Much of the research relating to the effects of the PDL on scars has been led by Dr Tina Alster in Washington, DC. She noted (Alster et al, 1993) that the PDL was able to alter argon laser-induced scars, which are often erythematous and hypertrophic. By using optical profilometry measurements she demonstrated a trend toward more normal skin texture as well as reduction in observed erythema. This work was extended to the treatment of erythematous and hypertrophic scars (Alster and Williams, 1995) using objective measurements; clinical appearance (colour and height), surface texture, skin pliability and pruritus could all be improved.
It is not known how the PDL improves the appearance of hypertrophic and keloidal scars. Microvascular damage may effect collagen or collagenase activity within the scar. Thermal damage to abnormal collagen within the hypertrophic scar may allow remodelling, and reduction in endothelial cell volume can affect type V collagen, which is increased in hypertrophic scars (Hering et al, 1983). Mast cell alterations after laser irradiation may also be of importance.
Although established hypertrophic scars can respond to treatment, early treatment of scars within the first months might prevent hypertrophy in individuals who are keloid-prone. I have certainly seen the benefits of early PDL treatment of excised recurrent keloids (Smith, Lanigan and Murison, unpublished observations). In a group of 11 patients treated in this way, none had a recurrent keloidal scar. Treatment at 6.5-7.5Jcm2 with a 5mm spot or 6-6.75Jcm2 with a 7mm spot is usually used. Treatment is repeated at 6- to 8- weekly intervals depending on clinical response. Keloidal scars require multiple treatments and the response is unpredictable. There may be additional benefits from using newer PDL with wavelengths of 590 or 595 nm but there is no published work to confirm this.
Alster's work has been confirmed by Dierickx et al (1995), who treated 15 patients with erythematous/hypertrophic scars and obtained an average improvement of 77% after an average of 1.8 treatments. Goldman and Fitzpatrick (1995) also treated 48 patients with similar laser parameters. Scars less than 1 year old did better than those more than 1 year old and facial scars did better there was an 88% average improvements, with total resolution in 20% after 4.4 treatments. Similar results were also seen in erythematous and hypertrophic facial acne scars by Alster and McMeekin (1996). Combinations of CO2 and PDL treatment of hypertrophic non-erythematous scars have also shown additional benefit of the PDL compared to the CO2 laser alone (Alster et al, 1998).
For persistent scars combinations of intralesional corticosteroid injections, steroid impregnated tapes and laser therapy may be necessary (Sawcer et al, 1998).
More recent work by Manuskiatti et al (2001) showed improvement in scarring following treatment with the pulsed dye laser at varying fluences of 3, 5 and 7 Jcm-2. There was a trend for lower fluences to show most improvement and multiple treatments were required.
Two studies have compared the effects of pulsed dye laser treatment with other treatment modalities, particularly intralesional steroids. Alster (2003) compared pulsed dye laser treatment alone with laser therapy combined with intralesional corticosteroid treatment. Both treatment arms produced improvement in scars and there was no significant difference between the two treatments. Manuskiatti and Fitzpatrick (2002) compared scar treatment with intralesional corticosteroids alone or combined with 5-fluorouracil or 5-fluorouracil alone or the pulsed dye laser using fluences of 5 Jcm-2. All treatment areas were improved compared to baseline, there was no significant difference in treatment outcome compared to method of treatment. The highest risk of adverse sequelae occurred in the corticosteroid intralesional group. They concluded that treatment with intralesional corticosteroid alone or in combination with 5-fluorouracil or 5-fluorouracil alone and pulsed dye laser treatment are comparable.
Other studies however, have failed to demonstrate substantial effects of the pulsed dye laser on scars (Allison et al 2003; Paquet 2001; Whittenberg et al 1999;). Paquet assessed laser treated scars using remittance spectroscopy. Although a discrete decrease in redness of the scars was reported clinically this was not confirmed by objective data. Whittenberg et al, in a prospective single blind randomized controlled study compared laser treatment with silicon gel sheeting and controls. Although there was an overall reduction in blood volume and flow and scar pruritis over time, there were no differences detected between the treatment arms and the control groups. Allison et al, treating old and new scars with the pulsed dye laser with fluences of 5 to 6 Jcm-2 were unable to demonstrate any statistical differences between treatment and control by photographic assessments nor surface profile measurements. However, they did notice a significant improvement in scar pruritis in the active group compared with the controlled group.
In conclusion, there are now multiple studies assessing the effects of the pulsed dye laser in the treatment of scars. Although results are conflicting, particularly when controlled studies are performed, it would appear that in some cases laser therapy can be beneficial in the treatment for scars. It is likely that redness and pruritis are the two parameters that are most likely to significantly improve with this treatment.
source: ezinearticles.com
Tampilkan postingan dengan label hyperthrophic scars. Tampilkan semua postingan
Tampilkan postingan dengan label hyperthrophic scars. Tampilkan semua postingan
Minggu, 12 September 2010
Treatment For Burn Scars
There is no particular type of treatment for burn scars that will work in a single day. Up to now there is no universally efficient treatment for burn scars, but the technique of using lasers to selectively coagulate microvasculature in the pores and skin seems to provide some hope for improved outcomes. Dermabrasion or dermaplaning is also a commonplace treatment for burn scars known as hypertrophic or keloid scars that makes use of the ability to resurface the highest layers of the skin throughout the strategy of surgical scraping.
