Cosmetic surgery scars
The scars are formed as a result of a trauma such as a wound or a surgical procedure. The other is that the healing process of the skin healing through the formation of new connective tissue scar.
If, however, is produced by the body an excessive amount of scar tissue (connective tissue – collagen and fibroblasts), the scar becomes very large and clear, with a consequent aesthetic patient’s discomfort.
Types of scars
The moment you experience any traumatic event for the skin, the body naturally activates a healing process to “fix” the skin layer. It is a completely natural phenomenon, a kind of form of defense that the body rises to remedy an injury quickly and effectively.
- Scar atrophic: arises in the case in which the scar tissue is insufficient; it is a deep scar that produces a “skin of depression”. The fundamental cause of the formation of this type of scarring is acne. Typically this type of scar can be treated with dermabrasion or filler;
- Scar Hypertrophic it comes to skin signs usually related to surgery or wounds caused by accidental events. In some of these events it can happen that fibrous tissue is generated in large quantities by forming a scar detected and sometimes painful, which can come to limit joint movement;
- Keloid scar: in fact these scars extension becomes abnormal following trauma, burns or piercing you create a scar lesion that goes far beyond the boundaries of the wound from which it originates to basically unknown causes. Despite the keloid does not constitute a malignant lesion, however, it is a type of scar that reaches a greater volume and can become invasive and annoying. The damage created by this type of scar is objectively unattractive and requires treatment with cryotherapy or cortisone injections.
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How do you treat scars?
The treatment of scars (atrophic, hypertrophic and keloid) is linked to extremely complex procedures and variables; it is different from the repair of the injured patient to patient and is affected by numerous factors.
In the initial phase or wound healing, it is necessary to administer antibiotic therapy and do not expose the injured skin to the sun because, besides slowing down the healing process by stimulating the melanocytes, causes dark spots. In the intermediate stage the most effective treatment of a scar, especially if hypertrophic or keloid, is obtained when the same is immature and the overlying epithelium is intact.
The treatment of a scar always starts with a simple massage performed locally, several times a day, which is accompanied by the use of creams silicone; subsequently, in the majority of cases, it is advisable the use of laser that allows to treat every type of skin blemish; however, since not all lasers are equal, it is fundamental to go to a cosmetic surgeon who will be able to identify the most suitable apparatus and possible to determine the wavelength and timing of care allowing to attenuate the width of the scar with considerable improvements from an aesthetic point of view, but also functional, where it is necessary to decrease the voltage of a scar
Surgical treatment of scars is a very personalized intervention that, as such, needs a meticulous specialist examination. During the initial consultation the surgeon will assess the quality and size of the scar and to illustrate the aesthetic results that you can actually get.
The intervention used are …
- Complete surgical excision;
- Excisions serial “intralesional”.
The surgical treatment of keloid, which is reached usually after a number of attempts with medical therapy, involves the excision so-called “intralesional” of the formation, i.e. without its complete removal. Following this technique it has been seen that the probability that a keloid to reform the same size remains high.
The surgical treatment of hypertrophic scar foresees, however, the complete excision of the entire scar. Even in this case, however, the probability that to reform a poor quality scar is high, since the subjective characteristics of the patient’s skin, the decisive factor in the onset of pathological scars.
The surgeon will also assess your health to rule out the presence of alterations such as clotting problems or healing or high blood pressure, which might affect the cosmetic result.
After visiting the surgeon, in consultation with the patient, will choose the most appropriate surgical procedure in the present case
The surgical scar revision is generally performed under local anesthesia in an outpatient setting and has a variable duration in relation to scar to be treated.