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Techniques for Optimizing Surgical Scars, Part 2: Hypertrophic Scars and Keloids.

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This review details scar revision techniques for raised and thickened scars (hypertrophic and keloids) after skin tumor surgery. Options include lasers, injections, topical treatments, and physical therapies for improved scar appearance.

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Area of Science:

  • Dermatology
  • Plastic Surgery
  • Oncology

Background:

  • Surgical removal of skin tumors can lead to significant scarring.
  • Hypertrophic and keloid scars are common concerns for patients post-surgery.
  • Effective scar management is crucial for patient satisfaction.

Purpose of the Study:

  • To review and discuss scar revision techniques for hypertrophic and keloid scars.
  • To provide an overview of current and emerging treatments for problematic surgical scars.
  • To inform clinicians and patients about scar management options.

Main Methods:

  • Literature review of scar revision strategies.
  • Focus on treatments for hypertrophic and keloid scars.
  • Categorization of therapeutic modalities.

Main Results:

  • Multiple treatment options exist for hypertrophic and keloid scars.
  • Treatments include corticosteroids, chemotherapy agents (bleomycin, fluorouracil), vasodilators (verapamil), growth factors (avotermin), and physical modalities.
  • Laser therapies (nonablative fractional, ablative, fractional ablative, pulsed dye laser) are effective.
  • Other options include silicone, scar massage, and topical agents like imiquimod and onion extract.

Conclusions:

  • A variety of effective scar revision techniques are available for hypertrophic and keloid scars.
  • Treatment selection depends on scar characteristics and patient factors.
  • Optimizing surgical scar outcomes requires a comprehensive approach to management.