BackConditions — Skin
Scarring (Hypertrophic, Keloid)
Scarring is an important part of the healing process. It occurs when the body produces extra collagen in an effort to repair damaged tissue and heal a wound. There are two main types of scarring: Keloid and hypertrophic scarring. Keloid scarring is the formation of an overgrowth of scar tissue in the area of a healed wound, while hypertrophic scarring is a raised, firm scar that is limited to the area of the original wound. Both types of scarring can be itchy, uncomfortable and can even affect a person’s self-image. While some people may find the appearance of their scars distasteful, others may accept them as part of who they are. With the right treatment, scarring can be managed, and people can learn to embrace and accept their scars.
The plastic surgical management of scarring is an important part of wound healing and can be beneficial in improving the appearance of scars.
Scars can be the result of various causes, such as injuries, accidents, surgeries, and burns. Depending on the type of scarring, there are multiple approaches to treating and managing it.
Keloid scarring is an excessive growth of scar tissue in the area of a healed wound. This type of scarring is usually red or purple in colour, raised, and firm. It is often itchy and uncomfortable, and can negatively affect a person’s self-image. Treatment for keloid scarring usually involves surgical removal of the scar tissue, or the injection of corticosteroids or other medications to reduce inflammation and flatten the scar. Alternatively, laser treatments can be used to reduce the redness and size of the keloid.
Hypertrophic scarring is a raised, firm scar that is limited to the area of the original wound. Treatment for hypertrophic scarring includes the use of silicone gel sheets, which are placed directly over the scarred area to reduce redness and flatten the scar. Cryotherapy, or the application of extreme cold temperatures, can be used to reduce the size of the scar by destroying the excess scar tissue. Pressure therapy, or the application of pressure to the scarred area, has also been shown to be effective in flattening the scar.
Other treatments for scarring include dermabrasion, which uses a rotary instrument to remove the top layers of the scarred tissue. Chemical peels, or the application of a chemical solution to the scarred area, can also be used to reduce the appearance of the scar. Finally, dermal fillers can be injected into the scarred area to help fill in the scar and reduce its appearance.
No matter what type of scarring a person is dealing with, there are a variety of treatment options available. It is important to consult with a plastic surgeon to determine the best approach to managing scarring, as each individual case is unique. With the right treatment, scarring can be managed, and people can learn to embrace and accept their scars.
