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TYPES OF SCARS
The location of the surgical incision plays a
key role in the outcome of the scar. Incisions in the upper
eyelids, lips, groin, and armpits turn out especially well,
while incisions in the center of the chest, upper back and the
upper outer arm are particularly prone to bad scars. The face,
in general, tends to form good scars if the incisions are
properly planned. Unsatisfactory scars can be thicker, wider,
depressed or raised, uneven, or run in a different direction
than the normal skin lines.
Keloids
are scars that are very thick, "angry-looking" and
red to purple. These scars continue to grow beyond the borders
of the original wound or incision. For example, some patients
may have large masses of scar on the chest from minor acne
pustules, or on the arm from vaccinations.
Hypertrophic
scars,
on the other hand, are scars that have become thickened during
the normal healing period, but do not go beyond the original
wound edge. They usually settle somewhat, but over a longer
period of time than that of a normal scar.
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Using
Mask
More and more women like to apply masks on their face or visit
expensive beauty parlours for such treatment. Mask is
actually useful as it better cleans your pores and removes
dead cells. The refreshing effect after putting on a mask
is astonishing. However, do not overdo it - on an average
once a month will be sufficient. Most beauticians and spa
operators charge expensive rates for performing mask
treatment. We believe that there are other equally
effective methods where one can try at home without the
expensive price.
Below are some traditional mask recipes that we have collected from
various women in Asia.com readers, *warning: some
treatment might work for you whilst others may not.
i) Mayonnaise -a wonderful moisturizing treatment not only
effective on your face but on your hair as well. Available in most supermarkets in a jar
form. Leave the treatment on for about 15 to 20 minutes
before rinsing it off with water.
ii) Smashed wheat
grass - This is more of a
Asian method. Smash the wheat grass (specially grown from wheat seeds) and apply the juice and the
remaining wheat grass around your face. Leave it for about
15 to 20 minutes before rinsing it off with water. The
effect is extremely refreshing and it helps to cure pore
problem.
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TREATMENT OF SCARS
There are many misconceptions about what can be
done about scars, and when things should be done. Generally,
no surgery should be done to revise or attempt improvement of
a scar until maturation has occurred. Revision is generally
done to even out the level of a scar, improve the orientation
relative to the normal skin lines, or narrow it.
Keloids and hypertrophic scars can be difficult
to treat. Patience is usually the best treatment for thickened
but non-keloid scars. Vitamin E and aloe vera extract may make
the scar look better during the maturation phase, but studies
have shown no effect on the final result. Vitamin E may slow
down healing if it is used during the early postoperative
period (3 weeks). Many other drugs and agents have been and
are currently being investigated, but none has proved to be
better than time itself.
Injection of thick scars or keloids with
cortisone-like drugs may be helpful in many cases, but this
has some side effects and should not be used for scars that
are only somewhat thick during normal wound maturation.
Pressure has been used for many years for burn scars, and
recently has been combined with silicone sheeting laid
directly on the scar. Pressure is applied by various means,
usually by the use of custom elasticized garments, worn 23 or
more hours per day for months. Silicone sheeting, when used
alone or with pressure, has shown some success, and some
surgeons now advise it routinely for certain incisions, such
as breast lifts and reductions, and for tummy tuck incisions,
however, it must be used 23 hours daily in these situations as
well.
In extreme cases, keloids have been treated
with low-dose radiation therapy combined with the other
methods described above, but with variable success. It is
unusual for keloids to result from surgery in people with
light skin color, and keloids are rare in cosmetic surgery in
general. This is because the location of incisions is
carefully chosen, careful technique is used, and most people
who may be susceptible to keloids can be warned in advance.
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