle yoga to help manage anxiety.
   - Ensure you stay hydrated and get plenty of rest.

2. **When to Seek Medical Attention**:
   - If your anxiety and rapid heartbeat persist or worsen, it's important to contact your healthcare provider.
   - You should also seek immediate medical attention if you experience severe reactions such as difficulty breathing, chest pain, or severe allergic reactions.

General Recommendations:

- **Follow-Up**: Schedule a follow-up appointment with your physician to monitor the progress of the scar treatment and address any side effects.
- **Medication Information**: Ensure you are fully informed about the potential side effects and interactions of 5-FU. This drug can have systemic effects, even though it is used locally in this context.

Given your symptoms and the nature of the medication, it would be prudent to contact your healthcare provider to discuss your symptoms and ensure that you are not experiencing any serious side effects or complications. Your provider can give you the most accurate advice tailored to your specific situation.

Hypertrophic scar from upper bleph and 5FU injection? (Photo)

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Hypertrophic scar from upper bleph and 5FU injection? (Photo)

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