DALLAS SCAR CORRECTION: HYPERTROPHIC SCAR VS. KELOID

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Uploaded by on Nov 3, 2008

http://www.lamfacialplastics.com

HYPERTROPHIC SCAR VS. KELOID - DALLAS FACIAL PLASTIC SURGEON, DR. SAM LAM, DISCUSSES THE DIFFERENCE BETWEEN A HYPERTROPHIC SCAR AND A KELOID IN TERMS OF MICROSCOPIC, MACROSCOPIC EVALUATIONS AND CLINICAL PRESENTATION AND MANAGEMENT.

KEY WORDS: SCAR REVISION, SCAR FIX, SCAR CORRECTION, KELOID, RADIATION THERAPY, HYPERTROPHIC SCAR, LASER, 5-FU, STEROID, DALLAS, PLANO, TEXAS

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Uploader Comments (samlammd)

  • Hi Dr. Lam, I have keloids on the left and right side of my face. I've tried injections but they only seem to work a little for about a week and the keloids go back to normal size. I want to know what you would suggest, Im located in Shreveport so coming to your facility would'nt be a problem. I also have pictures if you would like to see the keloids on my face. Please help I'm desperate!!

  • @SlabbMuzickEnt unfortunately, in my experience you will have to have them excised and have scheduled radiation immediately following. so you will have a "scar" or line but i think it should be better than your current keloids. just injecting them leads to repeated failure. if you are interested, you can call my office 888-866-3388 but you will have to stay in dallas for coordinated radiation for 5 consecutive days.

    best,

    sml

  • Thank you so much. Knowing that a keloid is almost impossible to appear on the central face is comforting as I have a small scar 1mmx1mm on my cheek area close to my nose. Can Hypertrophic scars grow or thicken a little bit over time? My small scar had developed from a pimple that scarred flat, now it is like a cross between a pimple and a wart, but blends with my skin tone. Is this anything to worry about? I am visiting a dermatologist next week.

  • @ZachMaccc check with your dermatologist but you may have a hypertrophic scar that can be managed with laser and 5-FU injections as needed.

  • Okay thank you but what treatment would you suggest strongly for me, i dont' want general treatment, the doctor i trusted incised me and got this scar from a mole removal a small one too...it disappoints me so fill me in on whats best with it being there already.

  • @Singrochester as i said, i cannot offer medical advice without seeing you and making appropriate recommendations. this q/a section is for general guidelines.  sorry about that.

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  • Cool Channel Thanks.

  • @Singrochester to get the right answer, you would need to see a physician. however, in general hypertrophic scars or keloids of the chest can reoccur. sometimes they do not need excision but just management with laser and injections of steroid and/or 5-FU. other times they need excision plus the injections. almost always they will need management of injectables to minimize recurrence.

  • so if you surgically got a hypertrophic scar out of your chest, it would not reoccur? i really want to get rid of it and would rather have a mild thin white scar than a hypertrophic scar, so is that safe? and will the laser therapy after, prevent a reccurance? ANSWER

  • @WattsyName you are welcome!

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