TREATMENT OF KELOID SCARS
| DR MOLINARI IN PARIS
Keloid scars: what treatments?
| Dr Molinari, Paris.
Les cicatrices chéloïdes se présentent comme des excroissances importantes au niveau d’une blessure guérie. La peau est souvent rouge, boursouflée, et la cicatrice déborde largement les limites de la plaie initiale.
Elles s’accompagnent volontiers de démangeaisons, de douleurs et sont très inesthétiques.
Ces cicatrices se développent en raison d’une anomalie du processus de régulation de la cicatrisation.
Elles apparaissent plus volontiers en région pré sternale et sur peau noire. Mais elles peuvent en règle générale compliquer toute plaie, quelque soit sa localisation et quelque soit le phototype.
Les cicatrices chéloïdes ne sont pas des lésions graves ni bien sûr contagieuses. Mais elles peuvent représenter un préjudice important pour les personnes qui en souffrent.
LES TRAITEMENTS DES CICATRICES CHELOÏDES
Keloid scars are large outgrowths of a healed wound. The skin is often red and swollen, and the scar extends well beyond the original wound. They are often itchy, painful and unsightly. These scars develop as a result of an anomaly in the process of regulating wound healing.
They’re more likely to appear in the pre-sternal region and on black skin. As a general rule, however, they can complicate any wound, regardless of location or phototype.
Keloid scars are not serious lesions, nor are they contagious. They can, however, cause considerable harm to sufferers.
TREATMENTS FOR KELOID SCARS
SURGICAL PROCEDURE
It is absolutely forbidden to surgically remove a keloid scar, as this exposes the patient to a very high risk of recurrence on the new scar, with aggravation!
INJECTIONS IN KELOID SCARS
Intra-scar injections of corticosteroids are the most common first-line medical treatment. This treatment can be effective, but often requires numerous, often painful sessions.
PRESSO-THERAPY
Pressotherapy is sometimes recommended, using silicone or silicone-free dressings that must be left in place for several months on the area to be treated. Although tedious, this treatment can be very worthwhile if it is followed up properly.
LASER TREATMENTS FOR CHELOID SCARS
The first laser to be suggested is the pulsed dye laser, which can simultaneously treat scar redness and hypertrophy. Several sessions are often required.
This laser works by destroying local vascular proliferation. Deprived of vascularization, tissues tend to atrophy.
Depending on the case, fractional lasers, whether ablative or not, can then be proposed with a view to remodeling, to erase, at least partially, the scarring of the area concerned.
FRAXEL RESULTS ON THE SCARS
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