Scar treatment methods
1. Clinical treatment includes
1.1 Operations
Surgical treatment is commonly used for Hypertrophic and Keloids scars because they are noticeably convex. This method is used in combination with steroid injections. And use silicone gel sheets as well If only one surgical procedure is used, there will be a chance that the scar will return again. More than 50-100 percent, which combined with all 3 methods will reduce the chance of recurrent scar reduction to less than 50 percent and if combined with radiation therapy will reduce the chance to return to only a hundred 10 each
1.2 Injections in steroid groups (Intralesional corticosteroids)
Is a treatment with the use of substances in the steroid group injected into the scar This method is often used with keloids which have better results than other methods. If using only one treatment method And will result in 50-100 percent chance of having to repeat 9-50 percent, but if using other methods together, will reduce the chance of coming again more
Scar injection
1.3 Divide pressure (Pressure therapy)
Hypertrophic is an old treatment that has been used for a long time since the 1970s with the use of pressure between 24-30 mmHg around the scar throughout the 6-12 months continuous period.
1.4 Radiation therapy (Radio therapy)
Is a method commonly used with Hypertrophic and Keloids scars. Radiotherapy may be used alone or in combination with other methods. Using only one method is effective at around 10-94 percent, with a 50-100 percent chance of recurrence, especially the Keloids scar. The best dose is in the range of 1500-2000 rads which may be combined. With surgery 5-6 times after surgery
1.5 Using laser therapy
Is a method of using laser beams to destroy scar tissue, but experiments have shown that the use of carbon dioxide and argon lasers does not cure scar The use of Neodynium lasers yielded 36-40% of the results and among 100 patients of Keloids scars, 60 people had a flat scar. And does not return during 18 months -5 years after Neodynium Laser treatment. Flashlamp use can provide 57-83 percent good results for Atrophic scars.
1.6 Use of liquid nitrogen (Cryotherapy)
In this method, studies have shown that Keloids scars can reduce the wound by 51-74 percent through at least 2 treatments and can be used to treat acne wounds in another way. This method has disadvantages, it takes a long time. Often experiencing skin collapse And the fading of skin color rubber Therefore only used on small wounds
1.7 Treatment with injection of 3 substances which are
- - Interferon (alpha, beta and gamma)
- - Intralesional 5-fluorouracil
- - Bleomycins
2. Treatment with preventive products And reduce scars (Scars Reduction products), including
2.1 Using silicone gel sheeting
This method uses scar treatment products with silicone gel sheets. Covering the area of the wound Which can give good results And one very safe method now The silicone gel sheet has many interlocking structures, allowing it to be flexible according to the movement of the skin. The study can explain the treatment mechanism in helping to cure the loss of water from the wound area. Reducing capillary function And reduce the process of collagen production of fibroblasts
This treatment is good for children. And patients who are unable to tolerate the pain of other methods of treatment But the silicone gel products that are produced for sale have different characteristics, including treatment efficacy, durability, and skin adhesion. Which must choose quality types
2.2 Topical products
This method is currently popular. Because it is easy to find products at pharmacies And the method of use is convenient And easy by yourself These products often contain ingredients that are important for treatment, including
- - Onion extract named Allium cepa that helps stop inflammation of the wound Against the growth of bacteria. And reduce the production of collagen around the scar
- - Centella asiatica extract, including Asiatic acid, Madecassic and Asiaticoside, which can help stimulate the healing of the wound completely. No abnormalities in cell repair Helps to reduce the production of collagen around the wound And reduce the inflammation of the wound
- - Vitamin B3 that can reduce melanosome transmission in the area of wound repair Resulting in reducing the color of the wound's skin, not to be darker than the surrounding abnormal color
- - Vitamin E is a popular ingredient in products because it is an antioxidant. And stimulate cellular respiration Especially new cells Allowing the cells to be able to repair the wound completely Including the ability to resist collagen formation in the scar area
- - Mucopolyphosphate (MPS) is a complex sugar compound. Helps to increase blood flow around the wound. Complete cell repair
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