Doctor insights on:
Best Scar Gel Treatment
What is the best treatment for hypertrophic scars, is it best to use silicone sheets or silicone gel. Or is it possible to use both?
Silicone sheets and gels can be very helpful but usually you need to be consistent and the usually time frame is three months. No need to use both just one or the other. However, it is not perfect and if there is not adequate resolution of the scar, you may need to seek consultation with a plastic surgeon or dermatologist.
Hope that helps. ...Read more
Best treatment for a fresh nearly 3 weeks old keloid surgical scar on neck. I have starting yesterday to use the silicon gel called dermatix 15g.?
Excess scar: Unlikely a keloid (defined as a scar that grows outside the edges of the scar) and more likely a hypertrophic scar (excess reaction). Silicone gel sheeting is used to sooth and quiet the early scar. If symptomatic (like itching, stinging, etc) some will be treated by diluted kenalog (triamcinolone) (steroid) injections into the scar itself to attempt to slow or stop the scarring excesses. See your dr to confer. ...Read more
I recently sustained 2nd degree burns and was wondering best treatment in reducing scars. I've been using silvadene (silver sulfadiazine) but what about aloe gel vs plant?
Silvadene (silver sulfadiazine): I suggest you stick with the silvadene (silver sulfadiazine) and see what's left of the burn sites before you apply anything else. I'm always impressed by how well silvadene (silver sulfadiazine) works to prevent infection and reduce scarring. If you're still uncertain have a medical practitioner take a look. ...Read more
Depends: If you truly have a keloid there is really not much any of the topical scar treatments can offer. A keloid scar is one that has growth larger than the original site of "injury." they can arise from prior surgery or even trivial injuries like an insect bite. Before you spend too much money on over-the-counter remedies I would see a plastic surgeon or dermatologist. ...Read more
What is the efficiency of using "contractubex gel" on a sunken scar on face resulted from past acne? Is this OTC gel give a long term treatment?
No: It's not going to help your acne scars at all. I'm sorry you have scarring from acne -- this shouldn't happen in today's world, because all acne is manageable -- and if you do have scars, get with a dermatologist or plastic surgeon for treatment with a filler, a laser, or microsurgery. ...Read more
Are there any creams/gels. For treatment of acne scars? Are surgical methods the only way? I have severe acne scars so will I spend d all my life ugly
Acne scars need resurfacing and the dermis to regrow in a normal pattern. No gell or cream is appropriate.
Fractional ablation laser treatments or chemical peels will accomplish this.
Some work with stem cells sounds very promising in the future, where injected into scarred sites. Not reccommended as anything more than experimental currently. ...Read more
Hi, yesterday I had erbium glass treatment on my face, for acne scars. Can I use sucralfate gel 25% from the next day? I would like a 2nd opinion thx!
Sucralfate may help: Check with your treating doctor, but sucralfate gel can coat the treated surface and may well accelerate the healing process. ...Read more
Is it safe to use silicone gel/sheets or vitamin E oil for scar treatment while breastfeeding? Will either help with a keloid?
Do gels and topical treatmeant really help scars fade, if so how long will they work, or will the work on old scars?
You cannot erase scars. Poor scars can be improved through the following methods:
1) scar massage
2) silicone sheeting (a kind of silicone tape you where over the scar)
3) steroid injections
4) laser treatment (helps remove coloring)
5) scar revision (removing the scar and starting over). ...Read more
Is aloe vera gel is good for getting rid of accidental scars? Can you please suggest me some more natural treatments for getting rid of scars?
Silicone gel sheets: Scars look better after compression with a silicone gel sheet which can be worn nightly. The compression helps to remodel deep scar tissue making it flatter. When scars are fresh, the sheet helps remove redness faster too. Surgery or resurfacing treatments are indicated when the orientation, thickness or contracture of the scar needs to be modified. You may need to see a plastic surgeon for help. ...Read more
How long can a wound scar take to heal how many months and what's best treatment for healing scars?
