Common Specialities
Common Issues
Common Treatments

Skin Scars Tips

Platelet-Rich Plasma (PRP) For Skin Rejuvenation And Ageing - How Does It Help?

Dr. Navneet Bansal 88% (31 ratings)
Dermatologist, Delhi
Platelet-Rich Plasma (PRP) For Skin Rejuvenation And Ageing - How Does It Help?

Platelet-rich plasma (PRP) is a concentrate of platelet-rich plasma protein derived from whole blood, centrifuged to remove red blood cells. It has a greater concentration of growth factors and other cytokines that can stimulate healing of soft tissue and joints. The concentration of growth factors can be 5 to 10 times greater (or richer) than whole blood and has been used to encourage a brisk healing response across several specialities, in particular dentistry, orthopaedics and dermatology. Once this is accomplished, the concentrated platelets are re-injected into the damaged area like the knees, elbows, shoulders, hips and even Achilles tendons.

PRP therapy is a relatively new procedure - It was first developed in the 1970s and first used in Italy in 1987 in an open heart surgery procedure, but scientific and medical research shows that it is safe to perform. Because of that, it’s steadfastly on its way to becoming the primary means of treatment in many different medical fields such as cosmetic surgery, dentistry, sports medicine and pain management, most commonly treating hair loss (and other things, like injuries). Platelet Rich Plasma Treatment is frequently called stem cell treatment due to the fact that it behaves as bringing in cells from a person’s own body, which can then actually differentiate into either tendon, cartilage, or ligament cells.

Use of PRP in Dermatology
Platelet-rich plasma (PRP) helps you harness the natural aesthetic powers of your own platelets to augment your facial rejuvenation. When done properly, PRP creates impressive results both as an isolated procedure or when incorporated into a treatment plan with hyaluronic acid fillers, neuromodulators, volume restoration and technology. The major advantage is it can be done in the clinician's office and produces virtually no downtime in the treatment of wrinkles, melasma, and acne scars. Exceptionally, there is some downtime when it is used to treat the lower eyelids. The aesthetic benefits it generates are dramatic!

Skin Rejuvenation and Ageing
The goal of PRP skin rejuvenation therapy is to improve skin tone and texture, tighten skin, and soften lines and pores. The PRP, injected into specific areas of the skin, act as a matrix that promotes your own collagen to grow, regenerates tissue, and thus acts as to naturally smooth and tighten the skin. Results begin to show 3-4 weeks after the treatment session and continue to improve with time. Three treatment sessions are generally recommended, spaced 1-2 months apart, to achieve the best outcome. In this way, PRP softens wrinkles and creating smoother skin texture and tone, thus making you look younger!

Acne, Scar and Ulcer Treatment
PRP is used to correct pitted acne scars on the skin. You may have heard about this acne scar treatment technique, which is also known as the “Vampire Facial,” as it has gained popularity amongst celebrities and beauty insiders. Once the platelet-rich blood is injected into sites on the face with acne scars, the concentrated platelets release a host of beneficial growth factors that help to promote healing and stimulate regrowth of collagen and elastin. PRP can also been used as an adjuvant for improving the viability of grafts for the treatment of recalcitrant ulcers, with good results.

PRP might not be a panacea or universal cure, but it could turn out to be a miracle treatment nonetheless! In case you have a concern or query you can always consult an expert & get answers to your questions!

Hyperpigmentation & Scars - Ways Laser Treatment Can Help!

Dr. Aanchal Sehrawat 86% (63 ratings)
MBBS, Diploma In Dermatology & Venerology & Leprosy (DDVL), DNB Dermatology
Dermatologist, Gurgaon
Hyperpigmentation & Scars - Ways Laser Treatment Can Help!

Acne is irritating not only when it is active, but even after it heals. This is because it leaves behind unpleasant scars and pigmentation. Laser therapy is the best known way of dealing with these scars and pigmentation issues. It is a misconception that laser treatment is a new form of skin therapy. Laser is being used to treat pigmentation scars since 1964, however, the procedures have evolved significantly and become much more improved and effective.

