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Forum Name: Dermatology Topics

Question: faty and dark oparation stitch mark


 Bindu123 - Mon Nov 16, 2009 1:00 am

Dear sir,
How to remove operated scars which looks ugly as dark brown and thick. Kindly advise me .
Thanks

Bindu
 Dr.M.Aroon kamath - Wed Nov 25, 2009 8:19 am

User avatar Hi,
Your question is very short and simple. Unfortunately the answer is not so simple.

You could be referring to 'hypertrophic' scars or 'keloidal' scars.Both are basically same in that there is an excess of fibrous tissue being laid down in the process of tissue repair.The keloid differs in that it extends into surrounding normal skin. An hypertrophic scar is generally described as an overgrowth of scar tissue that remains within the boundaries of a wound(not all accept this!).

Surgical removal is possible, but the patient should be warned that the keloid may return (as there is an inherent tendency to develop keloids in some people).

The goal of treating scars is to provide relief of symptoms, enhance cosmesis, restore functionality, and prevent recurrence.

A number of other methods have been tried which include, occlusive dressings, intralesional corticosteroid injections, cryosurgery, compression therapy, silicon, surgical excision, superficial radiation therapy, laser therapy, interferon (IFN) therapy, 5-fluorouracil (5-FU), doxorubicin, verapamil, bleomycin, retinoic acid, botulinum toxin, tamoxifen,imiquimod 5% cream, tacrolimus, and non-conventional remedies (eg, combination of hydrocortisone and vitamin E,onion extract etc).

There are other promising experimental therapies as well
(i better not get into too many theoratical things).

To sum it up, there is as yet no fool-proof method of management of keloids. If you happen to have an hyertrophic scar, a compression dressing might work well. But for keloids, one can not at present, recommend any single 'Best' treatment!

Best wishes!

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