The most common parts of the body for burns to occur are face, hands, head, neck, chest, ears, perineum and feet. Contracture scars is essentially the most critical form of burn scar which happen while the underlying muscle tissues and nerves are suffering from the burns. The burns can leave blisters, scars, put off pores and skin totally and damage nerves. Thermal or chemical injury are probably the most worst scars observed in medical practice. However the most not unusual reasons of burns can be thru steam, scorching bathtub water, hot coffee etc.
The treatment of hypertrophic scars resulting from burns is difficult and steadily requires a mix of invasive and non-invasive methods. Unlike other types of injuries, burns cause permanent sequelae. Prolonged exposure to flames, steam or scalding liquids and chemical or electric injury are all ways in which a person can gain third degree burns. Always consult a physician if burns, minor or severe, occur at the face, fingers, genitalia, feet, or for any burn on an infant. Pressure therapy is used essentially to control hypertrophic scar formation after burns however may also be used to treat keloids. Early use of silicone and pressure garments after burns has been shown to reduce the need for later revisional surgery to correct contractures. Burns are classified by degree that generally corresponds with the depth into the body that the injury has traveled.
Burns are categorized as first, second, and third degree. Second level burns that involve not up to 15 % of the body surface in adults and not more than 10 % in kids may also be categorized as minor burns. Third-stage burns are characterized by means of the damage to both the epidermis and deep dermis, extending to the level of the subcutaneous tissue, tendon, or bone. As third-level burns extend deeper within the dermis than both first-degree or second level burns, treatment will have to additionally prolong to a deeper level. These burns lead to scarring with a uniquely altered texture, colour, pliability, and elasticity, which has a tendency to aggravate fairly than beef up with time. Treating burns poses a really perfect clinical problem in that the scars formed following thermal or chemical damage are one of the most worst scars seen in clinical practice.
source: ezinearticles.com
The most common parts of the body for burns to occur are face, hands, head, neck, chest, ears, perineum and feet. Contracture scars is essentially the most critical form of burn scar which happen while the underlying muscle tissues and nerves are suffering from the burns. The burns can leave blisters, scars, put off pores and skin totally and damage nerves. Thermal or chemical injury are probably the most worst scars observed in medical practice. However the most not unusual reasons of burns can be thru steam, scorching bathtub water, hot coffee etc.
The treatment of hypertrophic scars resulting from burns is difficult and steadily requires a mix of invasive and non-invasive methods. Unlike other types of injuries, burns cause permanent sequelae. Prolonged exposure to flames, steam or scalding liquids and chemical or electric injury are all ways in which a person can gain third degree burns. Always consult a physician if burns, minor or severe, occur at the face, fingers, genitalia, feet, or for any burn on an infant. Pressure therapy is used essentially to control hypertrophic scar formation after burns however may also be used to treat keloids. Early use of silicone and pressure garments after burns has been shown to reduce the need for later revisional surgery to correct contractures. Burns are classified by degree that generally corresponds with the depth into the body that the injury has traveled.
Burns are categorized as first, second, and third degree. Second level burns that involve not up to 15 % of the body surface in adults and not more than 10 % in kids may also be categorized as minor burns. Third-stage burns are characterized by means of the damage to both the epidermis and deep dermis, extending to the level of the subcutaneous tissue, tendon, or bone. As third-level burns extend deeper within the dermis than both first-degree or second level burns, treatment will have to additionally prolong to a deeper level. These burns lead to scarring with a uniquely altered texture, colour, pliability, and elasticity, which has a tendency to aggravate fairly than beef up with time. Treating burns poses a really perfect clinical problem in that the scars formed following thermal or chemical damage are one of the most worst scars seen in clinical practice.
source: ezinearticles.com
What You Need to Know About Hypertrophic Scars
Unlike most scars, Hypertrophic scars actually have the ability to grow. The most common type of these scars is Keloids, which have the unique ability to expand well beyond the boundary of the original wound. While these types of wounds are unusual, once they develop, they can be painful, discolored, and very large. The most unfortunate aspect of these scars is that they can develop following any trauma to the skin including an ear piercing or even a simple scrape or cut.
Once the Hypertrophic scar develops, there are thankfully many ways to get rid of it. One of these options is to have a doctor cut the scar out. However, this method is reserved for very large scars as there is not only the risk of something going wrong during the surgery, but there is also the fact that removing this type of scar via surgery will result in the formation of another Hypertrophic scar almost half the time.
Another option is injection therapy, but again this treatment option is reserved for very serious wounds as it not only involves the risk of side effects, but it is also quite expensive.
The most common way to diminish the size of Hypertrophic scars including Keloids is to use an over-the-counter silicone based scar gel. The reason that this option is so popular is because it works and is not risky. Furthermore, it is also the least expensive of the three main viable removal options. Essentially, all one has to do is to apply the silicone based product over their wound to not only help it heal more efficiently, but to also help form a waterproof barrier over the wound which in turn will help protect it against any additional damage.
The reason that silicone works so well is still a bit of a mystery for medical professionals. What they do know is that the silicone barrier allows the scar to retain moisture from surrounding, healthier areas of skin which will aide in the healing process. However, there is also the theory that the static electricity caused by the silicone fibers causes the scar fibers to realign.
Whatever the actual reason is, the bottom line is that using a silicone based cream or gel can help reduce the size of Hypertrophic scars including Keloids. This is also evident by the number of health care providers whom suggest using these types of products to their patients. For more information concerning silicone scar products, please read my author bio box below.
source: ezinearticles.com
Once the Hypertrophic scar develops, there are thankfully many ways to get rid of it. One of these options is to have a doctor cut the scar out. However, this method is reserved for very large scars as there is not only the risk of something going wrong during the surgery, but there is also the fact that removing this type of scar via surgery will result in the formation of another Hypertrophic scar almost half the time.
