Scars: keloid, hypertrophic, how to remove them?

Keloids, hypertrophic… A scar is a lesion of the more or less deep dermis whose size, color, thickness and depth can vary. An update on their characteristics and possible scar removal in Nangloi to remove them.

Definition

The scar is the visible part of a lesion of the dermis: it is the result of a repair of the tissue after a skin trauma, such as an injury, surgery or disease. A scar is the trace left after the closing of a wound, a more or less deep lesion of the skin. This wound can have various causes: cutting with a knife, accident, surgical opening, acne… As Plastic Surgeon in Nangloi explains, “all scars need the natural inflammation of our organism to close. At the level of the wound different cells are activated to recreate a bridge of skin between the two banks: this new skin is what is called the scar. She is devoid of hair, sweat gland and is insensitive. Its evolution is specific to each one. The scar can be of various colors and appearances: whitish, flat, hollow, blistered, reddish. It can diminish over time or remain visible depending on the case. Note that scars can sometimes become infected and that the speed of healing differs from one person to another.” Scar treatment in Nangloi is very effective to get rid of scars.

Acne scars: cream, laser, peeling, how to remove them?

Acne is a skin disease that particularly affects teenagers but can persist or appear in adulthood.

Types of scars

Red scars

This is usually the first phase of healing “this phase lasts about 3 months where all the scars are red, hard, embossed, and itch especially in the evening” explains the Plastic Surgeon in Nangloi.

Flat or white scars

Most often, the scars then become white and blistered, and then fade over time. “Spontaneously in 2 to 4 years all the scars improve, whiten, refine, flatten and soften” specifies the Plastic Surgeon in Delhi.

Depressed scars

A scar is said to be depressed when it is hollow and no longer embossed. Caused most of the time by acne or chickenpox, they can be red in color and fade with difficulty.

Stretched scars

Stretched scars appear when the skin around a wound is stretched. Stretch marks for example are stretched scars.

Hypertrophic scars

Hypertrophic scars are thick. “Some people have hypersensitivity and therefore an intense inflammatory reaction that gives red hypertrophic scars, thick sometimes painful and adherent to the deep plane,” explains Plastic Surgeon in Nangloi. They can also form when the skin is exposed to foreign bodies during the healing phase

Keloid scars

“Sometimes without knowing the real reason some people develop a scar tissue disease called Keloids,” explains the specialist. These are voluminous and deforming scars”. This type of scar affects more often: the young subject, of black or Asian skin, the ears, the lower part of the face, the thorax. “For example, we often see the keloid of the ear arrive in consultation after a piercing,” adds Plastic Surgeon in Nangloi. They can also appear after an injury, burn or surgery.

Factors delaying healing

The factors slowing down the healing of scars are as follows: – The immune deficiency leads among other symptoms to a slowing of the healing.

• Diabetes and skin vascularity problems: High blood sugar levels can lead to poor blood circulation and slow healing.
• Age: The healing process decreases with age. Younger people heal better and faster than older people.
• The quality of the suture.
• Inflammatory hypersensitivity that prolongs the “hot” phase of normal healing (beyond 3 months).
• The presence of a foreign body in the wound.
• Stress: two hormones released by the body during periods of stress (adrenaline and cortisol) are responsible for slowing the healing of wounds.
• Deficiencies of vitamin C (which participates in the synthesis of collagen) and zinc (which participates in the synthesis of keratin) can also cause a delay in healing.

Treatment

Scars are often unsightly, but it is important to keep in mind that the many scar treatment in Nangloi that exist can never completely make them disappear: they can however attenuate them, flatten them or improve their appearance.

Creams

Some creams can be effective in alleviating scarring, if applied during the healing phase.
– Any restorative cream based on zinc is effective “Zinc calms the inflammatory phenomena of healing and participates in the synthesis of keratin” explains the specialist.
– Corticosteroids applied locally improve scars that remain inflammatory beyond 4 months.
–“Total sun protection for one year is essential to avoid browning of the scar”, explains the Plastic Surgeon in Nangloi.

Dermabrasion

Thanks to a rotating device that looks like a small grinding wheel, we “pumice” the part of the skin to be treated that will be smoothed and restructured. The technique of dermabrasion is used on protruding scars. Depending on the relief of the scar, 2 to 3 sessions may be enough. A small crust then forms and then disappears.

Peeling

Trichloroacetic acid peeling is a deep peel, which requires local anesthesia. This chemical peel causes a significant peeling of the skin which will then allow its regeneration and the attenuation of the scars. Reactions such as edema, hives or crusts may occur as a result of this peeling.

Collagen injections

The doctor injects collagen directly into the scar, using a needle. This procedure of scar removal in Nangloi requires 2 to 3 sessions spaced 2 to 3 months apart. Be careful, this treatment can lead to allergic reactions in some patients.

Steroid Injections

Steroid injections correspond to the basic scar treatment in Nangloi, Delhi for keloid scars. The product is injected directly into the scar in order to stop the multiplication of fibroblasts and the synthesis of collagen. The scar treatment thus makes it possible to flatten and soften the scar. To be repeated every 4 or 6 weeks.

Surgery

The surgical scar removal in Nangloi consists of removing the old scar and replacing it with another scar whose evolution will be monitored.

Laser

The laser or “resurfacing” allows to correct the defects of coloring and texture of the scar and will work on the quality of the surface of the skin. It is not suitable for inflamed scars keloid or hypertrophic types. “The laser also allows to control inflammatory phenomena it can be applied preoperatively or after 4 months of the intervention” adds the Best Plastic Surgeon in Delhi.