How does laser therapy work?
Lasers direct intense amounts of monochromatic light at precise points on the skin. This light is emitted in short pulses. When this light hits the skin it heats the hemoglobin cells. The precision with which lasers direct this light ensures that surrounding cells are not affected.

By changing the amount of light, lasers can be used to address cells at varying depths of the skin. In the case of scars, they can destroy the excessive melanin deposits causing a scar. It can also boost collagen production.

In most cases, lasers used to treat skin issues are carbon dioxide or argon lasers. These are known as CW lasers. Laser therapy may be short pulsed or long pulsed. The difference between the two lies in the rest period between emitting bursts of light. The type of laser therapy used depends largely on the degree of scarring or hyperpigmentation.

Advantages and Disadvantages of Laser treatment

  • One of the biggest advantages of this form of therapy is its precision. Laser therapy does not affect the surrounding cells. It is also a bloodless form of therapy that does not require any hospitalization. As compared to other forms of skin therapy for scarring such a dermabrasion, laser therapy does not increase a person’s risk of infection.
  • On the flip side, laser treatment does not work well with all types of scars or all skin types. Also, some people may require multiple sessions for results to be noticeable. In cases of scarring on dark skin, laser lights can wound the capillaries in the skin. As the skin in this area heals, it may become lighter than the surrounding skin. Laser treatment can also cause raised scars known as keloids when used to treat dark skin. These scars cannot be treated with laser therapy and requires additional treatments. Laser treatment is also a little more expensive as compared to other forms of therapy.
  • If you choose to undergo laser treatment to remove scars and pigmentation, it is important to have realistic expectations. Do not expect your skin to be perfect after the procedure. While there will be an improvement, do not assume that 100% of scarring will be removed.
2 people found this helpful

How To Get Rid Of Stretch Marks?

Dr. Raghuram Reddy 90% (142 ratings)
MD - Dermatology, MBBS
Dermatologist, Hyderabad
How To Get Rid Of Stretch Marks?

Stretch marks don’t only happen after childbirth, they can happen to anyone due to sudden changes in body size and weight. These are like ugly brown scars usually present on the stomach, thighs and hips. Truth be told, 90% of pregnant women will get stretch marks around these parts of their bodies.

These are some very easy things one can do to get reduce the appearance of stretch marks both old and new:

  1. Moisturizing- Lotioning –up regularly can lighten stretch marks. Moisturizing helps to hydrate skin and this makes it easier for it to stretch. Moisturizing is very effective in lightening new stretch marks and can prevent new stretch marks from forming. Older stretch marks are more difficult to get rid of, though.

  2. Retin A- Retin-A based creams are very effective against stretch marks. Retin-A works by boosting collagen production which helps the skin to stretch out and avoid tears which cause stretch marks. Pregnant and nursing women should not use Retinoic acid containing products, however. It also doesn’t work on old stretch marks.

  3. Glycolic Acid- This too can increase collagen production when used on skin. It is even more effective as alpha-hydroxy acid (AHA) which is used in chemical skin peels. You can use glycolic acid on skin even during pregnancy. Save your skin from sunlight when using glycolic acid.

  4. Vitamin E Oil- This is touted as the miracle cure for stretch marks and it delivers especially when used on new stretch marks. Use it with an unscented moisturiser for better coverage.

  5. Essential Oils- These are common home remedies for tackling stretch marks. One can use them directly on skin or mix with the carrier oil before use. These are the ones to go for:

    • Lavender

    • Rose

    • Frankincense

  6. Vitamin C- You can take Vitamin C as a supplement to lighten stretch marks. You can also mix topical glycolic acid with vitamin C and apply on the skin directly.

