All surgical procedures result in scars. One of the key skills of plastic surgeons is to control scar formation. This can be achieved by carefully choosing the location and layout of the incision, by manipulating the skin gently with purpose and specialized instruments and repairing skillfully and carefully cuts and wounds created in a surgical or traumatic.
For some operations, the development of the surgery "minimally invasive" (or endoscopic) was an important step towards the reduction of scarring. However, the extent to which you will form scars depends mainly on the location of the incision and your genetic predisposition and racial healing. People with black skin and yellow skin are particularly prone to excessive scarring and incisions must be very carefully planned.
The normal formation of scars following approximate evolution. During the first weeks, the scar will solidify somewhat. It usually looks pink when the stitches are removed, but it is flat. After 3-6 weeks, it becomes thicker and often more red as it acquires the protein collagen. That's when it has the least appearance. Maturation then begins, which can take 6 to 18 months or longer. During this stage, the scar continues to strengthen, but gradually it begins to flatten, to soften and fade.
For some operations, the development of the surgery "minimally invasive" (or endoscopic) was an important step towards the reduction of scarring. However, the extent to which you will form scars depends mainly on the location of the incision and your genetic predisposition and racial healing. People with black skin and yellow skin are particularly prone to excessive scarring and incisions must be very carefully planned.
The normal formation of scars following approximate evolution. During the first weeks, the scar will solidify somewhat. It usually looks pink when the stitches are removed, but it is flat. After 3-6 weeks, it becomes thicker and often more red as it acquires the protein collagen. That's when it has the least appearance. Maturation then begins, which can take 6 to 18 months or longer. During this stage, the scar continues to strengthen, but gradually it begins to flatten, to soften and fade.
Types of scars
The location of the surgical incision plays a key role in the outcome of the scar. The incisions in the upper eyelid, lips, groin and armpits give particularly good results, while the incisions in the center of the chest, upper back and in the outer part of the upper arm are particularly prone to bad scars. Figure shaped scars usually good if the incisions are properly planned. Unsatisfactory scars may be thicker, wider, depressed, raised or uneven or move in a direction different from the normal lines of the skin.
Keloids are scars that are very thick, which seem "angry" and ranging from red to purple. These scars continue to grow beyond the limits of the wound or the initial incision. For example, some patients may have large masses of scar on the chest, caused by minor acne pustules, or on the arms, caused by vaccines.
Hypertrophic scars, in turn, are scars that are thickened during the healing period, but that does not exceed the edge of the initial wound. They end up not normally decline somewhat, but over a longer period than normal scar.
Treatment of scars
There are many misconceptions regarding what can be done in connection with scars and when things should be done. In general, any surgery should be performed to change or try to improve a scar until maturation has taken place. The modification is usually done to equalize the level of the scar to improve its orientation relative to the normal lines of the skin or shrink.
Keloids and hypertrophic scars can be difficult to treat. Patience is usually the best treatment for scars thickened, but not keloids. Vitamin E and aloe extract can improve the appearance of the scar during the stage of maturation, but studies have shown no effect on the final result. Vitamin E may slow the healing if used early in the postoperative period (3 weeks). Many other drugs and agents have been and are currently being investigated, but none has proved better than the time itself.
The injection of steroid medication effect in the thick scars or keloids can help in many cases, but this method has some side effects and should not be used for scars that are somewhat thicker than during the normal maturation of the wound. The pressure has been used for many years for the scars caused by burns and has recently been combined with silicone sheets placed directly on the scar. Pressure is applied in various ways, typically using elastic garments that are worn to measure at least 23 hours a day for months. The silicone sheets, when used alone or in combination with the pressure, gave some positive results and surgeons now routinely advise some cuts, like those used for remodeling and breast reduction and tummy tuck. However, they must be used 23 hours a day in these situations also.
In the extreme, keloids were treated with low-dose radiotherapy combined with other methods described above, but the results were variable. It is unusual for a keloid surgery causes in people with pale skin and these types of scarring are rare in cosmetic surgery in general. This reflects the fact that the location of the incisions is carefully chosen, a careful technique is used and most people can be susceptible to keloids can be warned in advance.
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