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Management of keloid and hypertrophic scars

The management of keloid and hypertrophic scars is commonplace in all burns and plastic surgery outpatient clinics, and in this paper the authors review many of the current treatments available for this difficult problem. They start with an introduction about...

What’s new in treating hypertrophic scars and keloids?

World renowned dermatologist, Michael H Gold, explains new treatments available in the challenging field of hypertrophic scar and keloid management. The treatment of hypertrophic scars and keloids remains one of the most challenging conditions that dermatologists face on a regular...

Comparison of intralesional verapamil versus intralesional corticosteroids in treatment of keloids and hypertrophic scars

This paper by Abedini et al., is a randomised observer blinded controlled trial comparing the efficacy, safety profile, and recurrence rates of intralesional verapamil versus intralesional triamcinolone acetonide in the treatment of keloid and hypertrophic scars. Whilst corticosteroids represent the...

Hypertrophic burn scar-associated pruritus treated with a cooling nanoemulsion-enhanced novel hydrogel

Intractable pruritus is a challenging symptom of burn-induced hypertrophic scars. The exact pathogenesis of itch is unknown and conventional management with anti-histamines is often insufficient. Proposed treatments for pruritus include exposure to a cooling surface and maintenance of a well-hydrated...

Ultrastructural changes in keloid scars

One of the most intriguing and infuriating problems confronting plastic surgeons is the occurrence of hypertrophic and keloid scars, in some patients – particularly black Africans – but not in others. Many theories have been proposed regarding the cause of...

How I Do It - Scar treatment with sequential combination of short full beam and photo-acoustic fractional 1064nm QS laser

Wound healing takes place by two distinct mechanisms. The first involves cellular proliferation and migration resulting in regeneration. This occurs in the epidermis and leaves no scarring. The dermis is a collagen-rich connective tissue and when this is damaged the...

Laser in the management of burn scars

This article systematically reviews the use of laser therapy in burn scar management. A search of the literature revealed 51 relevant studies that were referenced in this review. It starts with a nice introduction outlining the effects of burns scars...

Note from the Editor

In 2005 I wrote a paper with my colleague Linda Huang which looked at keloid and hypertrophic scars from a rather different perspective (Burd A, Huang L. Hypertrophic response and keloid diathesis: two very different forms of scar. Plast Reconstr...

Is rib cartilage a safe material for rhinoplasty

This is a meta-analysis of complications associated with use of autologus costal cartilage in rhinoplasty involving 10 studies with 491 patients with a mean follow-up of 33 months. The results of the meta-analysis show a very low rate of complications...

Cosmetic botulinum toxin: minimal invasive facial enhancement

Myriam Loyo and Theda Kontis present a review of indications for minimally invasive facial cosmetic procedures, based on chemodenervation with botulinum toxin A. The authors present the following treatments in a well structured manner: chemical brow lift, treatment of hypertrophic...

Early treatment of scars with laser therapy

Wound healing is a complex process, made up of three phases that overlap with each other: inflammation, proliferation and remodelling [1]. The last phase is the remodelling of the extracellular matrix resulting in a mature scar; it lasts from three...

CO₂ laser treatment for burn scars

Background Scars, of any type, can be a significant source of anxiety and psychological distress, not only for the affected patient, but also for close friends and loved ones. Scars represent focalised areas of fibrous tissue that replace normal skin...