Techniques for Optimizing Surgical Scars, Part 2: Hypertrophic Scars and Keloids.

Kathryn Potter, Sailesh Konda, Vicky Zhen Ren, Apphia Lihan Wang, Aditya Srinivasan, Suneel Chilukuri

Journal: Skinmed 2019;15(6):451-456

PMID: 29282183

Abstract

Surgical management of benign or malignant cutaneous tumors may result in noticeable scars that are of great concern to patients, regardless of sex, age, or ethnicity. Techniques to optimize surgical scars are discussed in this three-part review. Part 2 focuses on scar revision for hypertrophic and keloids scars. Scar revision options for hypertrophic and keloid scars include corticosteroids, bleomycin, fluorouracil, verapamil, avotermin, hydrogel scaffold, nonablative fractional lasers, ablative and fractional ablative lasers, pulsed dye laser (PDL), flurandrenolide tape, imiquimod, onion extract, silicone, and scar massage.

Address: Department of Dermatology, University of Florida College of Medicine, Gainesville, FL.; Department of Dermatology, Loma Linda University Medical Center, Loma Linda, CA.; Department of Dermatology, Baylor College of Medicine, Houston, TX.; Department of Dermatology, University of Alabama at Birmingham School of Medicine, Birmingham, AL.; McGovern Medical School, Houston, TX.; Refresh Dermatology, Houston, TX; [email protected].

MeSH Terms: Adrenal Cortex Hormones, Antineoplastic Agents, Calcium Channel Blockers, Cicatrix, Hypertrophic, Dimethylpolysiloxanes, Humans, Imiquimod, Keloid, Laser Therapy, Onions, Plant Extracts, Transforming Growth Factor beta3, Verapamil