How to remove hypertrophic scars
Dec 25, 2024
Source: Cainiu Health
Dr. Liu Wenmin
Introduction
The degree of skin tissue defect-induced external tension and the inherent tension of the skin tissue itself can both affect scar formation. Areas with high tension and frequent movement are more prone to developing hypertrophic scars, such as the chin, presternal region, deltoid area, upper back, elbow, hip, knee, ankle joint, and dorsum of the foot. Under a doctor's guidance, medications such as asiaticoside cream, sodium heparin cream, and vitamin E cream may be used.
Scar hyperplasia may be related to factors such as skin tension, scar-prone constitution, infection, foreign bodies entering the wound, and the angle of surgical incisions relative to the skin. Treatments for removing hypertrophic scars include medication, non-pharmacological therapies, and surgical methods. It is recommended to visit a hospital to determine the specific cause and follow medical advice for treatment. The detailed analysis is as follows:
1. Skin Tension
Both the external tension caused by the degree of skin tissue defect and the inherent tension of the skin tissue itself can influence scar formation. Areas with high tension and frequent movement are more prone to developing hypertrophic scars, such as the chin, anterior chest, deltoid region, upper back, elbow, hip, knee, ankle joint, and dorsum of the foot. Under a doctor's guidance, topical medications such as asiaticoside cream, heparin sodium cream, and vitamin E cream can be used. These medications require long-term application to observe visible results.
2. Individual Constitution
Certain individuals possess a scar-prone constitution, where even minor wounds can easily lead to noticeable scars. In such individuals, abnormal collagen synthesis during the wound healing process causes excessive scar tissue proliferation. During the healing phase, patients may also use scar patches under medical guidance to reduce scar elevation and redness by applying continuous gentle pressure to improve the scar's appearance.
3. Infection
Repeated infections and prolonged exposure of the wound can lead to excessive granulation tissue growth, increasing the likelihood of hypertrophic scars or keloids. Under the guidance of a professional physician, patients can choose suitable laser treatments, which may require multiple sessions to achieve satisfactory results.
4. Foreign Bodies Entering the Wound
Dust, talcum powder, fibers, and residual hair follicles, sebaceous glands, or sweat glands can trigger tissue reactions leading to scar hyperplasia. Under the guidance of a professional physician, cryotherapy using liquid nitrogen can be performed. This treatment utilizes low temperatures to destroy localized abnormal tissue, causing the affected tissue to shed and achieving the desired therapeutic effect.
5. The Angle of Surgical Incisions Relative to the Skin
Incisions made perpendicular to the skin surface heal with the finest scars. The greater the inclination of the incision angle, the wider the dermal scar becomes, and the more noticeable the skin deformity. Surgical excision is an effective treatment method. This involves completely removing the scar tissue and then re-suturing the wound.
During treatment, maintaining a pleasant mood and avoiding excessive emotional excitement is advised. Additionally, maintaining regular rest patterns and avoiding excessive fatigue is important.
