I have some scars left over from a partial colectomy due to colon cancer. They really bother me and I was wondering if it is possible to remove them completely and if so how?
Answer: Hidef Protocols for Scar Revision Keloid scars are characterized by their growth potential and increased degree of inflammation within the skin. Unlike non-inflamed scars, keloids have the potential for growth beyond the original footprint of injury. Our office specializes in the management of keloids, whether single or multiple, using a combination platform that includes lasers, RF, scar modulation, Parke-Davis Scar Protocols, and injection therapy. Some keloids will require surgical intervention as an initial step for treatment. Massaging your scar can reduce inflammatory mediators that are responsible for chronic inflammation and scar overgrowth. It’s a rather simple technique that inactivates celluar inflammation mechanisms that can lead to keloid and hypertrophic scars. Start by applying a thin coat of Plato's Scar Serum twice daily to the scar and gently massaging the scar footprint. Be gentle, taking care not to slough off newly formed skin and reducing shear force on the dermis. This is ideal for new and old scars. • Twice daily application of a scar gel. • Scar modulation with gentle massage. • Intralesional injections in case there is overgrowth of scar tissue. • Vascular lasers for neovascularization of scars. • Stimulatory injections for scar atrophy. Scar gels work well, but should be combined with a physician-directed protocol to reduce scar formation and reduce scar visibility. Best, Dr. Karamanoukian The Scar Doctor Realself100 Surgeon
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Answer: Hidef Protocols for Scar Revision Keloid scars are characterized by their growth potential and increased degree of inflammation within the skin. Unlike non-inflamed scars, keloids have the potential for growth beyond the original footprint of injury. Our office specializes in the management of keloids, whether single or multiple, using a combination platform that includes lasers, RF, scar modulation, Parke-Davis Scar Protocols, and injection therapy. Some keloids will require surgical intervention as an initial step for treatment. Massaging your scar can reduce inflammatory mediators that are responsible for chronic inflammation and scar overgrowth. It’s a rather simple technique that inactivates celluar inflammation mechanisms that can lead to keloid and hypertrophic scars. Start by applying a thin coat of Plato's Scar Serum twice daily to the scar and gently massaging the scar footprint. Be gentle, taking care not to slough off newly formed skin and reducing shear force on the dermis. This is ideal for new and old scars. • Twice daily application of a scar gel. • Scar modulation with gentle massage. • Intralesional injections in case there is overgrowth of scar tissue. • Vascular lasers for neovascularization of scars. • Stimulatory injections for scar atrophy. Scar gels work well, but should be combined with a physician-directed protocol to reduce scar formation and reduce scar visibility. Best, Dr. Karamanoukian The Scar Doctor Realself100 Surgeon
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February 21, 2020
Answer: Scar Revision Question Dear Nice7453,Laser and steroids are helpful for hypertrophic scars but will never replicate the result of surgical revision with a tension free closure. Lasers and steroids can be added during and after surgery to lower your risk of scar formation. I have performed hundreds of scar revisions, and usually tension on the scar or tethering of the scar is the culprit. Consult with a board certified plastic surgeon to learn more.Good luck,Nirmal R. Nathan, M.D. · Certified, American Board of Plastic Surgery · Member, American Society of Plastic Surgeons · RealSelf Top Doctor
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February 21, 2020
Answer: Scar Revision Question Dear Nice7453,Laser and steroids are helpful for hypertrophic scars but will never replicate the result of surgical revision with a tension free closure. Lasers and steroids can be added during and after surgery to lower your risk of scar formation. I have performed hundreds of scar revisions, and usually tension on the scar or tethering of the scar is the culprit. Consult with a board certified plastic surgeon to learn more.Good luck,Nirmal R. Nathan, M.D. · Certified, American Board of Plastic Surgery · Member, American Society of Plastic Surgeons · RealSelf Top Doctor
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February 20, 2020
Answer: Scars on body with lasers, microneedling/PRP, subcision and fillers OR Scars on Face -- Vascular Lasers (Yellow laser, Pulsed Dy Unfortunately, it's difficult to determine the best solution for you without the benefit of a formal evaluation. Generally speaking, scars can be improved with a combination of surgery and/or lasers and microneedling with PRP. Below is a more detailed reference list of the treatments available. I recommend getting a formal evaluation with a scarring expert to determine which is best for your specific case. Best, Dr. Emer 1. Vascular lasers (Yellow laser, V-Beam, Excel V) 2. Fractional lasers (Fraxel, Erbium, CO2) 3. Microneedling/PRP 4. Silicone-based scar gels with growth factors 5. Excision / revision surgery See an expert to develop a treatment plan that works for you. Best, Dr. Emer
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February 20, 2020
Answer: Scars on body with lasers, microneedling/PRP, subcision and fillers OR Scars on Face -- Vascular Lasers (Yellow laser, Pulsed Dy Unfortunately, it's difficult to determine the best solution for you without the benefit of a formal evaluation. Generally speaking, scars can be improved with a combination of surgery and/or lasers and microneedling with PRP. Below is a more detailed reference list of the treatments available. I recommend getting a formal evaluation with a scarring expert to determine which is best for your specific case. Best, Dr. Emer 1. Vascular lasers (Yellow laser, V-Beam, Excel V) 2. Fractional lasers (Fraxel, Erbium, CO2) 3. Microneedling/PRP 4. Silicone-based scar gels with growth factors 5. Excision / revision surgery See an expert to develop a treatment plan that works for you. Best, Dr. Emer
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February 20, 2020
Answer: Scar Dear Nice7453, there are no options to completely remove scars. However, it can be improved with a combination approach using laser treatment, microneedling, prp or maybe even scar revision surgery. If you are considering a treatment, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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February 20, 2020
Answer: Scar Dear Nice7453, there are no options to completely remove scars. However, it can be improved with a combination approach using laser treatment, microneedling, prp or maybe even scar revision surgery. If you are considering a treatment, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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February 20, 2020
Answer: Abdominal scar revision Hello and thank you for your question. The best advice you can receive is from an in-person consultation. Based on your photographs, your colectomy scars can likely be improved with a surgical scar revision. This decision should be based on a detailed discussion with equal input from both you and your surgeon. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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February 20, 2020
Answer: Abdominal scar revision Hello and thank you for your question. The best advice you can receive is from an in-person consultation. Based on your photographs, your colectomy scars can likely be improved with a surgical scar revision. This decision should be based on a detailed discussion with equal input from both you and your surgeon. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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