Another option is injection therapy, but again this treatment option is reserved for very serious wounds as it not only involves the risk of side effects, but it is also quite expensive.
The most common way to diminish the size of Hypertrophic scars including Keloids is to use an over-the-counter silicone based scar gel. The reason that this option is so popular is because it works and is not risky. Furthermore, it is also the least expensive of the three main viable removal options. Essentially, all one has to do is to apply the silicone based product over their wound to not only help it heal more efficiently, but to also help form a waterproof barrier over the wound which in turn will help protect it against any additional damage.
The reason that silicone works so well is still a bit of a mystery for medical professionals. What they do know is that the silicone barrier allows the scar to retain moisture from surrounding, healthier areas of skin which will aide in the healing process. However, there is also the theory that the static electricity caused by the silicone fibers causes the scar fibers to realign.
Whatever the actual reason is, the bottom line is that using a silicone based cream or gel can help reduce the size of Hypertrophic scars including Keloids. This is also evident by the number of health care providers whom suggest using these types of products to their patients. For more information concerning silicone scar products, please read my author bio box below.
source: ezinearticles.com
Senin, 12 April 2010
How to Deal With Keloid Scars
A keloid is a scar hypertrophied, begin fibrous and is presented for different causes during the process of healing a wound. In order to form a keloid, it is necessary to have a wound that is healing process. This wound can be caused by acne, infection, an operation or a cut have to close. The complications are mostly in people who have a hereditary tendency to form keloids scars. A keloid is initiated when the treated skin wound or segregated, too, substances which are called "growth factor". This causes tumor growth of the scar. At the same time, the connective tissue that is under the skin starts to play, to plug the wound. In a normal person, just the fabric cover the wound, without excess, but the keloid indicates that the fibrous tissue is produced in excess. Then, it begins to lift the skin to create a fibrous tumor, hard, unsightly and very painful when you're growing.
The keloid must be differentiated from a hypertrophic scar, which are less thick and deformed. These are usually caused, for example, where the wound was a scratch by wire, the patient had a reaction to the thread sewing the wound or "lips" of the same was not hit well. Meanwhile, the keloid is a tumor that big, red, it hurts when form and then takes the color of the skin is never pre-cancerous, but it is unsightly and is totally contrindicado remove through surgery.
Treatments
There are several types of treatment for a keloid, which depend on the time it takes for this tumor formation. The reality is that as a scar tumor, big, built and very annoying, it is difficult to treat. If the wound is recent and keloid is in one of its early formative stages, it can inject steroids such as cortisone. Thus, although the tumor does not go away, was flattened. If the scar is old, due to its hardness and does not allow the entry of needle or any substance, then is removed by surgery and X-rays are applied to no longer continue to grow. The radiation dose is a very limited area of the scar. Experts agree that must never be removed surgically to a keloid, then to grow, reaching generally twice as thick, size and prominence earlier.
It is recommended that people with a family history of keloids, notify your doctor that these are prone to tumor formation. Then, the professional should be reported to operate with care, not letting blood and the wounds treated with cortisone for not forming tumors. In women, one can detect a tendency to form keloids when a small tumor in the ear after the hole made for the hoops. Also, in some patients, despite the fact that there is a tendency to keloid, this can lead to a large wound caused by, for example, an accident where they scrape the skin or a major burn. Currently, some laboratories are looking for substances to prevent the formation of keloids. In some clinics are compressions with a bandage so they do not grow strong and extends much scars.
source: ezinearticles.com
The keloid must be differentiated from a hypertrophic scar, which are less thick and deformed. These are usually caused, for example, where the wound was a scratch by wire, the patient had a reaction to the thread sewing the wound or "lips" of the same was not hit well. Meanwhile, the keloid is a tumor that big, red, it hurts when form and then takes the color of the skin is never pre-cancerous, but it is unsightly and is totally contrindicado remove through surgery.
Treatments
There are several types of treatment for a keloid, which depend on the time it takes for this tumor formation. The reality is that as a scar tumor, big, built and very annoying, it is difficult to treat. If the wound is recent and keloid is in one of its early formative stages, it can inject steroids such as cortisone. Thus, although the tumor does not go away, was flattened. If the scar is old, due to its hardness and does not allow the entry of needle or any substance, then is removed by surgery and X-rays are applied to no longer continue to grow. The radiation dose is a very limited area of the scar. Experts agree that must never be removed surgically to a keloid, then to grow, reaching generally twice as thick, size and prominence earlier.
It is recommended that people with a family history of keloids, notify your doctor that these are prone to tumor formation. Then, the professional should be reported to operate with care, not letting blood and the wounds treated with cortisone for not forming tumors. In women, one can detect a tendency to form keloids when a small tumor in the ear after the hole made for the hoops. Also, in some patients, despite the fact that there is a tendency to keloid, this can lead to a large wound caused by, for example, an accident where they scrape the skin or a major burn. Currently, some laboratories are looking for substances to prevent the formation of keloids. In some clinics are compressions with a bandage so they do not grow strong and extends much scars.
source: ezinearticles.com
Which Type of Keloid Scar Treatment Really Works?
Keloid scars are part of the Hypertrophic group of scars in that they have the ability to expand in size. However, Keloids are a very unique type of scar as they are the only kind of wound which can expand beyond the original boundary of the injury. This means that a simple piercing from an earring can result in an over-sized Keloid that expands well beyond the ear.
