Surgery - Scar Revision surgery

Keloids & Hypertrophic Scars

Keloids:

Keloid scars are firm, smooth, hard growths due to spontaneous scar formation. They can arise soon after an injury, or develop months later.

What do you see?

  • Keloids may be much larger than the original wound.
  • May form on any part of the body, although the upper chest and shoulders are especially prone to them.
  • May b uncomfortable and itchy.

Keloids are harmless to general health and do not change into skin cancers.

Hypertrophic Scar:

Hypertrophic scar is a scar tissue that forms, following injury where heling is more than required.

What do you see?

  • First is often red and somewhat prominent.
  • Over several months, a scar usually becomes flat and pale.
  • There is a lot of tension on a healing wound, the healing area is rather thicker than usual.

Diagnosis:

  • Clinical examination.
  • Histopathological examination.

Treatment:

Hypertrophic scar & Keloids generally settle in time or with treatment, but keloids may persist and prove resistant to treatment.

  • Emollients.
  • Polyurethane or silicone scar reduction patches.
  • Pressure dressings.
  • Surgical debulking (ear lobe keloids).
  • Intralesionalinjection.
  • Cryotherapy.

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