Acne and scars: It is important to treat your acne so that you don't get permanent scarring. Some patients wait too long before seeing their dermatologist to have their acne treated. Normally topical medicines and internal antibiotics are used to keep acne under control. Acne scarring can be improved with filler injections, subscision, dermabrasion, laser, punch graft transplantation and other techniques. ...Read more
Which is the best treatment for facial scars? I ve scares deep on my face, I want to remove those, please suggest appropriate treatment,
See Plastic surgeon: Depends on what the scars are from, what are they like, are they old or new. Best to set up a consultation with a plastic surgeon in your area to get the most appropriate advice for your scars. ...Read more
Depends on scar: All scars should be protected from the sun, moisturized daily and pressure or massage may help. Sometimes a special garment is prescribed for burn scars to keep pressure on them. Topical silicone has been helpful in some cases as well. Remember it takes about a year for a scar to mature. Usually reddness from a scar will diminish during this time making it less noticeable. ...Read more
The best treatments: Would be done by physicians-Plastic surgeons or dermatologists. There are surgical procedures, lasers and medications that can help each of those things. It is unlikely anything done at a spa will be of any benefit. ...Read more
Type dependent: If shallow, crater-like scars, use of mechanical dermabrasion is probably most effective. Use of lasers, chemical peels or punch/excisions are optional. Most difficult to treat are the "ice-pick" variety, which may end up looking like enlarged pores regardless of the therapy provided. Proper skin care and avoidance of acne infections is the best....Do not squeeze or pick such lesions if active. ...Read more
Cannot ELIMINATE!: No scar removal techniques (that work) exist. Only dermabrasion, chemical peels, or laser resurfacing techniques can successfully improve acne scarring, and none of these options can completely "eliminate" scars. Depending on the location and severity of the scars, they can often be made much better, however. See an abps-certified plastic surgeon for best options for you! ...Read more
Difficult: Resurfacing fractional lasers help reduce the scars but a great result is only 50% improvement, deep chemical peels by a trained MD help as well. Dermadbrasion and possibly the dermapen can reduce the scars to a lesser degree ...Read more
Surgical Tx best: The best and quickest resolution may be excision of the hypertrophic scar. Steroid injections will not affect the scarring that has occurred. The best cosmetic result is achieved with a simple excision which removes hypertrophic scar and also the pitting and depressions that are typical of acne scars. Removing a few of the most prominent scars will make your whole face look better. Best regards, . ...Read more
Be aware that...:
Scars cannot be removed, they are permanent. They can, however, be improved. Beware of anyone who tells you that he/she can remove or erase your scars.
There are many treatments. Do your homework, don't expect miracles, and see a surgeon with knowledge and experience in this area. ...Read more
Acne scars: It is unlikely that your skin will be clear but it can be improved. Treatment must be based on addressing the active disease (usually with oral retinoids and/or systemic or topical antibiotics and skin care regimen) and then using other methods to address the established scars. This can include peels, lasers, dermabrasion, surgery, grafts, fillers, grafts, etc. ...Read more
What is the best scar treatment that I can use to help fade the darkness of a surgical incision? Any natural options as well?
Best?: There is no "best" scar treatment for each patient will react in different ways to wound healing and response to various chemicals. One good natural remedy is aloe Vera, straight from the plant. Plastic surgeons are also a wealth of knowledge about up to date scar creams and other treatments. Time is also good, as scars tend to fade over time. Hope this helps! ...Read more
Timing: If you have a true hypertrophic scar then laser therapy does work well. You don't know what a scar looks like for a year so you can wait till then. If you are less than a year, if you have redness a pulse dye laser can take help. A fractional co2 laser will be very helpful after a year or if there is contour issues. ...Read more
Sometimes called “the laser equivalent to skin needling”, this laser creates light on only a "fraction" on the skin in spots.
Milder than traditional co2 ablative laser; results are less impressive but side effects are also less severe.
About $1000 per procedure
generally 4-5 treatments are needed
scaling and crusting
post-inflammatory hyperpigmentation a.K.A. Temporary darkening. ...Read more