What does a scar look like? Among the drugs for the treatment of keloids include. Laser Scar Grinding

Keloid scar - one of the most unpleasant consequences of skin damage. This type of scar occurs 6-12 months after the wound has healed. People of all ages are susceptible to the formation of scars, but most often they occur in the age group of 10-30 years. Keloid type scars grow for 2 years and then stabilize. Formations deliver an aesthetic inconvenience, and in some cases can be malignized, turning into a malignant tumor.

In the ear area, keloid usually forms in the ear for earrings, similarly occurs at the point where skin piercing is pierced, for example, in the navel. Depending on the type of wound from which a keloid scar is formed, it can vary in size and shape, ranging from approximately rounded bearings, through strips to irregularly elevated formations. These scars exceed the extent of the initial injury. Initially, these scars usually have a deep red color, but gradually they disappear until they finally remain porcelain.

Keloid scars themselves do not cause any difficulties, but may be accompanied by itching, increased sensitivity to pain that may interfere with sleep. Although keloid scars usually do not cause unpleasant appearanceIn some cases even unpleasant complications can occur. There may be itching or pain, otherwise the state of wound healing is complicated by bleeding or infection. Excessive formation of fibrous fibers in the keloid scar can additionally cause skin mobility. This functional failure occurs, especially when they occur near the joints.

What is keloid scar?

Keloid is a special type of scar consisting of immature connective tissue. Under the microscope, it looks like elongated and convoluted collagen bundles. Scar tissue tends to grow, affecting healthy skin. The skin of the face, earlobes, and chest are most susceptible to the formation of keloid scars.

This complication can be painful when trying to move. Therefore, it is important to heal keloid scars or even better - try to prevent its formation. Currently, the most used corticosteroids are injected directly into the affected area when treating keloid scars. The effect of corticosteroids will be to reduce the production of ligaments and, thus, excessive growth of scars will stop. Previously, this type of treatment was combined with radiation, but the high-risk treatment method was reduced.

If corticosteroid therapy is ineffective or if improvement is too slow, surgical removal of excess scar tissue and management of a new surgical wound is recommended. Here, however, there is a risk that the keloid scar will develop again due to genetic and racial predisposition. In some cases, you can also use cryotherapy, that is, the treatment of very low-temperature keloid scars. However, the main disadvantage of this method is that after its use the skin disappears, which is unpleasant, especially for those who have dark skin.

Scar formation begins with the appearance of a thin film of squamous epithelium. After 10 days, it coarsens and compacted, acquires a bluish color. After another 2.5 weeks, the keloid swells, begins to protrude 3–10 mm above the surface of the skin, and becomes covered with dense plaques. The growth of tumors can continue for 1.5-2 years, after which it stops.

Traditional methods of treating keloid scars

After the start of treatment of keloid scars, there is a high probability of significantly improving the condition, which gives patients great relief, not only physical, but also psychological. The best prevention is to try to prevent any damage to the skin, and in some people keloid can occur only after scratching. Suitable regimens are used to help prevent this unpleasant scar - keloid. This is a pressure massage, when we press the fingertips ten times a day for about half a minute until it disappears, and then release our fingers.

Causes and incidents

The causes of the development of keloids to date have not been established. It is known that the formation of a scar of this type can occur both in case of severe extensive injuries and in small, almost imperceptible injuries like an insect bite. Quite often keloids form at the site of a traumatic amputation of moles. There is no connection with the severity and extent of damage in keloid formations.

On the contrary, it would be counterproductive massage with a circular motion, as this would stimulate the formation of connective tissue, and the scar will grow even more. Calming the healing of the scar also helps to scratch it. You can also use silicone gels or oils.

Keloid or keloid scar is an uncontrolled increase in the collagen components of the skin. This can occur during wound healing, but also spontaneously. The exact cause of keloid is unknown, but there are people who tend to cause keloids, often young people, and women. Inheritance plays an important role in their creation.

