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Visualizing Scar Development Using SCAD Assay - An Ex-situ Skin Scarring Assay
Published on: April 28, 2022
Systemic Retinoids and Scar Dehiscence.
Hasan Mete Aksoy1,2, Berna Aksoy3,4, Emel Çalikoglu5
1Department of Plastic and Reconstructive Surgery, Bahcesehir University, Istanbul, Turkey.
Systemic retinoids like isotretinoin and acitretin can impair wound healing, leading to scar dehiscence after surgery. Postpone retinoid treatment for 6-12 months post-surgery, especially for cosmetic sites.
Area of Science:
- Dermatology
- Wound Healing Research
- Pharmacology
Background:
- Systemic retinoids (isotretinoin, acitretin) are vital in dermatology but have side effects.
- Prior research suggests potential benefits of retinoids in wound healing post-surgery.
Observation:
- Two cases of scar dehiscence occurred after initiating systemic retinoid therapy post-cutaneous surgery.
- Case 1: Isotretinoin potentially inhibited collagen production during wound remodeling.
- Case 2: Acitretin may have reduced fibroblast proliferation and collagen synthesis during wound healing.
Findings:
- Systemic retinoids can negatively impact wound healing phases, leading to complications like scar dehiscence.
- Isotretinoin and acitretin may interfere with collagen synthesis and fibroblast activity.
Implications:
- Delaying systemic retinoid treatment for 6-12 months after cutaneous surgery is recommended.
- This precaution is particularly important for procedures on cosmetically sensitive areas.
- Further research is needed to elucidate the precise mechanisms of retinoid-induced wound healing impairment.

