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علاج الندبات البارزة أحدث التقنيات الطبية
Medical articles
Reviewed by: Dr. Maryam Lutfi, dermatologist and cosmetic specialist

Are you looking for ways to treat prominent scars?

The scar usually consists of fibrous tissue, and may form for various reasons, such as: –

  1. Surgery.
  2. Injury.
  3. العدوى.
  4. Tissue inflammation.

Small scars often fade on their own.

So if you would like to know more information about her treatment methods to get rid of the feeling of embarrassment, follow this article with me.

Prominent scars

Also known as hypertrophic scar, it is a cosmetic problem that is not serious or life-threatening and many people seek treatment for it.

It is a thick, prominent scar, often red, raised at first, then over time it becomes flatter.

But they may also form when myofibroblasts produce an excess amount of collagen at the wound site during healing. 

This excess collagen occurs in the following cases: –

  • The wound becomes infected or inflamed.
  • Exposure to severe movement (as in injuries above the joint).
  • Let it heal without stitches.

Some prominent scars may be painful and itchy, and often consist of the following: –

  • الصدر.
  • أعلى الظهر.
  • Shoulder area.
  • الرقبة.

But they may also appear anywhere on the skin.

Get to know Skin grafts And its types

The latest medical technologies to treat prominent scars

Treatment of prominent scars aims to: –

  1. Flatten it.
  2. Reduce its size.
  3. Lighten its colour.
  4. Relieve any pain or itching present in it.

But if you have early scarring, your doctor may ask you to wait a few months, or even a year, before starting any treatment, because your body may remodel the scar tissue and try to improve it on its own.

The most popular modern technologies include the following options: –

  • Corticosteroid injections: –

It is the main treatment for hypertrophic scars and is injected directly into the scar tissue once every six weeks.

  • Reduce its size.
  • Make it flexible.
  • Reduce itching, redness and burning sensation.

But there is a limit to the number of times these injections can be performed, because they may cause the following: –

  • Weakening of the normal tissue surrounding the scar.
  • Skin atrophy.
  • Change its color.
  • Bleomycin or fluorouracil injections: –

This treatment showed promising results when injected directly into hypertrophic scar tissue, as it contributed to improving its appearance and reducing Itching And pain.

This is done by destroying the enlarged cells.

  • Cryotherapy: –

Cryotherapy aims to freeze and slowly destroy scar tissue, by applying intense cold using liquid nitrogen.

This reduces the size of prominent scars and flattens them.

  • Silicone gel:-

Silicone is available in the form of a gel or bandage and contributes to reducing the following: –

  • Size.
  • Redness.
  • Itching.
  • Hardness.

The silicone bandage should be worn daily after the wound has healed for two to three months, but the gel should be applied several times a day.

  • Surgery:-

The doctor resorts to surgery when other methods of treating prominent scars fail, and it aims to remove the hypertrophic scar and get rid of the problems causing the scar, such as: –

  • العدوى.
  • Infections.

Treating prominent scars

Methods of treating prominent scars with laser

Laser treatment is more effective in newly formed scars compared to old scars, and there are two types of this treatment: –

  • Ablative laser: –

This type of laser uses short, continuous pulses of light;

  • Non-ablative laser: –

The heat of a non-ablative laser is used to heat the skin without damaging its surface, and to stimulate the production of more collagen, which helps hide small scars.

The laser beams target the blood vessels in the scar, which leads to the following: 

  • Removed.
  • Prevent its growth.
  • Reduce redness, or discoloration over time.
  • Reduce pain, itching and stiffness.

Book your consultation now at مركز الجلدية والتجميل At Al Mousa Specialist Hospital.

How long does the treatment for prominent scars take?

It is not possible to determine the duration of treatment for prominent scars, because it varies from one person to another according to the following: – 

  1. Location of injury.
  2. Type of treatment used.

But the duration of treatment usually ranges from a few weeks to a year.

يمكنك قراءة Diagnosis of skin diseases The most prominent causes of injury

The difference between raised scars and keloids and which is more difficult to treat

Before considering treatment for raised scars, you must know the difference between them and a similar type of scar called keloid.

The difference between hypertrophic scar and keloid lies in the following table: –

Prominent scars Keloid
Degree of spread around the wound It remains inside the wound area. It extends beyond the wound area, and may grow significantly.
the color Pink to red. Red to purple.
Their locations on the body It appears anywhere on the body. They form on the earlobes, shoulders, cheeks, chest and above the sternum.
Appearance Prominent but rarely more than four millimeters above the skin.  Soft, hard and protruding more than four millimeters above the skin.
Duration of development They develop within weeks after infection. It develops months to years after infection.
Collagen arrangement Collagen fibers are parallel to the top layer of skin. It is characterized by a random and unorganized arrangement.
It disappears on its own They become less noticeable over time. It never goes away without treatment.
Ease of treatment Easier to treat. More difficult to treat.
It turns into cancer It rarely happens. Increased risk.

Tips after treating scars to avoid their reappearance

The doctor may advise you on some instructions that will help you avoid the appearance of scars, including the following: –

  • Avoid pulling the wound.
  • Keep it clean.
  • Apply bandages to prevent infection.
  • Cover the wound tightly;
  • Keep it moist while it heals.
  • Change bandages daily, or more frequently as directed by your doctor.
  • Apply sunscreen with an SPF of at least 30 after the wound has healed.
  • Apply products that reduce inflammation and stimulate healing.

Frequently asked questions about raised scars

If you are looking for treatment for prominent scars, you may have many questions in mind, such as: –

Can the scar disappear?

Scars do not disappear completely, but they may become less noticeable over time, especially with proper care, making them difficult to notice.

What is the best cream for treating surgical scars?

Mederma Advanced Gel is generally considered the best for treating surgical scars, because it consists of onion extract, which contains anti-inflammatory and phenolic antioxidants.

This gel contributes to reducing itching, irritation and dryness.

In conclusion, I have now realized, dear reader, what are the methods of treating prominent scars, and what is the difference between these scars and keloids?

Therefore, if you suffer from hypertrophic scarring and want to get rid of it, you must go to Al Mousa Specialist Hospital immediately, so that the best doctors can help you determine the appropriate treatment for your condition.

Sources

Scars: Signs and symptoms – aad
Scar Treatments: Types, Procedures, and Results – webmd

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