  7. Lasers- These are the magic wands of cosmetic surgery and rightly so. Fresh stretch marks can be tackled using a pulsed dye laser also called vascular laser. The downsides of this laser treatment are that it works on early stretch marks and not on mature ones. It is also very expensive. This laser also doesn’t work on darker skins.

  8. Fractional Laser Treatment- These are very effective against older stretch marks. Your doctor will use this laser to resurface the older marks smoothing the surface of the skin. The treatment is very expensive and can cause hyper-pigmentation and scarring.

  9. Abdominoplasty or Tummy Tuck- This is the only certain way to obliterate stretch marks. What the surgeon does is cut out swathes of skin from your abdomen with stretch marks. Downsides are that it’s a risky procedure. There could be life-threatening complications and recovery takes long, sometimes as long as 3 to 6 months. In case you have a concern or query you can always consult an expert & get answers to your questions!

2870 people found this helpful

Burns - Understanding Its Degrees!

Dr. Sruthi Gondi 90% (10 ratings)
MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Hyderabad
Burns - Understanding Its Degrees!

There are mainly three kinds of burns. The degree of burns is determined by the extent of damage that the burn causes. First degree burns are minor while third degree ones are extremely severe. Variety of factors could lead to a burn. They may be chemical, electrical, fire and even sun induced. Boiling or scalding liquids might result in burns as well. The burn type isn’t necessarily determined by what causes it. Scalding hot water might cause all the three types of burns; based on the duration of the skin being in contact with the water and how hot the water is.

Electrical and chemical burns need immediate tending to by a doctor as it might affect the internal body without it being apparent as the damage to the skin is not much. There are also fourth-degree burns. This type of burn includes all of the symptoms of a third-degree burn and also extends beyond the skin into tendons and bones.

  • First-degree burns: These result in the least skin damage and are also known as “superficial burns” as they only affect the skin’s outermost layer. Redness, pain, minor swelling and inflammation are all the symptoms of a first degree burn. As a first degree burn heals, dry skin and peeling takes place. As the skin peels, the symptoms and signs disappear as the burn only manifests on the top most skin layer. It usually takes a week or little more for a first degree burn to heal without any scarring. If the burnt area affects over three inches of skin, or is on the face, then a doctor should be consulted. Home care generally suffices for a first degree burn. Healing time accelerates with rapid treatment of the burn.
  • Second-degree burns: They are serious as the extent of damage is deeper than the topmost layer of the skin. The skin becomes extremely sore with the formation of red blisters. The blisters might pop open and as time passes, the wound may develop a scab. Proper bandaging is required to reduce chances of an infection. Home remedies should be avoided. The burns usually heal within three weeks.
  • Third-degree burns: They are the most severe. They extend through each layer of the skin. They might not cause any pain due to the severity of burn as the nerves might get damaged. In case you have a concern or query you can always consult an expert & get answers to your questions!
3 people found this helpful

Chemical Peels - How They Can Help?

Dr. Vibhor Goyal 88% (1349 ratings)
MBBS, MD - Dermatology, venereology & Leprology, Fellowship in Cosmetology (MUHS)
Dermatologist, Kota
Chemical Peels - How They Can Help?

Exfoliation/Chemical peel of superficial layer of the skin for facial rejuvenation has been a common practice for ages. Many of us know that Cleopatra used sour milk to maintain glow on her face. Exfoliation of the superficial layer of the skin leads to removal of dead cells, lightening of pigmentation, elimination of fine wrinkles (to a particular extent in certain age groups) and also reduction in the severity of acne.

The principle behind Chemical peeling is that Injury to the skin is caused at the required depth, allowing regeneration to take place, without causing permanent scarring. Regeneration of skin occurs with improved texture, reduced pigmentary irregularities and good cosmetic results.

