Doctors Lounge - Dermatology AnswersBack to Dermatology Answers List
If you think you may have a medical emergency, call your doctor or 911 immediately. Doctors Lounge (www.doctorslounge.com) does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site.
DISCLAIMER: The information provided on www.doctorslounge.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician. Please read our 'Terms and Conditions of Use' carefully before using this site.
Date of last update: 10/18/2017.
Forum Name: Dermatology Topics
Question: faty and dark oparation stitch mark
|Bindu123 - Mon Nov 16, 2009 1:00 am||
How to remove operated scars which looks ugly as dark brown and thick. Kindly advise me .
|Dr.M.Aroon kamath - Wed Nov 25, 2009 8:19 am||
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!
|| Check a doctor's response to similar questions|
Are you a Doctor, Pharmacist, PA or a Nurse?
Join the Doctors Lounge online medical community
Editorial activities: Publish, peer review, edit online articles.
Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.