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Minggu, 07 Maret 2010

Scar Treatment Procedures

No scar can be completely removed. They will always leave behind a trace, but a number of procedures can improve their appearance.

Surgery
Surgery will never completely remove a scar but can be used to alter its location or shape to make it less noticeable. Surgery is at times necessary to remove a scar on skin near a joint where it restricts movement, but it will leave another scar.

Laser surgery & resurfacing
The use of laser on scars is still on an experimental phase, as the safety or effectiveness has not yet been proven.

Steroid injections
A course of steroid injections into the scar may help flatten and soften the appearance of keloid or hypertrophic scars.

Z-Plasty
Z-plasty is a surgical technique used to relocate a scar so that it more closely matches to the natural creases of the skin, where it will be less noticeable. In this procedure, the old scar is removed and new incisions are made on each side, creating small triangular flaps of skin.

Skin grafting
Grafting involves the transfer of skin from a healthy part of the body to cover the injured area. All grafts leave some scarring at the donor and recipient sites.

Make sure that your expectations from any surgery are realistic. You cannot expect that old scars will completely disappear; however, they will always turn flatter, paler and softer.

Sabtu, 13 Februari 2010

Treatment for scars

Scars are usually the result of injuries. These are areas of fibrous tissue that usually replace the normal skin right after an injury. This is part of the healing process of the skin and part of the skin's action to repair itself. Every wound right after an accident with the exception of minor lesions will usually contribute scarring on the skin. The worse the damage on the skin, then the scar will be worse as well.

The scar on a person may form differently based on the location of the injury and the age of the person as well. Most of the time, the scar that can be seen on the skin will be flat and pale and will usually leave a trace to the original injury that caused them. Most of the time redness on the area will follow. This redness is not a scar and this isn't permanent. This will go away after some time. If there is a cut in the skin of the person, then the body of the person will react by laying new collagen fibers. This is what is referred to as the fortuna scar, a situation where in the body of the person can no longer rebuild the tissue exactly as it was. There are two more types of scars and these cars are due to the over production of collagen in the body.

The hypertrophic scar is usually seen as a raised lump of skin but doesn't usually grow too large. This scar will usually improve in appearance after some time. The keloid scar on the other hand is the more serious between the two scars. This type of scar can grow into large and tumurous growth. These two types of scars are usually common on the younger and darker-skinned people. These two scars are caused by surgery, accidents and can be caused by acne as well. Scars that can be seen on the skin of a person may take the form of a stretched skin. These scars are known as striae.

Once a scar presents itself on the skin of a person, then this scar can no longer be removed. And though there may be some treatments out there, traces will always be there. Some of the more popular treatment methods that are used now are the corticosteroid therapy, pressure garment therapy and silicone gel sheets that was introduced in 1980s. The uses of topical treatments are popular approaches in addressing scars. The silicone gel and the silicone gel sheets are often applied to the affected area of the skin.

These two are easier to use and offer lesser risks of side effects to the user if compared to surgical excision, injections, and pressure therapy and cryotherapy treatments. Pressure garments on the other hand are used with the supervision of a professional. Steroid injections can be taken as well and this can help flatten and soften the appearance of the keloid and the hypertrophic scars. Other popular treatments used now are dermabrasion, collagen injections, laser surgery and resurfacing, surgery, radiotherapy and the use of natural remedies.

Scar removal techniques

There are several types of scars, and the most common of which are keloids, hypertrophic scars, contractures, and facial scars. Keloid scars are tissues that grow or rise beyond the wound or incision. These itchy tissues develop after wound healing takes place, when the body produces collagen.

Hypertrophic scars are like keloids that also take in a raised appearance. Sometimes, differentiating one from the other is difficult. The untrained eye may refer to hypertrophic scars as keloids. A thing to remember is that hypertrophic scars do not go beyond the boundary of the wound; instead, they limit themselves on the wound area only.

Meanwhile, contractures are scars that usually develop when there is loss of a large area of the skin, as what happens in burns, and facial scars are scars that develop on the face. The sad thing is, scars are permanent. Certain surgical and non-surgical procedures, as well as natural remedies, may lessen the severity of the scar, but at present, there is no technological method that is so advanced to enable the complete removal of scars.