Unfortunately, while these types of scars are considered abnormal and are less common than "normal" scars, they can still result from just about anything including a scrape, small cut, or even as the result of a common disease such as acne or chickenpox.
After A Keloid Develops...What Next?
After this type of wound develops, you do have options including using a topical Keloid scar treatment such as a silicone scar cream or gel. This is the most common type of treatment as these products are available without a prescription. Some extremely large Keloids may require surgery. However, surgically removing a Keloid results in the development of another Keloid around 50% of the time which is why surgery is reserved for only the most serious forms of Keloids.
There is also the option of injection therapy, but again this is reserved for extremely serious wounds. Typically, skin and health care professionals suggest using a silicone based treatment due to the fact that this method has been clinically shown to diminish both the size and color of Keloids. While you may purchase silicone scar sheeting, many consumers prefer to use a gel based product as this option is not only generally more cost effective, but it also allows the scar to remain completely protected during movement.
source: ezinearticles.com
Unfortunately, while these types of scars are considered abnormal and are less common than "normal" scars, they can still result from just about anything including a scrape, small cut, or even as the result of a common disease such as acne or chickenpox.
After A Keloid Develops...What Next?
After this type of wound develops, you do have options including using a topical Keloid scar treatment such as a silicone scar cream or gel. This is the most common type of treatment as these products are available without a prescription. Some extremely large Keloids may require surgery. However, surgically removing a Keloid results in the development of another Keloid around 50% of the time which is why surgery is reserved for only the most serious forms of Keloids.
There is also the option of injection therapy, but again this is reserved for extremely serious wounds. Typically, skin and health care professionals suggest using a silicone based treatment due to the fact that this method has been clinically shown to diminish both the size and color of Keloids. While you may purchase silicone scar sheeting, many consumers prefer to use a gel based product as this option is not only generally more cost effective, but it also allows the scar to remain completely protected during movement.
source: ezinearticles.com
What is a Hypertrophic Scar?
What is a Scar?
A scar is when fibrous tissues bond to replace skin that has been damaged through an injury or surgery. This is a normal process that happens to repair any wound on the skin and deeper tissues in the body. Scars are a very natural occurrence during the process of healing. Most lesions, unless they are minor in nature, wind up scarring in some fashion.
Scar tissue is different from the skin. Hair does not grow back for one thing. Also, it is usually not as flexible and elastic as the skin it replaces.
A Hypertrophic Scar
A hypertrophic scar is a red thick scar and it can happen from an injury to the skin or surgery. Hypertrophic scars grow only in the immediate area of the skin injury. It is the keloid scars that can grow outside into the area outside the injuries. Both scars can be similar in size and shapes at times.
Unlike the keloid scar, however, the hypertrophic scar heals by itself. It can take about 12 to 18 months for the size to decrease and the tenderness to subside. These scars do not totally disappear though.
Hypertrophic scars and keloid can be caused by similar events. They can happen from injections, surgery (including skin surgery), injury, but also from acne and body piercing.
Hypertrophic scars have nothing to do with family history or ethnic background as the keloid scars. But in both types of scars, the collagen levels are higher than in average scar tissue. Hypertrophic scars usually form on the ears, shoulders, and breastbone, but they can form other places on the body too.
The Healing of Hypertrophic Scars
The hypertrophic scar usually heals with no assistance, with the swelling and sensations of pain decreasing in about 12 to 18 months. Certain things can be done to speed up this process. One such thing is by using injections of steroids or the topical application of steroid cream or ointments. These can assist the scar in decreasing in appearance.
Hypertrophic scars removal can be surgically accomplished by using such methods at Z-plasty, this can produce very noticeable results. The only drawback to this is that hypertrophic scarring can occur from this method due to its surgical nature. This should only be done by a board certified plastic surgeon.
Today though modern technology also has provided the use of silicone sheets to help hypertrophic and other scars heal. The individual wears the silicone sheets for a certain length of time daily to get results. The silicone stimulates the skin to heal itself. Over time, the scars improve in appearance greatly.
A person needing to treat a hypertrophic scar to speed up healing needs to consult a physician to make sure which path to take. But, as explained in this article, there are many methods for either speeding up healing or hypertrophic scars removal. There is a method to suit the needs of all people suffering with these scars. Just be sure to follow a doctor's advice to get maximum results.
source: ezinearticles.com
A scar is when fibrous tissues bond to replace skin that has been damaged through an injury or surgery. This is a normal process that happens to repair any wound on the skin and deeper tissues in the body. Scars are a very natural occurrence during the process of healing. Most lesions, unless they are minor in nature, wind up scarring in some fashion.
Scar tissue is different from the skin. Hair does not grow back for one thing. Also, it is usually not as flexible and elastic as the skin it replaces.
A Hypertrophic Scar
A hypertrophic scar is a red thick scar and it can happen from an injury to the skin or surgery. Hypertrophic scars grow only in the immediate area of the skin injury. It is the keloid scars that can grow outside into the area outside the injuries. Both scars can be similar in size and shapes at times.
Unlike the keloid scar, however, the hypertrophic scar heals by itself. It can take about 12 to 18 months for the size to decrease and the tenderness to subside. These scars do not totally disappear though.
Hypertrophic scars and keloid can be caused by similar events. They can happen from injections, surgery (including skin surgery), injury, but also from acne and body piercing.
Hypertrophic scars have nothing to do with family history or ethnic background as the keloid scars. But in both types of scars, the collagen levels are higher than in average scar tissue. Hypertrophic scars usually form on the ears, shoulders, and breastbone, but they can form other places on the body too.
