Scar Assesment & Scar Management

Accurate scar assessment is essential for medical diagnosis and for starting, monitoring, and evaluating a treatment strategy for scar management.

The origin and course of keloid development are important-is the keloid getting better or worse? A successful treatment will depend on:
1. Site (anatomical location of the scar)
2. Physical manifestations (pain, itching, etc)
3. Severity of functional handicap (such as joint mobility)
4. Stigma (how much is the patient disturbed?)

A standardised colour photograph of the lesion at each consultation provides information to evaluate the progress of treatment since changes appear somehowslowly. A positive familiar history, previous abnormal scarring in the same or other anatomical sites, poor response to treatment or recurrence of scarring, specific anatomical locations (such as the sternum), large size, prolonged inflammation, and severe symptoms are associated with abnormal scarring.

Actual ways of treating problematic Scarring
A simple treatment can be offered with 3 courses of action-noninvasive treatment, invasive treatment, and leave alone management. Noninvasive options include use of compression therapy (such as pressure garments with or without gel sheeting); static and dynamic splints; acrylic casts; masks and clips; application of a variety of oils, lotions, and creams; antihistamine drugs; hydrotherapy; and psychosocial assistance and advice.

We already reviewed silicon sheeting. Massage therapy is often advocated but it shows no evidence of benefit. Further below we will explain why a topical cream made with the ONLY natural substance that functions as a complete and balanced solution for the protection, repair, renewal and moisturizing of skin of a little creature that produces it and bubbles it onto its skin may provide great improvements to those suffering from scars and a welcome product for those willing to prevent scars before surgery or before and after scar revision procedures, as it signals the body that it is being cured and doesn't need to respond by inflammaging the area.

Invasive treatments include surgical excision and resuture. Usually, revision should be performed only if the surgeon thinks that more favorable conditions for wound healing can be provided than on the first time (less inflammation, better technique). Intra lesional corticosteroid injection is widely used but it can lead to complications (fat atrophy, dermal thinning, and pigment variations). Other treatments that have been advocated with variable outcomes include injections of fluorouracil, interferon gamma, and bleomycin, radiotherapy, laser therapy, and cryosurgery.

Leave alone management - Most scars are best left without invasive treatment for a year to mature before any diagnosis is made on their appearance. Monitoring (wait and watch) will allow further assessment of appearance, symptoms, and psychological impact, and reassurance is also important. Some scars are best left alone in the long term. Informed, shared decision making with patients may help reduce inappropriate claims for treatment.

When such treatment options are applied to specific scar types, certain patterns can be observed:

Treatment of widespread scars is mostly by revision surgery to narrow the width of the scar. Revised scars in anatomical sites subject to high tissue mobility such as limbs can benefit from splinting.

Atrophic scars have been improved with chemical peels, cutaneous laser resurfacing, dermabrasion, punch excisions, and the use of soft tissue biological and alloplastic biological fillers. Some of those techniquescan be done by non-medical specialists, and we will talk about them further below.

It is important to know the difference between hypertrophic and keloid scars as inappropriate management can lead to recurrence and worst scars. Simple surgical excision of keloids has a 50% - 80% risk of recurrence. The combinated use of surgery with either intralesional corticosteroid injection or radiotherapy has been the mainstay of treatment. For scar contractures, surgical release with splinting, acrylic casting, and compression therapy may be required. Full thickness and split or partial thickness skin grafts and, maybe more effectively, local and free flaps are used for reconstruction of difficult and extensive scars and contractures.

Only a medical opinion can assure an adequate scar treatment. Next, learn about the modern alternatives for an effective treatment.

Next > Scar Healing

BIOSKINCARE CREAM brings you the ONLY skin renewal product that incorporates natural skin renewal activators and biological enzymes to gently exfoliate worn out and damaged cells while at the same time triggers the reproduction of new collagen and elastin cells. The results is a coordinated biological regulation of the skin renewal process and thus advanced skin rejuvenation.

BIOSKINCARE FOR SCAR TREATMENT

BIOSKINCARE™ has a two fold effect: (1) Degrades debris, damaged, abnormal and necrotic tissues & decongests the skin as it helps to dissolve all damaged structures into their amino-acid and other components by the action of enzymes. (2) Favors tissue regeneration.

It leaves your skin smooth, refreshed, soft and with use over a period of time it reduces contractures and takes away keloid, hypertrophic and all types of scars and blemishes: acne, scars, keratosis bumps, razor nicks and burns, actinic keratosis lesions, roughness, dryness, ezcema, dermatitis, the effects on the skin of radiotherapy for cancer, blisters, scrapes, cuts, and the list can go on and on... It clears and enhances the complexion.

Made in the USA. 50 grams = 1.76 oz

Save at least 20% off price & save on shipping costs
when you order more than one jar

One Bottle: $69.98

Two Bottles: $55.98 each

Ultra exfoliate rough scars and dull skin with BIOSKINEXFOL

Home microdermabrasion cream. Contains the same natural ingredients in BIOSKINCARE but infused with micro-crystals so that you may rub it with your finger tips to remove old, hard, and tough scars or stretch marks by a physical breakdown of the scar tissues. Best also for oily skin and aged skin, actinic keratosis scales and pitted acne scars. Not for keloids and not if your skin is still fragile (use BIOSKINCARE for a few months first to strengthen your skin). The compounded action of the physical abrasion and the enzymes in the cream liquefy damaged proteins more thoroughly helping to release amino-acids to aid in rebuilding damaged tissues quickly. Results are not only immediate, but compound over time and do not trigger inflamm-aging of delicate skin tissues.

Microdermabrasion Benefits

Made in the USA. Two to Three Month's supply 120 grams = 4.23 oz

120 Gram Bottle: $89