Once the client is ready for the procedure, the face is cleaned with a cleanser. Ice pack is applied over the face for few minutes. Peel is applied for the desired time. During the procedure, mild burning sensation may be perceived. After washing the face, burning sensation reverses to normalcy. Ice pack is reapplied. Adequate moisturizer and sunscreen is applied before walking out in the sun.

Following are the indications for Chemical peel: Acne, Pigmentation, Melasma, Fine Lines, Freckles. We, at SUDEH always strive to give the best possible results with the most advanced technology and the most suited treatment as per the individual needs. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

2494 people found this helpful

Dry Rubbing and the Death Grip: Masturbation Problems to Avoid

Dr. Vinod Raina 93% (4637 ratings)
MD - General Medicine
Sexologist, Delhi
Dry Rubbing and the Death Grip: Masturbation Problems to Avoid

When a man is looking for new ways to pleasure himself, he might choose to attempt certain things that aren't exactly conducive to good penis care. Two of the most common masturbation techniques a man might experiment with include the "death grip" and dry rubbing, neither of which bode very well for the good health of a man's penis skin. But there is no doubt that in the heat of the moment, each of these techniques can be quite pleasurable. So what's the problem with trying them out now and then?

Why dry rubbing is a problem

Dry rubbing is exactly what it sounds like: rubbing of the penis without any sort of lube at all. Though many men produce natural lubrication during masturbation, many men will wipe this away in order to maintain the friction of a dry rubbing technique. Unfortunately, this is one of the worst things a man can do to his penis skin!

When a man engages in dry rubbing, he is irritating the nerve endings of the penis. These very sensitive nerve endings might respond in a way that seems pleasurable at first, but that pleasure can mask the damage that is occurring with every stroke. In addition to soreness, redness and small micro-tears that result from dry rubbing, the stroking can cause problems deeper inside, such as minor trauma to the penis tissue or even the blood vessels that supply blood to the penis.

The result of those tiny traumas to penis tissue can be a buildup of scar tissue, which eventually leads to something known as Peyronie's disease - an abnormal curvature of the penis that can interfere with sexual activity. Another problem might be erectile dysfunction as a result of the blood vessels suffering minor damage, over and over, through a long period of time.

But the most common problem with dry rubbing is the damage to the nerve endings. As the penis skin is roughly handled, it will naturally build up a "callous" of sorts - much like the callous on a person's feet or hands. This prevents the delicate skin from suffering even more trauma. The calloused skin means that there will be less penis sensation, which can make every sexual act much less pleasurable. Dry rubbing isn't worth the loss of penis sensitivity!

Why the death grip should be avoided

Another problem is the "death grip." This occurs when a man grips the penis so firmly that it leads to pain, diminished blood flow and much more intense friction, which can in turn lead to the same problems as dry rubbing. The death grip might occur with or without lube; sometimes the lube will give a man a sense of security in holding his penis in such a tight grip, but the lube won't actually prevent damage from the intense pressure.

Keep in mind that the death grip can cause even more problems than dry rubbing, especially when it comes to the buildup of scar tissue. A man can easily create many micro-tears, which can lead to internal damage a guy can't immediately see - but eventually, he will feel the consequences. Rather than take chances, a guy should always use a loose grip when masturbating, and use lube to help keep things smooth and moving as they should be.

After a good masturbation session, a man can pamper his penis skin with a healthy dose of penis health crème (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin). Look for a crème that contains L-carnitine, which protects against peripheral nerve damage caused by rough handling, as well as L-arginine for better health of the blood vessels. Penis skin can benefit greatly from the daily use of Shea butter and vitamin E as well, two ingredients that ensure hydration and keep a man's favorite tool feeling smooth and supple.

4 people found this helpful

Acne Scarring - How Derma Treatments Can Help?

Dr. Anup Nangia 86% (10 ratings)
Dermatologist, Gurgaon
Acne Scarring - How Derma Treatments Can Help?