The Healing of Hypertrophic Scars
The hypertrophic scar usually heals with no assistance, with the swelling and sensations of pain decreasing in about 12 to 18 months. Certain things can be done to speed up this process. One such thing is by using injections of steroids or the topical application of steroid cream or ointments. These can assist the scar in decreasing in appearance.
Hypertrophic scars removal can be surgically accomplished by using such methods at Z-plasty, this can produce very noticeable results. The only drawback to this is that hypertrophic scarring can occur from this method due to its surgical nature. This should only be done by a board certified plastic surgeon.
Today though modern technology also has provided the use of silicone sheets to help hypertrophic and other scars heal. The individual wears the silicone sheets for a certain length of time daily to get results. The silicone stimulates the skin to heal itself. Over time, the scars improve in appearance greatly.
A person needing to treat a hypertrophic scar to speed up healing needs to consult a physician to make sure which path to take. But, as explained in this article, there are many methods for either speeding up healing or hypertrophic scars removal. There is a method to suit the needs of all people suffering with these scars. Just be sure to follow a doctor's advice to get maximum results.
source: ezinearticles.com
Keloid and Hypertrophic Scars
Abnormal scarring can be a very troublesome problem and can occur as a result of trauma, skin piercing, or surgery - basically anytime the skin is broken. Keloids or hypertrophic scars occur can occur in any skin types but are more common in African American and Hispanic skin types. A previous history of keloids speaks to an increased risk, but the risk is not one-hundred percent. For patients who experience these conditions, there are many possible treatments but none that have proven to be effective in all cases. Often several treatments must be combined to get optimal results.
While additional research must be done, it appears that keloids and hypertrophic scars are not separate entities but on a continuum with one another. Hypertrophic scars are raised scars which remain in the line of the scar. Keloids are also raised but extend outside of the discrete scar. In order to minimize the risk of either, great care must be used in wound closure to ensure that no tension exists on the wound.
If a person suffers from a keloid or hypertrophic scar, there are several options for repair. Direct excision is always an option though this solution alone will almost certainly result in a recurrence of the process. Topical or injection therapies offer good adjuncts to surgical excision to help prevent recurrence. Though no treatment has shown 100% efficacy at preventing recurrence, several are used with good results depending on physician preference. Intralesional steroid injections, often with kenalog, is a useful tool not only to help prevent recurrence but also to help decrease keloids that are present. Additional therapies with the chemotherapy drug 5-FU directly into the lesion and imiquimod applied to the top of the excised area can be helpful in decreasing recurrence rates. Several studies have been done with the application of silicone sheeting for several hours a day for several days to months after surgical excision of a keloid with very favorable results. The mechanism of action is not entirely known but thought to be related more to the moisturizing effect on the wound than the silicone itself.
For keloids which are particularly troublesome, large, or recurrent, a short course of radiation therapy after excision can be beneficial. Because of the potential side effects of radiation, this therapy is reserved for particularly troublesome cases but can be very useful in the right circumstances.
source: ezinearticles.com
While additional research must be done, it appears that keloids and hypertrophic scars are not separate entities but on a continuum with one another. Hypertrophic scars are raised scars which remain in the line of the scar. Keloids are also raised but extend outside of the discrete scar. In order to minimize the risk of either, great care must be used in wound closure to ensure that no tension exists on the wound.
If a person suffers from a keloid or hypertrophic scar, there are several options for repair. Direct excision is always an option though this solution alone will almost certainly result in a recurrence of the process. Topical or injection therapies offer good adjuncts to surgical excision to help prevent recurrence. Though no treatment has shown 100% efficacy at preventing recurrence, several are used with good results depending on physician preference. Intralesional steroid injections, often with kenalog, is a useful tool not only to help prevent recurrence but also to help decrease keloids that are present. Additional therapies with the chemotherapy drug 5-FU directly into the lesion and imiquimod applied to the top of the excised area can be helpful in decreasing recurrence rates. Several studies have been done with the application of silicone sheeting for several hours a day for several days to months after surgical excision of a keloid with very favorable results. The mechanism of action is not entirely known but thought to be related more to the moisturizing effect on the wound than the silicone itself.
For keloids which are particularly troublesome, large, or recurrent, a short course of radiation therapy after excision can be beneficial. Because of the potential side effects of radiation, this therapy is reserved for particularly troublesome cases but can be very useful in the right circumstances.
source: ezinearticles.com
Managing Hypertrophic and Keloid Scars With Silicone Sheets
A scar is simply where the skin has had to heal after being injured in particular way. The skin cannot heal back to its original state and therefore creates fibrous tissue in the place of the wound. As a result of this, a scar forms. Scar treatment is often called for.
There are many ways that people can get scarred. Some scarring always happens from certain surgery, such as with breast cancer surgery. Acne can cause the face and other parts of the body to be scarred. Different types of injuries can also create scarring on the skin.
When a hypertrophic scar forms, it stays within the immediate area of the wound. These scars can be treated with a variety of treatments successfully. Keloid scars on the other hand spread past the area and often have a tumor-like appearance. Keloid scars can become so severe that surgery is merited.
There are types of scar treatment available today from rubbing creams and oils on these scars to having surgery done on them. Some of the creams and oils work well and some don't do the job at all. Scars are seldom removed completely even through plastic surgery; their appearance can be minimized, though.
Laser treatments are often done on scars today. This does have certain side effects though. The skin will stay red for several days following treatment. Women can hide this redness through using makeup, but men can't so this might be an issue.
