Hypertrophic scar is a lumpy, raised & excess of scar tissue but limited
within the boundaries of the original scar and generally settles over
12 months though can be permanent.
Keloid scar is a particular type of scar characterized by excessive amount
of scar tissue that extends way outside the original boundaries. Keloid
scar is common amongst dark skinned people.
Keloid scars can be treated with steroid injections. The steroid injections
will reduce redness, itching and burning, and sometimes even shrink the
scar. Although they can appear anywhere on the body, keloid scars are
most often found on the breastbone, earlobes, and shoulders.
Steroid injections may help, but surgery may be necessary. When a large area of skin is damaged
due to burns or other injuries, the edges may pull in, causing a contracture.
Contractures can restrict normal movement by affecting the adjacent muscles
and tendons. There are a few ways to treat a contracture. The surgeon
may remove the scar and replace it with a skin graft or flap.
As with any type of scar, facial scars can be very noticeable and sometimes
unsightly. There are several treatment options for facial scars. One method
is to remove the scare and close it with tiny sutures, or stitches, thus
leaving a thinner, less noticeable scar. Dermabrasion is a technique in
which the top layers of the skin are scraped, leaving a smoother surface.
While dermabrasion will make the scar less noticeable, it will not completely
erase the scar.
There are many treatment options for scar revision. For example, the Z-Plasty
technique repositions a scar so that it more closely conforms to the natural
lines and creases of the skin, making it less noticeable. It can also
relieve the tension caused by contracture.
A Z-Plasty is performed under general anesthesia. During a Z-Plasty, the old scar
is removed and new incisions are made on each side. These incisions create
small triangular flaps of skin, which are rearranged to cover the wound
at a different angle, resulting in a Z pattern.
Laser treatment has also proven to be successful in treating scars. The
pulsed-dye laser has been showing some signs of success in lessening the
appearance of surgical scarring. Treatment usually begins as soon as the
stitches are removed and is repeated monthly.
Silicone gel and silicone gel sheeting
are treatments that have proven effective for improving the appearance
of both fresh and long-standing scars. Silicone gel is a thick liquid
applied to the affected area. Silicone gel sheeting is a treated, fabric-like
sheet that covers the scar.
Studies have shown that the gel and gel sheeting, applied for 12 to 24
hours per day for at least two months, resulted in significant improvement
in appearance, as well as lessening the recurrence of hypertrophic scars.
For more information on scar treatment and revision, call us at (713) 892-5476
& schedule a free consultation.