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Treatment of keloid scars

A keloid scar is a hypertrophic scar, much larger in size, with an abnormal bulge and different coloration from the rest of the skin.  It may cause aesthetic problems if it is located in a very visible place.

The main cause of this type of scarring is the regeneration of cells called fibroblasts that in people with this problem are produced in large quantities, the exact reason for this is not yet known.

What does scar treatment consist of?

It is a surgical procedure which seeks the correction of skin irregularities caused by the scar as texture, size and color of the skin, can be used by patients with severe cases. 

The procedure will depend on the size of the scar, location and severity, it is important to go to an assessment appointment to determine the appropriate technique for each patient.
Some of the techniques that can be used are: 

– Planimetric Z-plasty: indicated for flat areas and the z-plasty triangle is placed as a graft.
– S-plasty: for the treatment of contracted oval scars.
– W-plasty: to improve irregular linear scars.
– Broken geometric lines: used to convert a long linear scar into a randomly shaped irregular scar to make it less visible.
– V-Y and V-Y advancement: in cases of small contracted scars.
– Subsection and filling: for the treatment of deep, recessed scars that require fat or hyaluronic acid filling. 
– Dermabrasion: this is the oldest technique and can be performed manually or with a device.

After surgery, corticosteroid injections, scar ointments and silicone patches may be necessary.

What is the recovery time?

After surgery, swelling may appear in the treated area, the results could be observed after a few weeks. In the period you must follow recommendations such as: 

– Do not do physical activity 
– Do not expose to the sun and use sunscreen daily. 
– Use some other treatment to strengthen completely the disappearance of the scar, such as silicone patches and healing ointments.

Frequently asked questions

Patients who want to remove a keloid scar.

The type of anesthesia can be local, general or sedation.

This will depend on each patient's decision and what your doctor recommends.

The effect is permanent.

It lasts approximately 1 to 2 hours in the operating room, it is an outpatient surgery that does not require hospitalization.

This is a painless procedure.

Technical Data

Hospitalization: Ambulatory

Anesthesia: Local or general

Surgery Time: 1 – 2 Hours

Resting time: 15 days

Dr. José Cortés

Dr. José Cortés

Graduated as a Surgeon from the University of Guadalajara.

About the author
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Av. Baja California 261 Piso 7 – 20, Col.

Hipódromo, México D.F. 06100

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