One of the best treatments today is the use of silicone sheets on the scars. Wearing a sheet of silicone over a scar stimulates the skin to heal itself, therefore the scar's appearance is not as pronounced. This usually takes several weeks to accomplish maximum results. This scar treatment can be used on scars that are old too. The older scars can be successfully minimized.
The regimen is usually to start out wearing the silicone sheets for about 30 minutes a day. Then the person should gradually increases the length the sheet is worn until they are wearing it all day. The sheets are worn until the maximum results are reached. At that time, the scar will be minimized as much as it can be. The silicone sheets produce amazing results on most scars.
The silicone sheets usually have to have some tape applied over them to allow them to be secure on the skin. They should only be worn during the day; the skin should be allowed to breathe at night. These sheets can work on hypertrophic and keloid scars both. The best results will be seen on the hypertrophic scars though.
If one suffers from scarring of any kind, they should try these silicone sheets first before other kinds of treatments. They may find that no other kind of scar treatment is necessary. It would be better than having to have surgery done on the scars. Most people are very satisfied after using the sheets of silicone to remove or minimize their scars.
source: ezinearticles.com
There are many ways that people can get scarred. Some scarring always happens from certain surgery, such as with breast cancer surgery. Acne can cause the face and other parts of the body to be scarred. Different types of injuries can also create scarring on the skin.
When a hypertrophic scar forms, it stays within the immediate area of the wound. These scars can be treated with a variety of treatments successfully. Keloid scars on the other hand spread past the area and often have a tumor-like appearance. Keloid scars can become so severe that surgery is merited.
There are types of scar treatment available today from rubbing creams and oils on these scars to having surgery done on them. Some of the creams and oils work well and some don't do the job at all. Scars are seldom removed completely even through plastic surgery; their appearance can be minimized, though.
Laser treatments are often done on scars today. This does have certain side effects though. The skin will stay red for several days following treatment. Women can hide this redness through using makeup, but men can't so this might be an issue.
One of the best treatments today is the use of silicone sheets on the scars. Wearing a sheet of silicone over a scar stimulates the skin to heal itself, therefore the scar's appearance is not as pronounced. This usually takes several weeks to accomplish maximum results. This scar treatment can be used on scars that are old too. The older scars can be successfully minimized.
The regimen is usually to start out wearing the silicone sheets for about 30 minutes a day. Then the person should gradually increases the length the sheet is worn until they are wearing it all day. The sheets are worn until the maximum results are reached. At that time, the scar will be minimized as much as it can be. The silicone sheets produce amazing results on most scars.
The silicone sheets usually have to have some tape applied over them to allow them to be secure on the skin. They should only be worn during the day; the skin should be allowed to breathe at night. These sheets can work on hypertrophic and keloid scars both. The best results will be seen on the hypertrophic scars though.
If one suffers from scarring of any kind, they should try these silicone sheets first before other kinds of treatments. They may find that no other kind of scar treatment is necessary. It would be better than having to have surgery done on the scars. Most people are very satisfied after using the sheets of silicone to remove or minimize their scars.
source: ezinearticles.com
Keloid Scars Are a Type of Hypertrophic Scar Nobody Wants
Hypertrophic scars are also known as raised scars and a result of a hyper production of collagen. While they are a bit difficult to deal with, they are much less problematic than keloid scars.
Keloid scars are actually an overgrowth of fibrous tissue. Unlike hypertrophic scars, keloids extend beyond the original site of the wound and can keep growing indefinitely. These are two of the reasons that keloid scars are difficult to treat and deal with.
Keloid scars can take on a puckered appearance. The puckering gives them an irregular shape. Unfortunately, these types of raised scars will usually get worse with time instead of getting better.
Their appearance is a pinkish or red color and they have a tendency to become quite large and unattractive. They can also be tender to the touch, itchy and sometimes painful. Keloids can show-up anywhere on the body, but are usually seen on the breastbone, ear lobes and shoulders.
The biggest problem with keloids is that they have a tendency to recur and require repeated treatments. Fortunately, the predisposition to develop keloids diminishes with age.
There are several different ways of keloid scar removal for both hypertrophic and keloid scars. Two of the most common treatments are corticosteroid injections and compression therapy. Here is a short introduction to both types of treatments.
Compression therapy is about the application of pressure to the scar. Some studies have shown that when pressure is applied to the scar it reduces the cohesiveness of collagen fibers and inhibits the formation of hypertrophic scars and keloids. Some of the elements used in compression therapy include compression wraps, ACE bandages, elastic adhesive bandages, spandex or Lycra bandages.
Compression therapy has shown positive results on existing scars, however, it is generally used to prevent the formation of scar tissue, especially keloids.
Scar healing can also be achieved by using regular corticosteroid injections which can be applied before, during, and after surgery. Intralesional corticosteroid injections help treat both raised scars and keloids by deterring the production of collagen.
Surgery and microdermabrasion are two types of scar removal options that can be used to treat raised scars. Surgery for keloids is a complicated topic because keloids tend to recur, however, microdermabrasion seems to be a safer option for both keloids and hypertrophic scar removal because it works slowly by gradually wearing down the skin until it is practically gone.
Hypertrophic scars can often be treated with one of the previously mentioned alternatives, however, keloid scar removal most often relies on a combination of all of these treatments to be successful. If you want further information you should talk to your doctor about scar removal treatments for these types of scars.
source: ezinearticles.com
Keloid scars are actually an overgrowth of fibrous tissue. Unlike hypertrophic scars, keloids extend beyond the original site of the wound and can keep growing indefinitely. These are two of the reasons that keloid scars are difficult to treat and deal with.
