Keloid and hypertrophic scars are treated with injections of cortisone and anti-mitotic agents. Home treatment includes taping and application of a scar repair ointment containing organic silicone.
Keloid scars are a distressing complication of wound healing. They are more common in younger patients and those with darker Fitzpatrick skin types, often with an associated family history. Keloids develop after trauma, surgery, acne, burns and body piercings.
A keloid develops when the fibroblast cells which normally produce collagen during wound healing don’t stop once the wound is healed. The connective tissue then proliferates excessively leading to scar overgrowth.
Injections of a cortisone formulation called triamcinolone acetonide and a chemotherapy agent, 5-fluorouracil, are considered first-line treatment.
Numbing cream is applied before injecting keloid scars.
Spider bite scar removal
My beautiful patient Michelle was bitten by a spider between her brows. To heal the bite and minimize the scar, I used carboxytherapy. This improves scar tissue through the release of growth factors and an increase in collagen deposition with the reorganising and compacting of healthy new collagen fibres.
Carboxytherapy also improves lymphatic drainage, microcirculation, tissue oxygenation and metabolism in scar tissue.
Surgery scar treatment
- Stretch marks respond to scar treatments such as Tixel, Carboxytherapy and Micro-needling.