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After dermatologic surgery, the presence of suture materials at the wound site can cause redness and swelling, yet these suture reactions may not necessarily indicate allergy or infection. Other common complications include hypertrophic or keloid scars, bruises, suture marks, and skin color changes, which may be temporary or permanent. [34]
The best way to get rid of keloids is to avoid getting them in the first place, according to Macrene Alexiades, M.D., Ph.D., of Dermatology and Laser Surgery Center of New York. “Practice good ...
The exact mechanism of action of silicone gel sheeting has not been fully studied. Currently, many proposed mechanisms explain the efficacy of such treatment, including the occlusion and hydration effect, increased body surface temperature, polarized electric charge, immunological effects, etc. [9] The occlusion and hydration effect is the most studied mechanism of action.
Prevention of keloid scars in patients with a known predisposition to them includes preventing unnecessary trauma or surgery (such as ear piercing and elective mole removal) whenever possible. Any skin problems in predisposed individuals (e.g., acne, infections) should be treated as early as possible to minimize areas of inflammation.
Scarring caused by acne (left), and photo one day after scar revision surgery: The area around sutures is still swollen from surgery. Scar revision is a process of cutting the scar tissue out. After the excision, the new wound is usually closed up to heal by primary intention , instead of secondary intention .
Tina S. Alster, MD, FAAD, is an American dermatologist, educator, researcher, and author.Alster specializes in dermatologic laser surgery and cosmetic dermatology. She is the founding director of her skin care clinic, the Washington Institute of Dermatologic Laser Surgery, [1] and is a Clinical Professor of Dermatology at Georgetown University Medical Center in Washington, D.C. [2]
Keloids can also form inside the body. After spinal surgery, a Keloid can form around the nerve roots, leading to "failed back surgery" syndrome. The Keloid can continue to grow for as long as 18 months post-operatively. In some cases, the scar tissue is so dense that the nerve roots can no longer be observed in an MRI.
The first four operations performed by the team included the removal of a keloidal adhesion from one woman's neck, which allowed her to move her head freely; the removal of a scar from another woman's right hand; the grafting of hair-bearing skin from behind one woman's ear to form a new set of eyebrows; and the grafting of a piece of skin from ...
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