Top Scarring Correcting Surgery Medellin
Surgery For Scarring Options in Medellin
The most affected regions of the body are the shoulders, sternal area, back, face and lobes of the ears. It is common in the same scar to present “normal” and hypertrophic segments or keloids interspersed.
The best treatment to avoid pathological scars is prevention. Although there are prognostic factors to be evaluated, it is very difficult to predict whether performing a surgery may or may not cause hypertrophic and keloid scars.
It is very important the use of sunscreen, hydration of the scars; and in patients with a history of hypertrophic or keloid scars, the use of silicone plates or gels on the scar associated or not with infiltrations with corticosteroids.
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Correction of facial defects and correction in face of trauma sequelae, burns, wounds, surgeries.
There are several types of scars:
“Normal”: It is the thin, flat scar, of a color similar to the color of the skin that surrounds it.
Irregular and poorly positioned: Scar that for many reasons becomes irregular and is located in an inadequate position.
Discrómica: Scar with alteration in its coloration (dark, clear)
Atrophic: Depressed scar.
Wide: Scar that presented widening but remains flat.
Hypertrophic: Pathological scar, high, tense, pruritic, reddish, and often painful, which does not exceed the limits of the initial wound and presents a tendency to regression, at least partially, at varying intervals.
Keloid: pathological scar, thick, tense, high, pruritic, reddish or purple, painful, that surpasses the edges of the initial wound. There is no regression tendency and they are difficult to treat because they have a high tendency to recur.
There are a number of factors that influence the appearance of hypertrophic and keloid scars. Individuals of black and oriental race are more susceptible. Frequently individuals with severe alterations present a family history. It occurs more in young people than in adults. The elderly are less effected.
There are multiple treatments for scars.
In the case of poorly positioned, irregular, wide scars, a revision surgery is indicated with optimal results.For the treatment of atrophic or depressed scars, revision surgery or the use of filling with body fat (lipoinjection) or hyaluronic acid would be indicated.
- The dischromic scars (with alterations in their coloration) can be treated by depigmenting substances (in the case of dark or hyperchromic scars) or pigmenting (in the case of clear or hypochromic scars).
To treat hypertrophic scars and keloids there are multiple therapies, with better results therapies that use a combination of several treatments because they decrease the rates of recurrence. - Among the most common therapies are:
- Conservative treatment: Compression mesh: With elastic meshes of continuous use, to compress the scars.
- Plates and silicone gel: They are used directly on the scar. They can be used alone or concomitantly with the meshes. Its continuous use is recommended.
Compression earrings: Indicated for keloids in the ear lobe. - Intralesional steroids: It is the use of a medicine that infiltrates directly inside the scar causes diminution of its size and improvement in the symptoms like pain and pruritus.
- Surgery: Resection of keloids decreases the risk of recurrence.
- Radiotherapy: As adjuvant treatment combined with surgery, for keloids that do not improve with other therapies, recurrent or large keloids.
- Other therapies include: Laser, Cryotherapy, intralesional medicines.
