Scar Management

Skin is like a fine cloth protecting the body’s valuable assets and even a small tear can make a big difference in its appearance. Similarly a burn, injury or any other trauma such as surgery can leave a mark on the skin which we call a ‘scar’.Scarring is a natural part of healing process after an injury. It may not always be unsightly especially if it is small in size or at a location that is easy to conceal behind clothes.

However, a scar never disappears completely, hence one wonders if it is possible to reduce the size or change its appearance to make it less prominent.The treatment depends on multiple factors like size and depth of the wound or cut and the location.

Some of the scars that are treated by Dr. Amit Bhalotia are as follows:

Acne Scars

There is no one reason or factor causing acne. It happens to most people, boys and girls alike, when they reach puberty. However,some people may have more severe acne compared to others.Sometimes, it can be related to heredity, food, dirt, hormones and cosmetics.

Severe acne can leave behind scars. There are many types of acne scars, ranging from deep pits to scars that are angular or wave-like in appearance.

Types of treatments for acne scars

You may need more than one kind of treatment to smooth your skin. Most of these are outpatient treatments and do not need hospitalization.

  • Skin Resurfacing: The goal is to remove damaged layers of the skin so that new, healthy skin appears. This can be done by using laser, dermabrasion and chemical peels. New skin will begin to form in about 7 to 10 days after treatment.
  • Fillers: Certain inert fillers can be inserted into damaged areas of the skin using tiny needles. This puffs up the skin and makes it smooth. As these materials can be slowly absorbed by skin overtime, the process needs to be repeated periodically.
  • Surgery: Some people may need a small operation to remove bad acne scars or cysts. The doctor will cut away or loosen the scar, then repair the defect with stitches or cover it with a skin graft (skin from another area of the body).

Burn / Post Burn Scars

Burn scars can be superficial involving the skin or deeper affecting muscles and nerves.These scars need to be treated with care as they can get worse if not managed properly. Contractures are sequelae of burn scars. They tighten the skin, which can impair one’s ability to move and function normally.

Options for management of post burn scars include:

  • Measures like compression bandages or custom made pressure garments that need to be worn 24 hours a day long term.
  • Silicone gel sheets can be placed over the scars to reduce the dryness and itching. They can be applied as a dressing or worn under pressure garments.
  • Regular massage may help the scar become loose and softer. This can be combined with intensive physiotherapy to maintain flexibility.
  • If all other measures fail and there is a contracture, surgical release may be the only option.
  • Lasers are widely used to treat post burn scars.

Trauma Scars

There are many potential sources of traumatic injury, such as sharp objects that penetrate the skin, chemical or friction burns, lacerations, scarping and others. Depending on the size and location of the wound, the process of natural healing will be different. They heal ranging from minimally visible scarring to serious thickening of the skin that can be disfiguring and/or prevent routine movements.

The management of traumatic scars will mostly depend on the scar itself and range from conservative management involving local applications and physiotherapy to surgical excision to improve cosmesis or function. Skin resurfacing methods can be further used to enhance cosmesis.

Dr Amit Bhalotia has immense experience in managing all kinds of wounds and scars. He can guide you on the exact method/s that would be suitable to treat your scar for best results and explain details of the management schedule.