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Botox Injections for Keloid Scars

  Keloids represent the extreme of scar problems. As a tissue overgrowth response to an injury, and often progressive and unremitting, keloids are a true pathologic scar problem. Besides being an overly obvious scar problem, it is also highly refractory to conventional scar therapies. While many strategies have been used for difficult keloids after excision Read More…

Fractional Laser Treatments for Traumatic Burn Scars

Many disfiguring and debilitating scars, particularly those of a burn origin, are often associated with pain and itching in addition to their appearance. The use of fractional laser resurfacing, which is now about a decade old, has become a very valuable treatment method for these types of traumatic scars. To those experienced in using it, Read More…

Tracheostomy Scar Revision Using Fat Injections

  A tracheotomy is a life-saving operation but will usually leave a scar deformity when it is removed. This is due to the sustained pressure of the tube through the neck tissues and that, when the tracheostomy is removed, the wound is allowed to heal by secondary intention. Thus it is not surprise that wide Read More…

Combination Scar Revision and Radiation for Earlobe Keloids

Keloids are a notoriously difficult scar problem for which there is no match other than perhaps that of the broader-based burn scar. There are a wide variety of treatments used for keloids and that is a testament to their high recurrence rate despite what treatment method is done. Keloids are well known to occur in Read More…

Scar Revision Strategies in Hypertrophic vs Keloid Scars

While scars have a negative connotation due to the imperfect appearance of the skin, they are a normal result of most injuries and surgeries. This is part of the wound healing process and their appearance (or perpetuation) is the expected result of this dynamic process. It is only deviations from normal wound healing, hypertrophic scars Read More…

Case Study: Mega Abdominal Scar Revision

Background: Abdominal wall disruptions and deformities occur from a wide variety of problems. But infection from traumatic injury, surgery or a bowel-related disease process can produce a devastating and life-threatening abdominal wound problem due to having to be packed open. Once the infection is cleared, the open abdominal wound can usually be secondarily closed once Read More…

The Z-plasty Scar Revision Technique

Scar revision techniques have a long history in plastic surgery and are used as much today as they were many decades ago. While many patients think of scar revision as being done with a laser, like a magic eraser, the reality is that surgical excision and rearrangement of adjacent tissues is often more effective. Such Read More…

Dog Ear Correction Surgery

The dog ear deformity is a well known phenomenon in plastic surgery. It occurs when at the end of any face or body wound closure a puckering or excess tissue occurs. It is best thought of as a bunching or elevation of skin at the end of the incisional closure. Sometimes it is immediately apparent Read More…

Topical Silicone Gel and Sheeting for Scar Treatments

Scars are an inevitable consequence of any elective surgical incision or traumatic injury. It is never a question of whether a scar will form, it is merely a question of how noticeable it will be. The natural history of scar healing is that the majority will improve over time, changing in color from red to Read More…

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