Hypertrophic Scars – Keloids
What is a Scar?
The word ‘scar’ originates from the Greek word ‘eskhara’, which means scab. A scar is the body’s natural way of healing and replacing damaged skin, usually composed of fibrous tissue.
How does it occur?
- Scars may be formed for many different reasons, like infections, surgery, injuries or inflammation of tissue like after acne.
- Scars may appear anywhere on the body and the composition of a scar may vary, appearing flat, lumpy or sunken. They may be lightly or darkly pigmented than the surrounding normal skin
Other reasons for scaring
- Heart / cardiothoracic surgeries
- Ceasarian /gynecological surgeries
What are the types?
- Raised Scars– Hypertrophic scars, Keloids
- Indented or Depressed Scars– Atrophic scars, like acne scars
Hypertrophic Scars and Keloids
Following a skin injury, sometimes the wound heals with production of excess repair tissue (i.e. collagen), which then gets deposited in these scars resulting in either a hypertrophic or a keloid scar.
- Hypertrophic Scars
In hypertrophic scars the excess collagen is deposited within the borders of the original injury. They may be painful and itchy and can occur in any area of the body.
They tend to extend in a claw-like fashion beyond the border of the original injury, becoming itchier over time. They occur more often in darker-skinned people. Common sites are chest, earlobes, shoulders, upper back.
- Hypertrophic scars
Hypertrophic scars tend to regress in time becoming flatter and smoother however keloids may continue to expand in size for decades.
Treatments available at Christell:
Treatments for keloids and hypertrophic scars vary. There is no one simple cure a customized treatment plan is essential. Treatment may include the following:
- Creams and Lotions
Topical creams or gels containing steroid or silicon can be used that help flatten keloids and hypertrophic scars. But they will not completely disappear. Therefore, they are used in combination with various other treatments.
- Steroid Injections
Steroids are injected directly into the scar tissue to help decrease the itching, redness, and burning sensations and also decrease the size of the scar. A series of injections is usually required to gain the maximal effect – generally given at 2-3 week intervals. Trained practitioners should give them only.
- Laser Treatment
Lasers such as RF pixel available at christell works to flatten the scar and blend it into the skin.
- Pressure Therapy
Pressure therapy involves a type of pressure bandage worn over the area of the scar. These may be worn day and night for 4-6 months.