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Pilot Study: Hyaluronic Acid Fillers in the Management of Scars After Skin Cancer Surgery
Harini Bala1, Nisal Punchihewa1, Philip Bekhor1,2
1From the Skin Health Institute, Melbourne, Victoria, Australia.
Background:
Scarring after skin cancer surgery, particularly facial surgery, poses significant aesthetic and psychological concerns for patients. Surgical revision, although effective, can be associated with increased morbidity and recovery time. Hyaluronic acid (HA) fillers offer a potential nonsurgical alternative for scar revision, but their use in post-skin cancer scar revision is not well documented. This retrospective pilot study aimed to evaluate the safety, effectiveness, and patient satisfaction of HA fillers for the revision of scars following skin cancer surgery.
Methods:
A retrospective, single-center study was conducted on 10 patients who underwent HA filler treatment for scar revision following skin cancer surgery. These patients had previously declined further surgical revision due to its associated morbidity. The treatment involved multiple sessions of high-viscosity HA fillers, with intervals of 3 months between sessions. Patients' satisfaction was assessed using a Likert scale.
Results:
All patients reported high satisfaction, with 6 patients rating their outcome as 5 out of 5 and 4 patients rating their outcome as 4 out of 5. No complications, including vascular occlusion or infection, were observed during or after the treatment.
Conclusions:
This retrospective pilot study demonstrated the potential utility of high-viscosity HA fillers for scar revision following skin cancer surgery, with high patient satisfaction and no observed complications.
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