treatyourscars Thus, although skin tension in itself may not be the main cause of keloid and hypertrophic scars, it is probably the main local risk factor that exacerbates and prolongs the inflammation leading to the formation and/or progression of these fibroproliferative scars.
The risk of developing keloid and hypertrophic scars is especially high if the wound is deep enough to damage the reticular layer of the dermis, as well as in the presence of various genetic, systemic, and/or local risk factors that prolong the inflammatory phase of wound healing.
Additionally, scar tissue can grow and lead to the formation of large lumps, which can lead to endometriosis. The most common cause is the presence of scar tissue on the uterus from previous surgery. Internal scar tissue can develop from surgery (such as abdominal adhesions) and certain diseases (such as Asherman syndrome and Peyronie’s disease). When the skin is damaged, fibrous tissue called scar tissue forms over the wound to repair and protect the damage.
In some cases, additional scar tissue grows to form smooth, hard growths called keloids. Keloids are raised scars that grow and extend beyond the affected area. Scars form as part of the healing process after a cut or damage to the skin.
The first thing you will most likely notice is that rubbery scar tissue begins to grow beyond the original damage. You may need special stitches or dressings to hold the skin together as it heals. While it is not always possible to prevent scarring injuries, the risk of scarring after the injury can be reduced. Treatment can reduce the size or appearance of the scar, but it will never go away completely.
But sometimes, for reasons not yet fully understood, your skin can overreact to damage, causing scar tissue to grow that rarely goes away on its own. Acne scars can become more visible with age because the skin loses collagen and elasticity over time. Also, if wounds are found on joints or mobile areas, including the neck, the resulting scars can turn into cicatricial contractures.
Surgical removal of keloids, while providing temporary satisfaction, is almost always (50% to 100%) accompanied by more aggressive scar tissue regeneration. Therefore, all surgical options must be accompanied by corticosteroid injections, silicone wipes, or a combination of these options and lasers. Dye Pulse. Initially, your doctor may recommend less invasive treatments such as silicone pads, pressure bandages, or injections, especially if the keloid is new enough. If you are at risk for keloids and need surgery, your surgeon may recommend dressings, steroid injections, or other treatments to reduce your risk of keloids. Laser treatment of keloids For certain types of scars, including some keloids, your doctor may recommend laser treatment.
The treatment softens and smoothes the skin and can improve the appearance of scars. Massage therapy can also help break down scar tissue and allow it to rebuild.
However, the effectiveness of this therapy remains controversial, as other studies have shown a slight reduction in scar thickness. Disadvantages include high cost and availability only to experts. Several studies in the plastic surgery and dermatology literature have shown that people treated with this method have high rates of keloid healing, or at least improved keloids. In a review in the American Journal of Family Physician, steroid treatment was most effective for new keloid scars and was combined with surgery to remove part of the scar. Cryosurgery may be the most effective type of surgery for keloids.
The use of corticosteroid injections after keloid surgery reduces the recurrence rate to less than 50%. opinion). A small study published in the Journal of Skin and Aesthetic Surgery suggests that after multiple treatments, cryotherapy can reduce the size of keloids by up to 50%. However, the benefits of removing a large keloid may outweigh the risk of postoperative scarring. Keloids can also develop after piercing, tattooing, or surgery.
Keloid scars usually begin to develop around three months after the initial skin injury, although this can take up to a year. A keloid is an overgrowth of scar tissue that grows around a wound, usually, after the wound has healed. When a keloid is caused by a surgical incision or trauma, the keloid tissue may continue to grow for some time after the wound is closed.
The scar may disappear so much that it can barely be seen, but it will never completely disappear. You can easily diagnose most scars yourself by monitoring the area of skin that has healed after the injury.
They can develop after very minor skin damage, such as acne or piercings, and spread beyond the area of the original skin damage. Although keloids and hypertrophic scars can develop at any age, they are most common between the ages of 10 and 30 and tend to disappear during menopause.
Not only did pregnancy and puberty appear to be associated with exacerbation of pre-existing keloids or hypertrophic scars, but we also noted in patients that puberty led to the transformation of pre-existing scars into keloids.
Discussion In these two cases, there was a very clear connection between the effects of puberty and pregnancy, leading to the growth and deterioration of keloid scars. We suggest more research be done to further investigate this effect and help manage keloid and hypertrophic scars during pregnancy. Women and girls who have keloid scars should be made aware of this potential effect and should seek specialist advice if it does.
However, there is a risk that laser treatment can aggravate keloids, causing increased scarring and redness. However, sometimes these scars can cause severe inflammation or blockage, making future pregnancy difficult. How the incision in the uterus is done is important, the experts explain because how the scar heals can affect a woman’s ability to get pregnant again, and can also affect how the next birth goes.
With the right treatment, many women will be able to make a full recovery without long-term complications; although a hysterectomy may be required in many cases. They can also occur after surgery performed by doctors, for example after ear reduction surgery (when there is a scar behind the ears) or to remove suspicious skin growths. Sometimes a keloid develops without any visible damage to the skin, although most people can pinpoint the cause. The maximum age is 10-30 years, keloids are less common in the elderly or in children.
A previous and family history of keloids also increases the chances of developing keloids and HTS. An association between pregnancy and the growth and progression of keloids and HTS has been previously observed. We attribute this to the hormonal effects of pregnancy and puberty hormones.