Acne scars look bad and often interfere with your bright looks, as they make you feel embarrassed and unfresh. You use more makeup to cover them or avoid going out in order to hide them. However, instead of hiding your face or the scars, you may try these treatment options to remove the scars instead and feel brighter and better.

  1. Chemical peels: This method involves the application of a chemical peel on the skin. The acid in it removes the superficial skin layer to improve the appearance of the scar. This works well on lighter scars, and a licensed medical practitioner, nurse or cosmetologist can do this procedure.
  2. Dermabrasion and Microdermabrasion: This technique involves using a high-speed brush on the skin to polish the portion of the scar and make that part of the skin even, so that the scar looks lighter. If your skin doctor feels that you don't need serious dermabrasion, then he may use a microdermabrasion where small crystals are sprayed onto the skin surface to remove the skin cells over the scar and improve appearance.
  3. Fillers: Fillers are used on the skin which gets depressed due to the acne or scars. There are some binding materials like collagen or Hyaluronic acid, which can be injected through an injection, and this keeps the skin smooth, scar free and elevated for some time after which the injection has to be repeated. This has to be a continuous treatment until your skin starts to appear normal again.
  4. Retinoid creams: The retinoid creams are especially beneficial on scars if applied patiently for a prolonged period. These creams come with little side effects like burning, drying or peeling of the skin, but over a medium to long-term application, all scars do get removed.
  5. Laser treatment: A combination of a few types of laser treatments or just one type depending on the acne stage or redness is used. This smoothens the skin and removes the acne scars by removing skin cells from the area.
  6. Punch Excisions and Skin grafting: This is a surgical technique. The acne scar can be removed by cutting a portion of the skin, and removing it. Normally, this procedure is combined with skin grafting, where the hole created by the acne is filled up either through stitches, or through grafting of the skin. This is actually the most invasive process to remove scars and only done when you have a serious, permanent and stubborn scar which can't be effectively removed by other techniques.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2327 people found this helpful

Robotic Surgery - Advantages, Risks and Usefulness

Dr. Raghu Vamsi Nadiminty 89% (32 ratings)
M.CH - Surgical Oncology, MBBS
Oncologist, Visakhapatnam
Robotic Surgery - Advantages, Risks and Usefulness

Robot-assisted surgery or robotic surgery is a new age surgical procedure that helps a doctor to perform complicated procedures with better flexibility and more precision. This is essentially a union of high-end technology and the hand-eye co-ordination of a skilled surgeon. It helps a doctor to have a highly magnified, 3D high definition image of the human anatomy. The procedure is performed by making tiny incisions with the help of consoles in the robotic machine. Robotic surgery has found varied application in surgeries, primarily in cancers related to the kidney, colon, rectum, Uterus, stomach, esophagus and so on. 

About the robotic surgery procedure: 
This process of surgery was approved by the FDA in 2000 in the US. Since then it has been rapidly adopted by hospitals across US, Europe, and Asia. Typically, robotic instruments include a mechanical arm and a camera arm along with surgical instruments attached to it. The surgeon takes control of the mechanical arm and the console gives a 3D view to perform the procedure. 

Primary Advantages of Robotic Surgery 
For a surgeon, robotic surgery means greater precision, more control, and better outcome. For a patent, robotic surgery essentially means fewer complications, reduced blood loss, less pain, reduced chances of infection at the site, fewer scars etc. The recovery time for a patient also reduces substantially, which in turn implies lesser number of days in the hospital. 

How is robotic surgery helpful for cancer patients? 
Cancer surgeries are complicated in most of the cases. Having said this, an increased number of surgical oncologists are getting inclined to robotic surgeries for performing cancer-related procedures with greater amount of precision. As many cancer surgeries are technically demanding and take a prolonged time, Robotic surgery helps the surgeon perform a better job due its optics and better precision and control. However, the scope of robotic surgery varies on the type of cancer a patient is suffering from. Not all cancer-related surgeries qualify for robotic surgeries. 

