Keloid Scars are scars that extend beyond the original border of the scar. They are red, raised, and widened. Also, they may have problems with physical pain, itching, burning, and temperature sensitivity, which are all non-cosmetic reasons to not be happy with your keloid scars.
Generally, some people may be prone to developing keloid scars. Certain ethnic groups, including people with darker skin, Asians, Hispanics, and Southern Europe, may be prone to thickened scar formation.
Certain body areas are prone to keloid scars, such as the chest and shoulder areas. If you have a scar from acne, surgery, or something else, you may have to pay extra attention to your incision to achieve the best aesthetic result possible.
Treatment during surgery is critical in avoiding a keloid scar. Absorbable sutures may cause more scar tissue formation as your body degrades the absorbable material, so your surgeon should avoid using absorbable sutures if possible. Depending on your surgical site and operation, this may or may not be possible, since deeper tissue still needs to be held together with some type of suture. Absorbable suture may be the best option for certain types of procedures and body areas.
Treatment immediately after surgery is also important. Ask your plastic surgeon, but allowing your incision to heal, using antibiotic ointment or cream, and changing the dressing as directed all help to prevent infection.
Treatment long-term after surgery is key to allowing your incision to heal and avoid a keloid scar. Protection from the sun, use of anti-scar agents, and possible cortisone injections may help with suppression of your keloid scar.
Remember, scar maturation is a long process, and takes 6-12 months. During the immediate 6-12 months after your procedure, your scar is slowly changing and will need vigilance and care from you to get the best result possible.
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