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) 493-7397 & schedule a free consultation.
You can expect great results if you have realistic expectations from Rhinoplasty. Final results of nose reshaping cosmetic surgery may not be apparent until 6 months to a year after the surgery.