What are the risks involved in robotic surgery? 
Like any open surgery, robotic surgeries have risks associated with them. The risks invovlved will be related to the organ being operated upon. There are no specific complications due to the Robot per se. 

Which kind of patients qualify for robotic surgery? 
Not all patients qualify for robotic surgery. This form of invasive surgery is only possible if a doctor feels that there is less amount of complications involved during the procedure. After weighing the risks, a doctor takes a call on whether or not to go ahead with a robotic surgery.

4 people found this helpful

Keloids - Know About Its Treatment!

Dr. Jagatjit Singh 87% (242 ratings)
MBBS, DHMS-Harvard, Masters in Clinical Dermatology
Dermatologist, Chandigarh
Keloids - Know About Its Treatment!

When an injury happens, the normal tendency of the skin is to repair itself from inside out, until it is completely closed and healed. However, in some cases, due to various reasons, excessively large scars can form. These hypertrophic scars are known as keloids. Here is everything you would like to know about keloids:

Features of keloids:

  1. Benign, fibrous, smooth, hard growths that form over a healed wound
  2. Can be bigger than the original wound
  3. Most commonly found on chest, ear lobes, cheeks, and abdomen
  4. Pregnant women are usually at the risk of developing keloids
  5. Though they do not develop into malignant lesions, they are a cosmetic issue, especially when the visible portions of skin are affected
  6. They are localized, flesh-colored and red in color
  7. They are raised from the surrounding tissue and are prone to repeat injury
  8. It continues to grow with time
  9. Could cause discomfort and irritation when it comes in contact with clothing
  10. Sun exposure or tanning can worsen it and cause tenderness
  11. Common injuries that can lead to keloid formation include burns, surgical incisions, skin piercings, chicken pox scars, tattoos, etc.
  12. Treatment for keloids may not always be effective and need repeat treatments

Treatment options: If the keloid is not in a visible area and does not cause any problem, it is best to leave it untreated and observe for any changes. The following changes could indicate the need for treatment.

  • Change in color from pale pink to red (indicating inflammation)
  • Severe increase in pain/tenderness
  • Sudden increase in size, which could indicate malignancy (keloids are an area where benign growth can turn cancerous)
  • A biopsy can be done to identify if treatment is necessary. This involves removing a small part of the tissue by injection and sending it for laboratory examination.

Treatment options include both nonsurgical and surgical. Nonsurgical methods are tried first before resorting to surgery.

  1. Steroid injections into the keloid to control growth and inflammation
  2. Moisturization to keep it soft and avoid dryness and cracking and bleeding
  3. Freezing the tissue (cryotherapy) to freeze the growth can help in further increase in the size of the tissue
  4. Laser to remove the tissue, especially if it is small. Alternately, this could be used as a secondary measure after the keloid is excised to prevent further growth
  5. Radiation therapy to shrink the growth
  6. Surgical excision, where the keloid is quite visible or large. This could be followed by radiation or laser to prevent further growth.

Also, in people who are prone to develop keloids, surgical incisions can be treated for a longer time with pressure dressings and silicone pads.

3 people found this helpful

Scar Solutions after Male Breast Reduction Surgery

Dr. Ashutosh Shah 86% (38 ratings)
DNB (Plastic Surgery), MCh, MBBS
Cosmetic/Plastic Surgeon, Surat
Scar Solutions after Male Breast Reduction Surgery

Depending on the techniques used, surgery for gynecomastia leaves scars which are in different places, and they may be more or less visible or acceptable to the man. There is no such thing as truly scarless surgery for gynecomastia. Given time most scars heal well and will be barely visible. The choice of which technique is used and where the scars should be discussed with the surgeon carrying out the procedure. Each surgeon and each man considering surgery will have their own thoughts and preferences, so the options should be discussed and all parties can agree on one approach. Although uncommon, some men do unfortunately have problems with their scars, either during the early phase – such as bleeding or infection – or later after the procedure if the scars become hypertrophic or keloid.