Ideally, a scar should be treated as soon as it develops as it increases its chance of responding well to the treatment of choice. There are a variety of treatment options for the different types of scars. For example, keloids and hypertrophic scars respond well to steroid injections. If you are having contractures, though, you will need a procedure called Z-plasty or skin grafting. In Z-plasty, the scar is relocated to the area where it can blend well with the color of the skin. In skin grafting, skin from the injured part of the body is removed to cover the area. You can also go for laser surgery and resurfacing, however, its effectiveness has not yet been established.

If you'd rather opt for something that is non-invasive, there are some natural remedies to flatten the scar, lighten it or disguise it so it becomes less noticeable. For instance, mix sandalwood paste with black gray paste and rub it on your affected area, or use ice cubs to rub your skin with. Also, mixing cucumber with lemon juice, as well as the vitamins C and E, fish oil, aloe vera gel, cod liver oil and coco butter are great alternatives to the surgical scar removal procedures.

Scars Home Remedies with Vitamin E in any form is and ideal solution for any skin related complexities. Whether it is as vitamin E capsules or plain and simple vitamin E oil, it is very effective in the treatment of scars on the skin. Smear a bit of vitamin E oil on the affected area everyday and get astonished by the results within a few days. Having a vitamin E capsule too would help in faster marginalisation of the scar.

Natural Treatments for Scars with Tea Leaves are also very effective in the treatment of scars. The alkaloids present in the tea leaves help heal the scars faster. Soak a handful of tea leaves and then wrap them in a bag and keep the same pressed over the affected area for sometime regularly. It is advisable to try these natural home remedies first before going for invasive procedures. They are less risky because natural methods are being employed, and they are definitely less expensive, too.

Jumat, 12 Februari 2010

Keloids and hypertrophic scars

Keloids are raised, reddish nodules that develop at the site of an injury. After a wound has occurred to the skin both skin cells and connective tissue cells (fibroblasts) begin multiplying to repair the damage. A scar is made up of 'connective tissue', gristle-like fibers deposited in the skin by the fibroblasts to hold the wound closed. With keloids, the fibroblasts continue to multiply even after the wound is filled in. Thus keloids project above the surface of the skin and form large mounds of scar tissue.

Keloids may form on any part of the body, although the upper chest, shoulders and upper back are especially prone to keloid formation. Symptoms include pigmentation of the skin, itchiness, redness, unusual sensations and pain. It is estimated that keloids occur in about 10% of people. While most people never form keloids, others develop them after minor injuries, even insect bites or pimples. Darkly pigmented people seem to be more prone to forming keloids. Men and women are equally affected.

A hypertrophic scar looks similar to a keloid. Hypertrophic scars are more common. They don't get a big as keloids, and may fade with time. They occur in all racial groups. Keloids are considered a benign tumor, but they are mainly a cosmetic nuisance and never become malignant. Operating on a keloid usually stimulates more scar tissue to form, so people with keloids may have been told that there is nothing that can be done to get rid of them. Keloids may be often be prevented by using a pressure dressing, silicone gel pad or paper tape over the injury site. These are left on for 23 of 24 hours each day. This treatment is after healing of the wound or injury, usually within a month. Once they have formed, there is no completely satisfactory treatment for keloids. Treatments include cryosurgery (freezing), excision, laser, x-rays, and steroid injections.

The best initial treatment is to inject long-acting cortisone (steroid) into the keloid once a month. After several injections with cortisone, the keloid usually becomes less noticeable and flattens in three to six month's time. Hypertrophic scars often respond completely, but keloids and are notoriously difficult to treat, with recurrences commonly seen. People who have a family history of keloids have a higher rate of recurrence after treatment. Cryosurgery is an excellent treatment for keloids that are small and occur on lightly pigmented skin. It is often combined with monthly cortisone injections. Earlobe keloids are often surgically excised and followed with several steroid injections. In addition, a drug called alpha-interferon has been injected into the scar immediately after keloid removal with very promising results. Laser treatment is very good at improving skin texture and color, but doesn't always flatten out the keloid.

For severe cases, the keloid can surgically excised and given x-ray treatments to the site immediately afterwards, usually the on the same day. This works in about 85% of the most severe cases. Electron beam radiation can be used, which will not go deep enough to affect internal organs. Orthovoltage radiation is more penetrating and slightly more effective. There have not been any reports of this causing any form of cancer in many years of use, but it is very expensive. Silicone pads and creams are sold over the counter for use on keloids. These do benefit hypertrophic scars but will not cure a true keloid. However, they can reduce pain, swelling and itching from a keloid. They usually take 3 months or more to work.

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