SCAR MANAGEMENT
WHAT IS A SCAR?
Scars are the physiological healing result of any trauma to the skin where the dermis (deep layer) of the skin has been injured. During the healing process special healing cells called Fibroblasts migrate to the site of injury.
These Fibroblasts cover the damaged area and form collagen which is the building block of scar tissue. Normally, collagen fibers line up in a parallel fashion like spaghetti in a package, forming a bridge across the wound. This collagen material is constantly remodeling for almost two years. Sometime in the first two years, this bridge of collagen tissue will gradually contract and pull the edges of the wound tightly together. This process results in a scar that is flat and very thin. The scar then becomes dormant.
An abnormal scar occurs when too much scar tissue is produced or the collagen fibers lay down in disarray much like cooked spaghetti. These hypertrophic (and keloid) scars are reddish and raised. They can itch and cause pain in the worst cases.
HYPERTROPHIC SCARS
In certain patients, scars can become raised, reddened and firm. These "Hyper" enlarged scars are called hypertrophic scars. Treatment for hypertrophic scars includes cortisone injections, pressure dressings and surgical removal. A treatment called Silicone Gel Sheeting was developed within the last decade.
Silicone Gel Sheeting is a thick sheet of silicone with a sticky undersurface. It is applied to the scar with the sticky side down and worn for as long as possible. Silicone therapy is a well established medical practice, yet it is only effective when constant skin contact is achieved.
SCAR MANAGEMENT
Scars can be treated in a variety of ways. Z-plasty, skin grafting, flap surgery, laser skin resurfacing, and dermabrasion are some of the most common procedures to improve scars.
RESULTS
Your doctor will help determine which scar revision technique is best for your condition. This depends on the severity of your scar and your body’s response to the skin’s injury. All scars are permanent; however many methods are successful in lightening, diminishing, or concealing its appearance. Final results may not show forth for at least 1 full year.