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Update on scar management: guidelines for treating Asian patients
Sukwha Kim1, Tae Hyun Choi, Wei Liu
1Seoul, Korea; Shanghai, People's Republic of China; Tokyo, Japan; and Chicago, Ill. From the Department of Plastic and Reconstructive Surgery and the Institute of Dermatological Science, College of Medicine, Seoul National University; the Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine; the Department of Plastic, Reconstructive, and Aesthetic Surgery, Nippon Medical School; and the Division of Plastic Surgery, Department of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine.
Scar prevention is crucial for Asian skin due to hyper-pigmentation risks. Silicone-based products are recommended as a first-line therapy for effective scar management in Asian patients.
Area of Science:
- Dermatology
- Plastic Surgery
- Wound Healing
Background:
- Asian skin exhibits a predisposition to post-injury hyper-pigmentation and scarring.
- Effective scar prevention is paramount for Asian patients.
- Recent advancements have improved understanding and treatment of scar formation.
Purpose of the Study:
- To formulate evidence-based scar management recommendations specifically for Asian patients.
- To review current literature on scar prevention and treatment efficacy.
Main Methods:
- Comprehensive literature search of PubMed and Cochrane Database of Systematic Reviews.
- Inclusion of abstracts, clinical trials, and meta-analyses.
- Expert panel formulation of treatment guidelines.
Main Results:
- Scar prevention is recommended for all Asian patients post-surgery due to high risk.
- Silicone-based products demonstrate strong efficacy and are recommended as first-line therapy.
- Intralesional steroids, radiation, 5-fluorouracil, and advanced surgical techniques are options for refractory cases.
Conclusions:
- Updated recommendations provide evidence-based guidance for managing scars in Asian patients.
- Optimizing treatment strategies can improve patient outcomes.
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