There is unfortunately no way to prevent scar tissue after any surgery. The goal is to minimize scar after surgery. Gynecomastia surgery is not deemed medically necessary nor is the removal of the resulting scars, but many men suffer severe psychological distress making solutions essential. Scar tissue for procedures  including the perioareolar region for gynecomastia are usually barely visible but it can persist for many months till it heals in that way.

Scar tissue is the body’s normal way of healing and some patients have excessive wound healing and scar healing responses and this can lead to a hypertrophic scar. A hypertrophic scar is red and raised and itchy and generally responds to non-surgical treatments. Many scars do not heal with a hypertrophic scar responds and are flat on the surface, but there can be thick and irregular tissue underneath. This is again a normal process of wound healing and it tends to soften or remodel over many months. The perioareolar area has many ducts and glands, which may lead to increased inflammation and subclinical infection, which can delay wound healing.

 It takes a year for scars to fully mature but they never "disappear" but should also hardly be noticeable if placed along the areola border. The incision for gynecomastia surgery goes partly around the areola and at armpit in our technique. We at Elegance clinic, Surat do not put any extra scar on lower chest for gynecomastia surgery. The armpit incision is for entry for liposuction and it is well hidden in armpit line which is natural line happening at junction of trunk and upper arm. As it heals it usually is well hidden due to the change in skin texture and color. However, for some patients, a thick scar known as a keloid may form leaving the patient with a new problem that may make him still feel uncomfortable going shirtless.

Choosing an experienced Board Certified gynecomastia surgeon is your best bet in getting optimal surgical results including the healing of the incisions. We cosmetic plastic surgeons are well trained for better suturing for barely visible scar. We use layered suturing that too with very fine sutures. This differentiates cosmetic plastic surgeons’ scar from any other surgeon. We also do not put any scar outside chest area. We do not put scar on chest wall to as usually done by other speciality to get access to gland of gynecomastia.

Usually gynecomastia incision is not prone for such scarring. Some men produce more collagen than others during the healing process. It is the excess collagen makes a raised noticeable scar. This can be genetic or the poor suturing technique which can cause such bad scarring. Past history or positive family history for bad scar formation is a warning to go for such surgery as you also can develop bad scar for you. It is a patient’s duty to inform doctor regarding this type of healing issues.

I stress to my patients the importance of following all preoperative and postoperative instructions in order for them to get the best results. I have found compression vests and early re-mobilization are helpful adjuncts in the minimization of post-operative scarring. When it comes to the care of the incisions, I advise my patients to use special gels preventing hypertrophic scarring and regular massage of incision sites. After the healing of the incisions, silicone sheeting is used to control the formation of keloids. If the hypertrophy develops I use intralesional injection or Laser / radiofrequency for the management of the scar. In the first year after surgery (really the first six months) steroid injections can be very helpful in breaking down any scar tissue formations. After one year the success of steroid injections to reduce prominent scar tissue diminishes considerably as the bonding of the collagen in the scar tissue becomes very mature. There is no harm in doing further steroid injections but be aware that the success of them at this far out from surgery may not be like what had occurred earlier after surgery. Should this fail you should consider a small revision through an open incision under local anesthesia as an office procedure. This can remove the problematic small area of scar with little risk of recurrence.

You can expect to find a result in 9-12 months following the surgery. There are many treatments that can help accelerate these topical laser treatments on discolouration of the scar and then bulk heating radio frequency treatments to facilitate softening of the glandular area. These bulk heating radio frequency devices help remove the swelling and edema which contribute to firmness of the scar tissue as well as enhance tightness and contour.

  I think you have a high probability of ending up with an excellent result and it’s very important to follow-up with your operative plastic surgeon as they are in the best position for recommendations for post-operative care.

2 people found this helpful

Book appointment with top doctors for Skin Scars treatment

View fees, clinic timings and reviews