Keloid scars can take on a puckered appearance. The puckering gives them an irregular shape. Unfortunately, these types of raised scars will usually get worse with time instead of getting better.
Their appearance is a pinkish or red color and they have a tendency to become quite large and unattractive. They can also be tender to the touch, itchy and sometimes painful. Keloids can show-up anywhere on the body, but are usually seen on the breastbone, ear lobes and shoulders.
The biggest problem with keloids is that they have a tendency to recur and require repeated treatments. Fortunately, the predisposition to develop keloids diminishes with age.
There are several different ways of keloid scar removal for both hypertrophic and keloid scars. Two of the most common treatments are corticosteroid injections and compression therapy. Here is a short introduction to both types of treatments.
Compression therapy is about the application of pressure to the scar. Some studies have shown that when pressure is applied to the scar it reduces the cohesiveness of collagen fibers and inhibits the formation of hypertrophic scars and keloids. Some of the elements used in compression therapy include compression wraps, ACE bandages, elastic adhesive bandages, spandex or Lycra bandages.
Compression therapy has shown positive results on existing scars, however, it is generally used to prevent the formation of scar tissue, especially keloids.
Scar healing can also be achieved by using regular corticosteroid injections which can be applied before, during, and after surgery. Intralesional corticosteroid injections help treat both raised scars and keloids by deterring the production of collagen.
Surgery and microdermabrasion are two types of scar removal options that can be used to treat raised scars. Surgery for keloids is a complicated topic because keloids tend to recur, however, microdermabrasion seems to be a safer option for both keloids and hypertrophic scar removal because it works slowly by gradually wearing down the skin until it is practically gone.
Hypertrophic scars can often be treated with one of the previously mentioned alternatives, however, keloid scar removal most often relies on a combination of all of these treatments to be successful. If you want further information you should talk to your doctor about scar removal treatments for these types of scars.
source: ezinearticles.com
Understanding the Cause and Treatment of Keloids and Hypertrophic Scars
Keloid scars as well as hypertrophic scars are very unique in that they can actually grow and expand. While Hypertrophic scars are able to grow, Keloids are the only type of scar that can expand beyond the boundaries of the original wound area. Both of these types of scars are caused by the excessive deposition of collagen. Unfortunately, some of those affected by these types of wounds end up with extremely large, cyst like growths on their body. Furthermore, Keloids can develop at multiple locations on the body at the same time.
The Development of Keloids
Keloids can develop following any trauma to the skin including a minor abrasion. This means that a simple cut can turn into a very large and discolored wound. However, in some instances Keloids can develop spontaneously while Hypertrophic scars always develop following an injury.
Both of these types of wounds typically occur in the ethnic groups such as from African, Polynesian, or South Pacific origin. However, any group can develop these types of wounds. One of the most common reasons for the development of Keloids is a puncture wound such as a body piercing.
Hypertrophic and Keloid Scar Treatments - Options
There are a variety of treatment options to choose from once you develop either a Hypertrophic or Keloid. While some may assume that surgery is the best overall option, consider the fact that surgically removing this type of wound is not only expensive, but it also runs the risk of another scar returning 50% of the time. These are not very good odds considering the risk and cost of surgery.
Injection therapy
Another keloid scar treatment option used to reduce the appearance of Keloids is injection therapy. This method involves multiple injections given per week. While this method has shown to have some positive results, there are some significant drawbacks such as the potential to develop multiple side effects. Additionally, these injections are very expensive.
Silicone Keloid Scar Treatments
A silicone based keloid scar treatment is considered by many skin care professionals as the best overall option for reducing the size, color, and pain associated with Keloids and Hypertrophic scars. Please click on the links provided below to compare a variety of scar products.
source: ezinearticles.com
The Development of Keloids
Keloids can develop following any trauma to the skin including a minor abrasion. This means that a simple cut can turn into a very large and discolored wound. However, in some instances Keloids can develop spontaneously while Hypertrophic scars always develop following an injury.
Both of these types of wounds typically occur in the ethnic groups such as from African, Polynesian, or South Pacific origin. However, any group can develop these types of wounds. One of the most common reasons for the development of Keloids is a puncture wound such as a body piercing.
Hypertrophic and Keloid Scar Treatments - Options
There are a variety of treatment options to choose from once you develop either a Hypertrophic or Keloid. While some may assume that surgery is the best overall option, consider the fact that surgically removing this type of wound is not only expensive, but it also runs the risk of another scar returning 50% of the time. These are not very good odds considering the risk and cost of surgery.
Injection therapy
Another keloid scar treatment option used to reduce the appearance of Keloids is injection therapy. This method involves multiple injections given per week. While this method has shown to have some positive results, there are some significant drawbacks such as the potential to develop multiple side effects. Additionally, these injections are very expensive.
Silicone Keloid Scar Treatments
A silicone based keloid scar treatment is considered by many skin care professionals as the best overall option for reducing the size, color, and pain associated with Keloids and Hypertrophic scars. Please click on the links provided below to compare a variety of scar products.
source: ezinearticles.com
Five Effective Techniques For Hypertrophic Scar Treatment
Hypertrophic scar treatment is a unique method of repairing scars. Scarring of the skin are usually of two kinds - keloid and hypertrophic. Skin marks are considered hypertrophic when the injured tissue heals and forms a reddish lump which does not extend beyond the actual wound. Though these are abnormal looking, these skin blemishes repair with time. But in some cases, they become permanent and then hypertrophic scar treatment is required for their removal.
