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There are different alternative
options to surgical correction of a scar. Let us see what they
are and how we can operate on different types of scars that
create aesthetical problems.
In the zipper scar, the signs of
the stitches are evident, this can be due to an inaccuracy in
applying them or to bad removal.
If the signs are not too wide,
cutaneous borders can be be joined together with a intradermical
suture. The stair scar is in relief, due to non perfect suture.
It can be surgically corrected and therefore sutured. If it is
of reduced dimensions, it can be treated by dermoabrasion or by
laser. The depressed scar can be caused by a tight suture or by
the reopening of a wound.
Mostly corrected with the surgical
revision or, in some cases, with infiltrations of ialuronic
acid. The ipertrofic scar is the most frequent. It is red, hard
and in relief. In a number of cases, in the course of time (generally
one year is enough), it gets wider, flattenes and whitens
naturally.
But when it causes itch or pain it is necessary to
intervene with local treatments, ointments or injections.
There
are cases in which it is necessary, for aesthetical problems to
intervene surgically, or rather remake the suture, that is
performed mostly in local anesthesia.
There are areas in which
the formation of ipertrofic scars is easier. For example on the
back part of the shoulders, on the ear and on the neck. The
cheloide scar covers a wider area than the incision line, in the
external part and on the inside, with fibrous prolongations that
can be localized with the touch.
Symptoms can be itching and in
some cases also pain. There are various treatments for cheloide
scarring and the result is not constant. It must be undertaken
however during formation period.
It is possible to perform
alternative therapies such as cortisonic infiltration,
compression and silicon bandaids.
The cheloide scar has a strong
tendency to reappear after its removal.
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