It is known that keloid scar growth occurs more often in the following cases:

burns;
wound healing by secondary intention;
genetic predisposition;
puberty;
pregnancy;
strong pigmentation of the skin;
the presence of injuries in the areas of the most frequent appearance of keloids (earlobes, face, chest).

In addition to the above, there is the opinion of experts, indicating the connection of keloids with existing immunodeficiency (including HIV) and hormonal disruptions in the patient's body.

The most susceptible to the formation of keloid scars is the area above the chest, shoulders and neck. Within three to four weeks, hard, smooth protuberances, striped or irregularly elevated forms, the length of which can reach several centimeters, may occur at interference points reaching a certain depth. Their deep red color gradually turns into porcelain white. Having reached a certain size, it no longer changes.

What do you think, light therapy in Czech health care, gynecology, proper use?

The greatest hope of success is the introduction of a suspension of corticosteroids directly into fresh manifestations. Previously, for possible skin cancer is not recommended. When did you first meet light therapy for the first time? Since when do you use it to treat your patients and with what results. Last but not least, my personal openness and readiness to use new methods of treatment played an important role. No, unfortunately, that's not all. Speaking more specifically about the use of light therapy in my field of study, that is, in gynecology and obstetrics, it is clear that she is an obstetrician.

Note: keloids can reach very large sizes. In the history of medicine there are cases when the scar occupied almost the entire surface of the face or chest of the patient. Such neoplasms cause not only aesthetic, but also physical discomfort and require mandatory treatment.

Keloid scar appeared after removing moles. What to do?

Remote moles are one of the risk factors for uncontrolled proliferation of connective tissue and keloid formation. The appearance of the scar is not a critical situation, however, it requires the attention of a specialist. It is no secret that the treatment of diseases at the initial stage of their development is easier, with lower costs both from the patient and from the medical institution. Therefore, when the first signs of keloid scar appear, it is recommended to consult a specialist - dermatovenereologist.

Pregnant women are willing to invest not only significantly more money, but also the time of their health during pregnancy, so they also use additional methods in addition to standard treatment methods. They also pay increased attention to their health after the surgical procedure.

What are the effects of light therapy - painkillers, anti-inflammatory, stimulating - you most appreciate the gynecologist. These individual effects cannot be separated from each other in practice, because they complement each other and act synergistically. Very simply, however, we can state that when using light therapy as a strip prevention, a stimulating effect is preferable, which is preferable. When phototherapy is indicated for postoperative care, of course, all the effects are applied - stimulating, analgesic and anti-inflammatory.

It should be remembered that the birthmark is a risk factor not only for keloid scars, but also for basal cell infiltrating skin cancer. This is another argument in favor of visiting the doctor and refusing attempts at self-treatment. To distinguish one disease from another without special examination is almost impossible. For this, it is necessary for the doctor to take a biopsy (scraping the neoplasm cells) and send it for histological examination.

Very good results are achieved with the help of light therapy, for example, in the treatment of stretch marks. What is your personal experience. In the case of strips, prevention is most important, ideally preventing their occurrence. Thus, all pregnant women at the end of the first trimester of pregnancy recommends initiating prophylactic light therapy in combination with Vermio healing cream by the time around - the week of pregnancy when there is the greatest increase in the uterus and thus tummy, to avoid stretch marks.

After stretch marks, once formed - it happens that some tissues grow too fast and subcutaneously, for example, on the stomach, at a minimum enough to turn and create a scar - it is necessary for patients to emphasize that the scar is always will remain scars that can not be completely no way to destroy and which is for life. Of course, this is the fact that the sooner treatment starts, the better the results.

Classification of colloidal scars

The classification of keloids is made according to the time of their existence and stage of development.

By the time of existence are distinguished:

young keloids - age less than 5 years, continued growth, color bluish or purple.
old keloids are more than 5 years old, growth does not continue, the scar looks wrinkled, sometimes pale.

According to the stage of development, keloid scars are:

epithelialized;
swollen
compacted.