There is a wide variety of scar treatments. You must know that whatever might be your process for removal, scars can never be actually removed. Scar removing treatments leave a trace behind. A few techniques are elaborated below:
Needling treatment - This is one of the most affordable hypertrophic scar treatments. One of its advantages is that it can be done at home with special scarring needles.
Silicone treatment - This hypertrophic treatment erases the most of the scarring traces. This method is normally used by plastic surgeons. Silicone gel sheets moisturize the scar and fade out the discoloration so that it matches the surrounding skin.
Steroid injections - Steroid injection is a very common method that is used in hypertrophic scar healing. Here, steroids are injected directly into the scar every month until the scar is suitably flattened.
Collagen injections - Just like a few cosmetic procedures, collagen injections are also used in hypertrophic scar treatment. This type of treatment pertains to those scars which sink into the skin. This method of treatment helps to maintain the scar level.
Radiotherapy - In severe cases, scars can be open to the elements of radiotherapy or can also be stitched up. However, these treatments are risky as it involves opening the wounds.
New and improved treatments methods are being developed with proper research, for the treatments of scars. Now, with such advanced technology, these scars are no more a cause of worry.
source: ezinearticles.com
There is a wide variety of scar treatments. You must know that whatever might be your process for removal, scars can never be actually removed. Scar removing treatments leave a trace behind. A few techniques are elaborated below:
Needling treatment - This is one of the most affordable hypertrophic scar treatments. One of its advantages is that it can be done at home with special scarring needles.
Silicone treatment - This hypertrophic treatment erases the most of the scarring traces. This method is normally used by plastic surgeons. Silicone gel sheets moisturize the scar and fade out the discoloration so that it matches the surrounding skin.
Steroid injections - Steroid injection is a very common method that is used in hypertrophic scar healing. Here, steroids are injected directly into the scar every month until the scar is suitably flattened.
Collagen injections - Just like a few cosmetic procedures, collagen injections are also used in hypertrophic scar treatment. This type of treatment pertains to those scars which sink into the skin. This method of treatment helps to maintain the scar level.
Radiotherapy - In severe cases, scars can be open to the elements of radiotherapy or can also be stitched up. However, these treatments are risky as it involves opening the wounds.
New and improved treatments methods are being developed with proper research, for the treatments of scars. Now, with such advanced technology, these scars are no more a cause of worry.
source: ezinearticles.com
Hypertrophic & Keloid Scar Removal
Hypertrophic Scars
Hypertrophic scars grow indefinitely but they are restricted to the site of the wound. They form due to the overproduction of collagen which is what makes the scar raise. It's usually pink or flesh colored and occurs mostly on the chest, back, shoulders and ear lobes. They can be caused by a number of factors which include burns, insect bites, injections and/or tattoos. However, the formation seems to be caused by a hereditary factor.
Keloids
Keloids are formed after the skin has gone through some kind of trauma. The body attempts to heal the lesion by generating collagen, but people who are prone to keloids create too much of this substance. This causes the scars to grow past the limit of the wound. Keloids are basically characterized by that they don't know when to stop.
Keloids are pink, brown, purple or flesh colored and are irregularly shaped. They tend to grow progressively and they unfortunately do not subside. Keloids can be especially difficult to have because they can be very tender to the touch and itchy.
How to Treat Raised Scars
Both imperfections are very difficult to eliminate. Nevertheless, there are some scar removal options:
Laser Therapy: One of the most effective ways to remove hypertrophic and keloid scars is by undergoing laser therapy. The procedure peels off its top layer to encourage proper healing.
Steroid Injections: This treatment is normally used when the scar is just beginning to grow. It prevents it from raising beyond what it should. It may also reduce the size of preexisting marks. Nevertheless, these injections are quite painful and require anesthesia.
Surgery: You may choose to get rid of keloid or hypertrophic scars by undergoing surgery. It's often followed by compression therapy to prevent the scar from rising. Unfortunately, in most cases a raised scar will replace the old keloid, albeit in a smaller size.
source: ezinearticles.com
Hypertrophic scars grow indefinitely but they are restricted to the site of the wound. They form due to the overproduction of collagen which is what makes the scar raise. It's usually pink or flesh colored and occurs mostly on the chest, back, shoulders and ear lobes. They can be caused by a number of factors which include burns, insect bites, injections and/or tattoos. However, the formation seems to be caused by a hereditary factor.
Keloids
Keloids are formed after the skin has gone through some kind of trauma. The body attempts to heal the lesion by generating collagen, but people who are prone to keloids create too much of this substance. This causes the scars to grow past the limit of the wound. Keloids are basically characterized by that they don't know when to stop.
Keloids are pink, brown, purple or flesh colored and are irregularly shaped. They tend to grow progressively and they unfortunately do not subside. Keloids can be especially difficult to have because they can be very tender to the touch and itchy.
How to Treat Raised Scars
Both imperfections are very difficult to eliminate. Nevertheless, there are some scar removal options:
Laser Therapy: One of the most effective ways to remove hypertrophic and keloid scars is by undergoing laser therapy. The procedure peels off its top layer to encourage proper healing.
Steroid Injections: This treatment is normally used when the scar is just beginning to grow. It prevents it from raising beyond what it should. It may also reduce the size of preexisting marks. Nevertheless, these injections are quite painful and require anesthesia.
Surgery: You may choose to get rid of keloid or hypertrophic scars by undergoing surgery. It's often followed by compression therapy to prevent the scar from rising. Unfortunately, in most cases a raised scar will replace the old keloid, albeit in a smaller size.
source: ezinearticles.com
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