Is this scar permanent? Please suggest if there is any solution as steroid ointment works but makes skin wrinkled (photo)

Question

I have hypertrophic scars in shape of tattoo as treated by unqualified people Doctor suggested steroid injection but it makes skin thin. Locoid 0.1% (Steroid)helped but when I stopped using it scar become raised again. Please suggest

Anna Chacon, MD, FAAD · Answer

Hypertrophic scars can be challenging to manage, especially if previous treatments have not provided a lasting solution. Here are some options and considerations you might discuss with a qualified dermatologist:

Steroid Injections: While steroid injections, such as triamcinolone, can be effective in reducing the size and appearance of hypertrophic scars, they can indeed cause skin thinning if overused. It's important to follow a treatment plan supervised by a healthcare professional to minimize side effects.

Silicone Gel Sheets: These can be applied over the scar to help flatten and soften it over time. They are non-invasive and have minimal side effects, making them a good option for long-term management.

Laser Therapy: Laser treatments, such as Pulsed Dye Laser (PDL) or fractional lasers, can help reduce redness and improve the texture of hypertrophic scars. These treatments usually require multiple sessions and should be performed by an experienced dermatologist.

Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, promoting collagen production and potentially improving the appearance of scars. It can be combined with other treatments for enhanced results.

Pressure Therapy: Wearing pressure garments can help flatten hypertrophic scars, especially in the early stages of scar formation.

Surgical Revision: In some cases, surgical scar revision might be considered, especially if the scar is causing functional issues or significant distress. This should be discussed thoroughly with a specialist.

It's crucial to consult with a board-certified dermatologist or plastic surgeon who can assess your specific situation and recommend a tailored treatment plan. They can help balance the effectiveness of treatment with potential side effects, ensuring the best possible outcome for your skin.

Is this scar permanent? Please suggest if there is any solution as steroid ointment works but makes skin wrinkled (photo)

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