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Hypertrophic scar leg

Hypertrophic scars are thick, elevated and red in appearance and may be associated with pain, burning, itching and sensations of tightness or pulling. They are quite often mistaken for keloids but are usually far easier to treat and associated with a better long term prognosis. Their footprint is limited to the original injury or incision as opposed to keloids which extend beyond the original wound.

Hypertrophic scars can form after many types of surgical procedures such as in the vertical incisions used for abdominal surgery or the incision used for open heart surgery overlying the sternum. They are also commonly seen after skin injuries particularly those that did not receive medical care and healed on their own.

The treatment of hypertrophic scars varies depending on multiple factors including size, width, configuration, location and etiology. It may as simple as the application of a scar reducing agent such as silicone gel or Mederma® or the usage of silicone gel sheeting. The surgical treatment, known as a scar revision, can involve the excision of the scar and one or more of a variety of plastic surgery techniques that require very meticulous and precise closure along with appropriate postoperative care. More complex procedures that involve local rearrangement of tissue (flap) in order to help reduce the risk of recurrence may be needed in certain situations.

The precise injection of a steroid into the hypertrophic scar, on one or more occasions over time, can be an effective non-surgical treatment that results in a flat scar. However, there is often some scar widening as well as thinning and depigmentation of the skin. This can also be used as an adjunct with the surgical approach.

A variety of lasers have also been suggested as a method of treatment but as of yet, there is no compelling evidence to make their usage a front line treatment (read blog: Are Lasers an Effective Treatment Option for Hypertophic Scars?).

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A Message Regarding Coronavirus/COVID-19

In light of the coronavirus/COVID-19 pandemic, we would like to let you know of some of the major precautions we are taking in our office to maximize cleanliness and keep the environment as sanitary and safe as possible. Our highest priority is always to ensure the safety of every individual who sees us and we are taking extreme infection-control measures to maintain cleanliness and “sterility” of surfaces and the overall environment.

We will be limiting dates and times for office appointments and consultations due to safety and other issues. Consequently, if you have already made an office appointment or consultation prior to March 18, 2020 to occur at a later time, this may need to be changed.

For anyone considering plastic surgery, we are now offering Virtual Consultations and Telemedicine through Skype. A great number of aesthetic or insurance-related issues can be evaluated via pictures and online video conferencing, making this an excellent way to find out more about particular procedures, determine candidacy for treatment, receive answers to questions and facilitate being able to move forward with care once the government lifts all restrictions.

In an abundance of caution, we are asking all current patients who are experiencing a fever, cough, chills, fatigue or any type of respiratory illness to please delay any upcoming appointments at our practice. We can talk with you by phone or email to establish a new date and time for the appointment.

We are all in this together. Our team urges everyone to follow the guidelines recommended by local health authorities and the Centers for Disease Control and Prevention, which include frequent handwashing for a minimum of 20 seconds, social distancing, staying home if you are feeling sick, and contacting your healthcare provider if you feel you are experiencing symptoms.

For more information, please read our blog – Coronavirus and You: Important Information

For further updates, please check our blog.

If you have any questions or concerns, please contact us by phone or email.

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