Regardless of the stage of development and time of existence, the scars of this type do not disappear and do not decrease in size. In most cases, they can exist for many years without causing noticeable physical discomfort to the patient.

What is your opinion on the treatment of keloid scars using light therapy?

The main measure of success in treating stretch marks is the patient's subjective assessment. But there are also objective measures: scars can be measured, for example, or the fading rate. It should, however, be emphasized that women are generally satisfied with the shaving treatment. Very positive, because even in the case of keloid scars, we achieve a significant improvement by using a bioptronic lamp and suitable healing ointments. If the treatment is in good faith, the keloid weakens and disappears. We achieve a noticeable aesthetic improvement in the manifestation of keloid scar, which women especially appreciate in summer, when protruding broad scars on the skin surface reddening, for example, attract a pool, unwanted attention of others.

Symptoms of keloid scars

Symptoms of keloid scars are specific enough to with some degree of probability to recognize this pathology without the intervention of a specialist. Keloid is characterized by going beyond the wound, which is not observed for other types of cicatricial changes. In addition, the scar is elevated above the skin by a few millimeters, has a purple or bluish color. At the initial stages of formation may have pink shades.

Therefore, the goal of treatment is purely aesthetic - to reduce the volume and speed of scar reddening. And here the right kind rule is true: the sooner it starts, the better the results. Of course, a keloid scar can be surgically removed, but remember that a new scar will develop when it is removed, and if the treatment of this new “normal” scar is neglected, it can again become a keloid scar.

How much time is required for light therapy to treat large scars, for example, after a cesarean section or a landfill. A scar is a scar; nobody destroys you. Light therapy significantly helps especially sick healing patients, for example, women with obesity, who contribute to easier healing, especially as prevention of inflammatory complications. Again, it is important to emphasize that from a practical point of view, it is important to begin the treatment of any scar - not only after a cesarean section or a dam incision - as soon as possible, ideally right after the operation.

Subjectively, the patient experiences sensations such as pain in the area of scar formation, a feeling of tightening of the skin, and paresthesia. There may be a burning sensation, itching, and an increased sensitivity of the tissues of the neoplasm to tactile and thermal effects.

And we need the healing process to take place on the fourth week after the procedure, as we like, that is, without complications, and to speed up and maximize the healing process. And for this very helpful medical effects bioptronnoy lamp. Thus, when the scar begins to be treated with light therapy immediately after birth, the anti-inflammatory effect of polarized light is more beautiful, i.e. thinner and pale.

My more than ten years experience in light therapy is very positive.

A very serious maternal illness is acute or chronic inflammation of the external labor. At what stage of treatment is light therapy indicated and what is its job. Light therapy especially helps with chronic inflammations, such as chronic candidiasis or yeast infections, in cases where the mucous membrane is weakened and susceptible to inflammation. In this case, the effect of stimulating polarized light, which is indicated as adjuvant therapy, is very positive. When the inflammation of a woman is itchy, burning or itching, the anesthetic effect acts.

The final diagnosis of keloid is carried out only after laboratory examination of the scar tissue. At the same time in the sample is determined by a high, 6-8 times more than in hypertrophic scars, the amount of collagen. Twisted fibers, connective tissue immature. Unlike keloid, the growth of connective tissue in cancer occurs in the form of cords, dividing the tumor into peculiar lobules. At the same time, ulceration is usually present in the center of the neoplasm. For keloid scars, ulceration is uncharacteristic.

Treatment with bioptron lamp occurs with chronic inflammation within a few weeks, usually 3-4 weeks. Some women get nipples from birth and therefore will soon stop breast-feeding. Is it possible to remove this medical complication with the help of light therapy? Accelerating the healing process of nipple cracks will significantly increase the chances that the mother will not stop breastfeeding, respectively. will breastfeed for a long time. Nipple cracks are a violation of the surface of the fabric, which causes the baby to suck.

