But their growth is confined within the boundaries of the original skin defect and may be more responsive to treatment. These scars may also look red, and are usually thick and raised. Hypertrophic scars usually start to develop within weeks after the injury to the skin.
Hypertrophic scars may improve naturally. But this process may take up to a year or more. In treating hypertrophic scars, steroids may be the first line of therapy. But there is not 1 simple cure. Steroids may be given as an injection. Or they may be directly applied to the scar, although topical application may not be useful.
These scars may also be removed surgically. Often, steroid injections are used along with the surgery. The injections may continue up to 2 years after the surgery to help maximize healing and decrease the chance of the scar returning. Like keloids, hypertrophic scars may respond to topical silicone dioxide application. Contractures are an abnormal occurrence that happens when a large area of skin is damaged and lost, resulting in a scar. The scar formation pulls the edges of the skin together, causing a tight area of skin.
The decrease in the size of the skin can then affect the muscles, joints, and tendons, causing a decrease in movement. There are many different surgical treatment options for contractures, including the following:. Skin graft or skin flap. Skin grafts or skin flaps are done after the scar tissue is removed.
Skin grafts involve replacing or attaching skin to a part of the body that is missing skin. Skin grafts are done by taking a piece of healthy skin from another area of the body called the donor site and attaching it to the needed area.
Skin flaps are similar to skin grafts, where a part of the skin is taken from another area. But with the skin flaps, the skin that is taken has its own blood supply. The section of skin used includes the underlying blood vessels, fat, and muscles.
Flaps may be used when the area that is missing the skin does not have a good supply of blood. That may be because of the location or because of damage to the vessels. This procedure uses a Z-shaped incision to help decrease the amount of contractures of the surrounding skin. It also may try to relocate the scar so that its edges look more like the normal lines and creases of the skin.
Small stitches may be used to help hold the skin in place. Tissue expansion. This is a newer technique. It involves a process that increases the amount of existing tissue available for reconstructive purposes. This procedure is often used in addition to the flap surgery. This is another type of scarring that may form between unconnected internal organs. Adhesions may cause complications during certain surgeries. Follow all instructions to help maximize your recovery and healing.
Your healthcare provider will advise you on all activity restrictions, depending on the type of surgery that was done. Scars can't be removed completely. Many factors will be involved in the degree of healing of your particular scar. Some scars take more than a year after surgery to show improvement in how they look. Health Home Conditions and Diseases. How can a scar be minimized? Specific dermatological procedures to minimize scars will be determined by your healthcare provider based on: Your age, overall health, and medical history Severity and symptoms of the scar Type and location of the scar Your tolerance for specific medications, procedures, or therapies Expectations for the course of the condition Your opinion or preference Scars usually fade over time.
The following are some of the more common scar-minimizing procedures: Dermabrasion. What are the different types of scars and treatment? Different silicone treatments are available, such as silicon gel sheet and creams that people can apply to the scar for 12 hours a day. People may need to use the treatments for 12 to 24 weeks before seeing any results.
People can apply dressings onto the scar tissue that apply pressure. Mechanical pressure can also reduce blood supply to the scar tissue, which will help to flatten the scar. These dressings are uncomfortable, and people need to wear them for at least 23 hours a day for 6 months.
Unfortunately, researchers have shown that pressure therapy may offer only slight improvements in scar height. Researchers have noticed that people have a higher incidence of developing a hypertrophic scar on an area of the body that is under increased skin tension. Another method to reduce the formation of scar tissue is a nonstretch adhesive microporous hypoallergenic tape.
Scar massage is a technique that healthcare professionals use in hospital burn units to improve the function and appearance of scarring caused by burns. The evidence is weak, but some experts believe that scar massage helps to improve and maybe even prevent hypertrophic scars. Anyone considering massaging their scar should discuss it with a doctor first, particularly if they have had stitches or other surgery.
One study evaluated the evidence supporting scar massage. Although scientists need to carry out further research to confirm these results, researchers state that scar massage on hypertrophic burn scar tissue may improve the following:.
There are no standard scar assessment tools for researchers, and massage techniques may differ from one study to the next. Researchers need to conduct controlled, clinical trials on the effectiveness of massage for managing scar tissue. There are several different treatments that doctors can use to prevent and treat scar tissue. However, no treatment is universally successful. Doctors have many options to choose from when treating scar tissue, but some treatments are more effective for certain types of scars.
Doctors should also address the psychological effects and movement restrictions that scars can affect some people. Doctors should make people aware of the often limited success rates of scar tissue therapy and set realistic goals with them. Scars can be unsightly and difficult to remove. Keloid scars occur when the skin overreacts to the injury, after which they grow and darken. This MNT…. Ice pick scars are small, deep scars that can develop following severe acne. A person cannot usually treat ice pick scars at home, but a number of….
Treating burn scars depends on the severity of the burn and how recently it occurred. The article examines the various types of burn scars, how to…. Hypertrophic scars are raised, red scars that occur due to collagen imbalance at the location of an injury. When a person's body expands rapidly, such as when they are pregnant or bodybuilding, they can develop stretch marks on their skin. Stretch marks can…. What to know about scar tissue Medically reviewed by Owen Kramer, M.
Causes and prevention Treatment Does massage help? Takeaway When a person has an injury, the body responds by repairing the damaged tissue, which creates scar tissue.
Causes and prevention. Wounds in parts of the body with lower blood flow, such as the leg or foot, may take longer to heal than those in areas where blood circulation is more robust, such as the face or scalp.
During a physical exam, your dermatologist may ask you questions about what your skin looked like after previous injuries. A history of keloid scarring, for example, suggests that you are likely to develop a keloid after any injury. Doctors also ask about the nature of the injury that caused a scar.
Skin heals differently after a puncture wound or abrasion than it does after a burn or surgical incision, and details about the cause of a scar may help doctors recommend the most effective treatment.
We can help you find a doctor. Call or browse our specialists. If you need help accessing our website, call Skip to main content. Types of Scars With the exception of very superficial injuries, such as a shallow paper cut, all skin wounds result in some type of scar.
Hypertrophic Scars and Keloids If the skin creates excessive amounts of collagen while it heals, the result is a thick, widened, and sometime raised scar that remains within the boundary of the injury. Atrophic Scars Scars may also form as a result of skin trauma caused by acne or burns. Contracture Scars Burn scars, which are called contracture scars, are often flat and shiny and may cover a large area of skin.
Stretch Marks Stretch marks are another type of scar.
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