Keloid and Hypertrophic scar removal
Scars and Keloids arise as a result of impaired wound (acne) healing. In contrast to the scars, which are limited to the damaged area of the skin, keloids grow beyond the limit of the original injury. Scars and Keloids can lead to functional and cosmetic restrictions that make treatment necessary.
In general, the risk for people with dark skin types such as Africans, Asians and Latin Americans increases up to fifteen times. There is no gender-specific risk, but women are affected more often, especially by piercing their ears, which poses a high risk of developing keloids.
What Keloids and Hypertrophic Scars look like
Hypertrophic scars and keloids appear as nodular, bulge-like or plate-like skin changes with a smooth shiny surface. In the case of linear hypertrophic scars, a strand-like bulge with an irregular surface occurs. Typically, linear hypertrophic scars grow for 3-6 months and show a decrease in size after a static phase. Flat hypertrophic scars develop after flat injuries such as burns and burns. They have an irregular, often heavily reddened surface with, in some cases, marked hardening and strand formation.
An important basic therapy are silicone gel foils or silicone gels that are placed or applied to the scars. It is recommended to apply the foils all day, to apply the gels twice a day. The therapy takes months and longer.
Scars - intralesional injection therapy
Intralesional injection therapy is the treatment of choice for the treatment of keloids and stands for the treatment of hypertrophic scars in second place after treatment with silicone-based preparations. With this method, which has been established since the 1960s, active ingredients, mainly anti-inflammatory steroids such as triamcinolone acetonide, are injected directly into the scar tissue.
Since the conventional injection is very painful, the local anesthetic lidocaine can be added. Alternatively, the substance to be injected can also be administered by means of a dermo jet. The Dermojet pressure injector enables hypodermic subcutaneous injections without needles, which enables painless use.
Corticoid crystals are often injected into the scar tissue. This gradually reduces the thickness of the scars, and itching is suppressed. However, this therapy should not be carried out more than three to five times at greater intervals.
Laser procedures against scars and keloids
There are various lasers that are suitable for the treatment of hypertrophic scars and keloids. A basic distinction must be made between ablative methods in which tissue is removed and non-ablative methods.