Another disease that looks like keloid is dermatofibroma, a benign intradermal tumor. Its main difference from keloid is that it is formed in areas of intact skin. When histology in the biomaterial noted the presence of fibroblasts and fibroblasts having large-sized nuclei, as well as dissemination of lipids and iron. Keloid fabrics do not possess such features.

Who would recommend treatment with a bioptronic lamp?

After a week to fourteen days, the chest is literally new. Light therapy offers the best and fastest results of all indications. Great use can be found in light therapy, especially in the field of prevention of strokes or in the treatment of all types of scars in general or fractured nipples. My more than ten years experience in light therapy is very positive. This treatment helps mothers, both medically, i.e. speeds up the healing of their bodies, helps them mentally - women feel that they are doing something for themselves and their health, and during the day it is also a very economical treatment from an economic point of view, because it is affordable for all and saves money, derived from health insurance.

Treatment of keloid scars

Treatment of keloid scars can be carried out by several methods, the choice of which depends on the age, prevalence of the neoplasm, as well as its sensitivity to the methods of chemical exposure.

To get the patient rid of a disturbing scar, the following therapies are used:

pharmacological effects;
laser polishing;
gels and ointments;
cryodestruction;
physiotherapy;
surgical excision;
pressure therapy;
corticosteroid injections.

Drug treatment

Therapy of keloids with the use of drugs of influence is not aimed at completely removing the scar, but at stopping its growth and reducing visualization. The main substance responsible for the density of the tumor is hyaluronic acid. Therefore, the treatment is based on drugs that can break it down and make the scar less dense, bright and noticeable. For cleavage of hyaluronic acid, enzyme agents (lidaza, rhodidase) are usually used, which are injected directly into the pathology area, with a course of 5 to 20 injections. This method of treatment is most effective against young keloids.

Sometimes it is possible to stop the growth of connective tissue by applying interferon. The drug enhances local immunity, which leads to the suppression of scar growth due to the mechanisms of immune protection. During the first two weeks, the medicine is injected into the scar daily, after 1 time per week for three months. Antibacterial agents can be prescribed to speed healing during scar infection.

Laser polishing

Laser polishing of keloid scars is a virtually painless and safe method of influencing a neoplasm. The essence of the procedure is layer-by-layer evaporation of the scar tissue using a laser beam. In practice, the erbium and neodymium laser is most often used. The first acts exclusively on the surface layers of the scar, the second is able to penetrate to a depth of 8 mm, carrying out a deep action.

With the help of a laser, you can make a scar almost invisible, but it is not completely eliminated. To achieve the result, it is sufficient to conduct several (3-5) procedures. The disadvantage of this method is its relatively high cost. For example, 3 procedures to remove a scar on the forehead will cost 18 thousand rubles, on the chin - 12 thousand rubles.

Gels and ointments for keloid scars

With the help of gels and ointments, you can soften and lighten the scar. The use of these dosage forms is painless and comfortable for the patient. The treatment takes a lot of time. Sometimes the course takes about six months.

The number of drugs for the treatment of keloids include:

Contractubex inhibits the development of the scar, helps to reduce its size. Apply the gel should be 3 times a day, rubbing it into the scar tissue. The course of therapy is 1-2 months.
Kelofibrase - a specialized drug for the treatment of keloids. Apply 2 times a day with a thin layer, then pounded to complete absorption with massage movements. The course of treatment is to achieve an acceptable result (usually about a month).
Dermatics Apply to clean, dry skin with a thin layer. After that, the drug is allowed to dry for 5 minutes. Rub the tool is not required. Per day, the procedure is carried out 2 times. The course of treatment is 2 months.

Therapy with creams and ointments as an independent method of treatment is not always effective. In most cases, local application of drugs combined with other methods of treatment. Also, the cream is used to prevent recurrence after surgical removal of keloid.

Cryodestruction

Cryodestruction is a method based on a low-temperature effect on the scar. Liquid nitrogen, which is used as a refrigerant, freezes keloid tissues that are rich in water while disrupting its structure. In most cases, cryodestruction is used in combination with microwave therapy, which destabilizes fluid residues in the tissues and makes the effect of cold more effective.

