Hypertrophic Scar

Patient : Hi Doc I was in a car accident about 15 years ago which has caused scarring in my facial area. about 3 years ago i had surgery removing a cyst in my face. Few weeks after the cyst scar hed healed the ols scars starting to lift and turned dark reddish.Which I believe is hypertrophic scarring. I have used all different kind of oils and ointments and none of was working like it suppose to. My question is: 1.What could have caused this hypertrophic scarring, because i have never had this problem before? 2. What is the best possible treatment for this
Doctor :   Thank you for your question. It is possible that you have developed hypertrophic scars during the healing of your cys t removal. Fortunately, there are many options for the treatment of hypertrophic scars. The single handed most efficacious treatment is the injection of a corticosteroid called triamcinolone (kenalog) directly into the scar. This acts over the course of 6 weeks and may require several injections to achieve a flat scar. Any plastic surgeon can perform this injection in an office setting and poses minimal risk. If you have darker color skin, there is a risk of skin hypopigmentation (lightening) in the area of injection that should be discussed with your doctor. Silicone gel sheeting has also shown promise in the reduction of hypertrophic scars. I would also recommend daily massaging of the scars after the steroid has been injected. This will help the collagen fibers to be broken up and reorganized in a linear fashion.

Related Q&A

Q: To doctor 565378 only Doctor I visited a new ENT/Plastic surgeon. He felt that before nasal valve surgery he would li...

Q: Hi, i had a cleft lift surgery/ basscom surgery for removal of Pilonidal cyst last Thursday on 20th October from a BC...

Q: I had Smartlipo 3 months ago and have these dark lines that persist on my inner thighs. I know that hyper-pigmentatio...

Q: I got a single protruded ear so what are the most likely be helpful to retract it to same level with the other one?

Q: I had sliding genioplasty on my chin and needed revisionary surgery on it because of surgical error in placement of t...

 


DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews