How to deal with scar hyperplasia

Speaking of the disease of scar hyperplasia, I believe many people are not clear about what this disease is. In fact, scar hyperplasia is also called scar tumor by experts. It is a disease caused by excessive proliferation of fibrous connective tissue. Moreover, if the wound surface is infected to a certain extent, scar proliferation will increase and the healing time will be longer. So what should we do about scar hyperplasia? What is the best treatment?

In fact, scar hyperplasia can be treated and prevented. In addition, there are many methods to treat scar hyperplasia, including surgical treatment and other non-surgical treatments. Below I will give you a detailed introduction to the answer to the question of how to deal with scar hyperplasia.

Scar hyperplasia, also known as keloid, is caused by excessive proliferation of fibrous connective tissue. Keloids are raised skin surfaces that appear as tumor-like hyperplasia with a smooth surface, rosy and shiny color, and often contain dilated capillaries.

Causes

1. Wound surface: During the wound healing process, an inflammatory reaction occurs first, and then myofibroblasts appear in the wound, divide and proliferate to synthesize collagen fibers, causing collagen deposition to form scars.

2. Infection: If the wound is infected, on the one hand, the remaining epithelial cells will be destroyed, causing the wound to deepen and the healing time to be prolonged; on the other hand, inflammatory factors will stimulate the proliferation of fibroblasts, and repeated infections will cause abnormal proliferation of granulation tissue. Infiltration of inflammatory cells is a characteristic of granulation tissue. Infection increases the number of inflammatory cells. The more fibroblasts there are, the more likely scar hyperplasia will occur.

3. Changes in local skin tension: The direction of the scar is inconsistent with the skin tension, resulting in chronic traction, which is a factor in scar hyperplasia.

4. Age: Adolescents are in puberty, their tissues are growing vigorously, their immune response is strong after trauma, their skin tension is high, and scar hyperplasia is prone to occur.

5. Pigment: People of color have more pigment cells in their skin, which can easily cause scars. The incidence of scars in blacks is about twice that of whites, and the incidence of burn scars in my country is also quite high.

6. Surgery: If people with scar-prone constitution undergo surgical resection treatment, it will stimulate fibroblasts, causing scars to proliferate repeatedly. Therefore, surgical resection treatment should be strictly prohibited for people with scar-prone constitution.

7. Others: Foreign body stimulation can also cause scar hyperplasia. Common foreign bodies include dust, talcum powder, cotton fibers, thread knots, etc.

Diagnosis

In the early stage, local scars swell, become congested and hardened, and most of the time serious functional disorders will not occur. At this time, the surface, middle, bottom and basal layers of the hypertrophic scar tissue are: 1. The surface layer is a layer of atrophic epithelial cells. 2. The middle layer is vascularized and infiltrated with inflammatory cells. 3. The bottom layer contains fewer collagen fibers and a large amount of connective tissue hyperplasia. 4. The basal layer is not adhered to the deep tissue and can promote low contractility.

How to deal with scar hyperplasia

Treatment and care

1. Surgical treatment of scars

There are four most effective surgical methods for treating scars: 1. Scar excision and suture: This is a commonly used surgical method for treating scars, and it can be used for scars of smaller area. 2. Dermabrasion: It is a surgical method that grinds the epidermis and the papillary dermis to improve the irregularities on the skin surface, making it smooth and flat and similar in color. It is suitable for superficial scars left over from acne, smallpox, chickenpox, shingles, eczema, trauma, burns or surgery. If necessary, it can be performed simultaneously with scar surgical excision, and the effect is better than simple grinding. 3. Scar release and local reshaping: For smaller, tense, cord-like or webbed scars, the scar can be removed and then a skin flap can be formed with the surrounding normal skin tissue to repair the skin defect at the scar site through cross-replacement. 4. Scar excision and free skin grafting: Larger hypertrophic scars can be surgically removed, and then free skin grafts are cut from normal parts of the body and transplanted to the scar surface to repair the wound and restore skin function. Regardless of the type of scar treatment procedure used, it is important to follow your doctor's instructions after the scar treatment procedure. And post-operative care for scar treatment. 5. You can use ginger. Cut the ginger into two halves, and then rub it back and forth on the scar. Don't use too much force. This can make the scar lighter and make the surface smooth.

2. Non-surgical scar treatment methods

The new quadruple therapy is the latest research and development technology for scar treatment. A non-surgical comprehensive treatment for hypertrophic scars, contracture scars, and keloids. The first link: Through pulsed soft laser treatment, the abnormal bioelectric phenomenon of local pathological tissue of scar is adjusted, drug absorption is enhanced, and scar tissue is softened. The second link: simultaneous external application of anti-scar drugs to promote local blood circulation; the third link: internal application of scar drugs, which directly act on scar tissue through scar removal combination agents to promote the decomposition and absorption of scar tissue; the fourth link: oral anti-scar drugs to regulate physical constitution and treat scars without recurrence.

Preventive Care

1. The first step to prevent scars is to take proper care of the wound. Whether it is trauma, burns, skin infection or surgery, scars will form after the wound heals. Proper wound care can avoid the formation of abnormal scars. 2. After the stitches are removed or the wound has initially healed, massage therapy and compression therapy may be initiated as appropriate. 3. Apply cosmetic tape or silicone sheet to the healing wound. The cosmetic tape needs to be applied 24 hours a day, and the silicone sheet needs to be applied for about 12 hours. The area of ​​application must be larger than the wound itself and include the surrounding normal skin to be effective. 4. Compression therapy can reduce the outward pulling force of the wound, making the scar flatter and thinner. 5. Massage therapy can soften hard scars and have the effect of tissue expansion, which can improve scars that are raised or have a tendency to contract. 6. For wounds covering a large area, compression therapy using tight elastic clothing can be considered.

After reading the detailed answer to the question of what to do about scar hyperplasia above, I believe that you all have a general understanding of this disease. In addition to properly treating various wounds, you should also pay attention to starting massage therapy and compression therapy as appropriate. However, if the scar hyperplasia is severe, it is best to go to the hospital for examination and treatment in time. Do not be afraid to see a doctor. This can avoid worsening of the scar and leading to serious infection and other problems.