Scar removal by freezing is practically painless, but local anesthesia can be used to improve patient comfort. For best results, the doctor prescribes 2-3 procedures. If there is a keloid of small size, one visit to the clinic can be enough.

Physiotherapy

Physiotherapy for keloids is a type of drug therapy. As a rule, patients are prescribed electrophoresis, by means of which medications (hormones, lidaza, collagenase) are injected deep into the scar tissue. This method of administration is preferred with respect to injections, since it does not cause discomfort to the patient and allows the drug to be evenly distributed throughout all the tissues of the neoplasm.

Surgical excision

Surgical excision is one of the oldest, however, not very effective methods of dealing with keloids. The essence of the method consists in the mechanical removal of modified tissues with subsequent suturing of the wound. In place of the keloid, a thin, inconspicuous scar remains, which is easier to correct by pharmacological methods. The disadvantage of the surgical removal method is the high risk of recurrence of the disease.

Small keloids are removed on an outpatient basis, under local anesthesia. Massive growths of connective tissue may require the introduction of the patient into general anesthesia and hospitalization for several days. In conjunction with surgical removal apply methods of compression effects on the operated area.

Pressure therapy

The essence of pressure therapy is to squeeze the area where keloid is formed, with compression of the capillary network supplying it. Against the background of local ischemia, synthesis of collagen and connective tissue is reduced, the growth of the scar slows down, or stops completely. Apply elastic bandages to create compression.

Pressotherapy is used mainly as an auxiliary method of treatment. Compression period is 1-2 years, with periodic weakening and removal of the bandage for a short period. The pressure on the affected area should not exceed 20-25 mm Hg.

Corticosteroid injections against scars

Corticosteroids have a pronounced anti-inflammatory effect. Therefore, they are used to treat young keloid scars, the growth of which is accompanied by an inflammatory process in the tissues. As a rule, electrophoresis or the traditional injection method using a fine needle is used to administer the drugs. To achieve a therapeutic effect requires 10-15 procedures that are carried out every other day. Dexamethasone or prednisone is used as a therapeutic agent. The dosage depends on the size of the scar and can vary within very wide limits.

Traditional medicine

How to get rid of keloid scars at home? Keloids can be controlled with the help of traditional medicine.

The most popular are the following recipes:

Apple vinegar. The surface of the scar is processed apple cider vinegarthen rub the substance into the fabric. The procedure should be repeated daily, 2 times a day, for 3-4 weeks. Vinegar helps discolor the scar and make it less noticeable.
Aspirin. 4 tablets of aspirin should be crushed and pour in such a quantity of water to make a thick white paste. The composition is applied to the surface of keloid and lightly rubbed into the skin. After the paste dries, wash it off with running water. The course of treatment is 1 month, the multiplicity of the procedure - 2 times a day.
Lemon juice. The substance is applied to keloid, then ground and left for 30 minutes. At the end of the procedure, the composition should be washed off. The treatment is carried out twice a day for 2-3 months.

Folk remedies for the treatment of keloids usually do not lead to their complete disappearance, but they make the scar soft and less noticeable. Small tumors may be slightly reduced in size. Independent initiation of treatment with traditional medicine is unacceptable. You should first visit the doctor, make sure that the scar is a keloid, and not others, more dangerous diseases skin.

Keloid scars - a serious cosmetic problem that can significantly reduce the quality of human life. This is especially true for young patients. Modern technologies allow you to quickly and painlessly cope with this disease. It is necessary to consult a doctor in time, who will be able to prescribe the correct highly effective therapy. Self-treatment of keloids may aggravate the situation.

Unlike all other scars, which complicate life only from an aesthetic point of view, keloid disease can be extremely painful. Burning, itching, tingling are typical symptoms of keloid.

However, this does not end unpleasant features. Keloids are the only type of scarring that is constantly expanding. This is especially noticeable in the first months (and sometimes years) after the appearance of the scar. Increasing in size, keloid captures all new areas of healthy tissue, and after a while the area of the scar can already several times exceed the area of the original wound surface. So with the appeal to the doctor should not be postponed.

When to start keloid treatment

If keloid is not treated, the situation may worsen indefinitely. Therefore, if you have a scar that resembles a keloid, it is necessary to consult a surgeon as soon as possible. Treatment of keloid scars folk remedies at home, unfortunately, has almost zero efficiency, even if it lasts for years.

Video

How to determine the keloid scar or not

When to go to the doctor?

Option 1. If you already know that you have a tendency to form keloids, the sooner the better.

Option 2. Before any planned operation. Contact a specialist before it is carried out. To keep keloid scars after surgery bypassing you, your doctor will develop a series of activities to increase your immunity. It will eliminate the lack of essential vitamins and trace elements. High-quality prevention in this case will bring more benefits than the most effective treatment.

Option 3.If you have not suffered from keloid disease before, but after injury or surgery, the scar behaves unusually. The following symptoms should be alerted: after two months, painful sensations, itching or tingling persist, the scar more than 1-2 mm rises above the skin, does not decrease or even grows, has a bright red or bluish color and a shiny surface. Any of these signs indicate that we are most likely dealing with keloid.

How to treat keloid scars at the growth stage

Keloid scars in development go through two stages. At the stage of a young keloid, the scar is constantly growing. Therefore, the main task of this stage of treatment is to stop the growth of keloid and alleviate the painful sensations that arise because of it.

The best effect at the growth stage comes from hormone therapy, in which corticosteroids Diprospan or Kenalog - 40 are injected directly into the scar tissue.

Expert comment:

Radiation bukki-therapy gives a good effect - irradiation of the scar with gamma rays.

In parallel, in order to make the scar less noticeable, soften it and alleviate the painful symptoms, it is recommended to use ointments and gels, such as Naftaderm, Dimexide, Scarguard and ScarCare.

Silicone plaster (for example, "Mepiform" adhesive plaster) also acts well in the first stage of treatment. The patch has a double effect. On the one hand, it softens the scar and reduces pain. On the other hand, it has a positive pressure effect, contributing to the formation of a flat scar.

Contrary to common misconceptions, laser treatment of keloids, excision or cautery on this stage is impossible - the risk to provoke further uncontrolled growth of keloid is almost 100%.

The task of the first stage of treatment is to level the keloid scar with the level of the skin, make it pale and get rid of the pain. If these goals are achieved, the treatment should be completed.

How to treat old keloid

As a rule, overgrown keloid, especially on the face, delivers psychological discomfort and requires aesthetic correction. Therefore, the second stage of keloid treatment is a set of measures aimed at eliminating overgrown scar.

The aesthetic treatment of old keloids always begins with the first stage: it is important for the doctor to make sure that the keloid behaves calmly and stops growing.

However, you should not hope to remove the scar completely and make it look like a scratch. No doctor can perform such a miracle. The fact is that with keloid disease, nothing — neither a laser nor a scalpel — can affect healthy tissue: intervention provokes the resumption of keloid growth. All manipulations are carried out exclusively inside the scar.

Therefore, the task of treatment is to turn keloid into a normal looking scar, as thin as possible and aesthetic. To do this, "Platinental" uses micron laser ablative grinding and surgical excision with a scalpel. In the process, we use a whole range of unique techniques that exclude skin tension and, as a result, stretching and increasing the size of the scar.

Unfortunately, keloid is not a scar that can be successfully reduced once and for all. And no one is insured against relapses. But to significantly improve the situation is quite realistic, and the probability of a positive result is quite high.

In the clinic "Platinental" you can handle keloids at any stage of development. Even if it is not in our power to eliminate the scar completely, we will make it as less noticeable as possible, we will provide support at every stage of treatment.

in Moscow +7 495 723-48-38, +7 495 989-21-16,

in Kazan +7 843 236-66-66.

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