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SCARS MANAGEMENT


SCARS MANAGEMENT

Overview
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Injuries on the skin, either due to trauma, infection, burns or surgery, will lead to formation of scar. Some wounds heal very well and leave behind a very fine scar that is hardly visible. Unfortunately some wound heals with excessive scar formation, giving rise to either hypertrophic scar or keloids. Depending on the size and location, this problematic scarring can cause significant aesthetic and functional problems.

The severity of scar formation depends on several factors.
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1.Severity of the original wound. Larger wound with extensive tissue damage will lead to formation of bigger scars
2.Location of the wound. Certain locations such as the chest, shoulders and the back are more commonly associated with excessive scarring
3.Presence of wound infection. Infection leads to more scar formation
4.Technique of wound repair. Meticulous and precise wound repairs reduce incidence of excessive scarring
5.Adequate post-repair scar management. Compliance with post-repair scar management reduces excessive scarring
6.Age. Scar formation is less in elderly
7.Individual’s genetic predisposition.

Prevention
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Prevention of excessive scarring by the following measures:
• Correct and meticulous surgical wound repair
• Regular massage of the scar
• Use of scar gel, or silicone sheet
• Pressure garment
• Avoidance of sunlight

Treatment
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Treatment of existing scars
• Use of scar gel, or silicone sheet
• Steroid injections
• Laser treatment
• Surgical scar revision
• Subcision with or without dermal fillers (for depressed scars)

Procedure (Surgical Scar Revision)
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Duration of Procedure: 0.5 -2 hours (depends on the extent of the scar)
Anaesthesia: Usually local anaesthesia. General anaesthesia if scar is extensive
When to GO Home after Surgery: On the same day
Back to Work: Earliest the next day, depending the extent of the surgery
Technique: Depends on the size and location of the scar, various techniques can be used e.g. direct scar excision, z-plasty, w-plasty, local flap, tissue expander etc.

Post-Operative Care
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• Sutures usually removed after 7 days
• Regular massage of the scar
• Use of scar gel, or silicone sheet
• Pressure garment
• Avoidance of sunlight


 
 
 
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Pantai Hospital Ampang
Jalan Perubatan 1, Pandan Indah, 55100
  Kuala Lumpur, Malaysia
+603-42892828
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