A Combination Approach to Surgical Scars

BACKGROUNDScar formation from surgical procedures is an unavoidable risk. Despite measures taken by both the surgeon and patient during the perioperative and postoperative periods to maximize cosmesis, some patients will wish to pursue surgical or laser scar revision. OBJECTIVEThe authors propose a...

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Veröffentlicht in:Dermatologic surgery 2016-05, Vol.42 Suppl 2 (Supplement 2), p.S150-S156
Hauptverfasser: Eilers, Robert E, Ross, Edward Victor, Cohen, Joel L, Ortiz, Arisa E
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container_end_page S156
container_issue Supplement 2
container_start_page S150
container_title Dermatologic surgery
container_volume 42 Suppl 2
creator Eilers, Robert E
Ross, Edward Victor
Cohen, Joel L
Ortiz, Arisa E
description BACKGROUNDScar formation from surgical procedures is an unavoidable risk. Despite measures taken by both the surgeon and patient during the perioperative and postoperative periods to maximize cosmesis, some patients will wish to pursue surgical or laser scar revision. OBJECTIVEThe authors propose a treatment algorithm to assist in approaching surgical scar revision with combination treatments. MATERIALS AND METHODSA PubMed search was performed on various surgical scar revision techniques. The authors augment these findings with their own personal experiences. RESULTSReports of surgical excision, intralesional corticosteroid injection, intralesional 5-fluorouracil injection, pulse dye laser treatment, nonablative fractional laser resurfacing, ablative fractional laser resurfacing, and microneedling and fractional needle radiofrequency, used in isolation or combination, were found. The authors also provide clinical photographs documenting improvement in appearance of surgical scars using these treatments. CONCLUSIONSurgical scars are best treated with a combination approach to address various features of the scar. The authors propose a treatment algorithm with multiple treatment options and how to combine them safely and effectively.
doi_str_mv 10.1097/DSS.0000000000000750
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Despite measures taken by both the surgeon and patient during the perioperative and postoperative periods to maximize cosmesis, some patients will wish to pursue surgical or laser scar revision. OBJECTIVEThe authors propose a treatment algorithm to assist in approaching surgical scar revision with combination treatments. MATERIALS AND METHODSA PubMed search was performed on various surgical scar revision techniques. The authors augment these findings with their own personal experiences. RESULTSReports of surgical excision, intralesional corticosteroid injection, intralesional 5-fluorouracil injection, pulse dye laser treatment, nonablative fractional laser resurfacing, ablative fractional laser resurfacing, and microneedling and fractional needle radiofrequency, used in isolation or combination, were found. The authors also provide clinical photographs documenting improvement in appearance of surgical scars using these treatments. CONCLUSIONSurgical scars are best treated with a combination approach to address various features of the scar. The authors propose a treatment algorithm with multiple treatment options and how to combine them safely and effectively.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1097/DSS.0000000000000750</identifier><identifier>PMID: 27128241</identifier><language>eng</language><publisher>United States: by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. 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Despite measures taken by both the surgeon and patient during the perioperative and postoperative periods to maximize cosmesis, some patients will wish to pursue surgical or laser scar revision. OBJECTIVEThe authors propose a treatment algorithm to assist in approaching surgical scar revision with combination treatments. MATERIALS AND METHODSA PubMed search was performed on various surgical scar revision techniques. The authors augment these findings with their own personal experiences. RESULTSReports of surgical excision, intralesional corticosteroid injection, intralesional 5-fluorouracil injection, pulse dye laser treatment, nonablative fractional laser resurfacing, ablative fractional laser resurfacing, and microneedling and fractional needle radiofrequency, used in isolation or combination, were found. The authors also provide clinical photographs documenting improvement in appearance of surgical scars using these treatments. 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Despite measures taken by both the surgeon and patient during the perioperative and postoperative periods to maximize cosmesis, some patients will wish to pursue surgical or laser scar revision. OBJECTIVEThe authors propose a treatment algorithm to assist in approaching surgical scar revision with combination treatments. MATERIALS AND METHODSA PubMed search was performed on various surgical scar revision techniques. The authors augment these findings with their own personal experiences. RESULTSReports of surgical excision, intralesional corticosteroid injection, intralesional 5-fluorouracil injection, pulse dye laser treatment, nonablative fractional laser resurfacing, ablative fractional laser resurfacing, and microneedling and fractional needle radiofrequency, used in isolation or combination, were found. The authors also provide clinical photographs documenting improvement in appearance of surgical scars using these treatments. 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subjects Adrenal Cortex Hormones - administration & dosage
Antimetabolites, Antineoplastic - administration & dosage
Atrophy - therapy
Cicatrix - etiology
Cicatrix - pathology
Cicatrix - therapy
Combined Modality Therapy
Cosmetic Techniques
Erythema - therapy
Fluorouracil - administration & dosage
Humans
Injections, Intralesional
Laser Therapy
Needles
Radio Waves - therapeutic use
Surgical Procedures, Operative - adverse effects
title A Combination Approach to Surgical Scars
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