Can Cryotherapy Help Fade Scars on the Back of Your Hand? - Dermatology

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Oval-shaped scar on the back of the hand?


At the age of 14, I fell forward while catching a ball, and at that time, I didn't go to the health room.
I ended up with a large scar on the back of my hand.
Many people have told me that it will gradually fade, but to this day, it still reflects light or changes color to white, red, or black under sunlight or certain angles.
Its texture is also different from the surrounding skin, as it is flat.
I see it on the back of my hand every day and often find it quite unattractive and unacceptable (others seem to think it's fine).
After researching, I found that scarring occurs when the dermis is damaged.
Would cryotherapy with liquid nitrogen help regenerate the skin tissue of this type of scar to resemble normal skin? I am considering treatment and would like some advice.
Thank you!

Ren, 20~29 year old female. Ask Date: 2021/06/15

Dr. Wu Yuxin reply Dermatology


Cryotherapy may not always be effective; it depends on the type of scar, as the treatment methods vary.

Reply Date: 2021/06/15

More Info


Cryotherapy, particularly the use of liquid nitrogen to freeze skin lesions, has been explored as a treatment option for various skin conditions, including scars. When it comes to scars, especially those that are hypertrophic or keloid in nature, cryotherapy can be beneficial in several ways. However, it is essential to understand the mechanism of action, potential outcomes, and limitations of this treatment.


Mechanism of Action
Cryotherapy works by applying extreme cold to the affected area, which causes the targeted skin cells to freeze and die. This process can lead to a reduction in the size of the scar and promote the regeneration of healthier skin. The freezing process can also stimulate the body's natural healing response, leading to increased blood flow and the production of new skin cells. Over time, this can help to improve the texture and appearance of the scar.


Efficacy for Scars
Research indicates that cryotherapy can be effective for certain types of scars, particularly hypertrophic scars and keloids. These types of scars are raised and can be red or discolored. Cryotherapy may help flatten these scars and reduce their prominence. However, for atrophic scars (those that are indented or pitted), the results may be less predictable. Your scar, which is described as being flat but with noticeable differences in texture and color, may benefit from cryotherapy, but it is essential to have realistic expectations.


Treatment Process
If you decide to pursue cryotherapy, the process typically involves a dermatologist or a trained healthcare professional applying liquid nitrogen to the scarred area. The treatment is relatively quick, often taking only a few minutes. After treatment, the area may become red and swollen, and you might experience some discomfort. It is crucial to follow post-treatment care instructions to minimize the risk of complications, such as infection or further scarring.


Limitations and Considerations
While cryotherapy can be effective, it is not a guaranteed solution for all types of scars. The degree of improvement can vary based on factors such as the age of the scar, its type, and individual skin characteristics. Additionally, multiple sessions may be required to achieve the desired results, and there is a possibility of side effects, including changes in pigmentation, especially in individuals with darker skin tones.

It is also important to note that cryotherapy is just one of many treatment options available for scars. Other treatments, such as laser therapy, chemical peels, microneedling, and silicone gel sheets, may also be effective and could be considered based on your specific scar characteristics and skin type.


Consultation with a Dermatologist
Before proceeding with cryotherapy, it is advisable to consult with a dermatologist who can assess your scar and discuss the most appropriate treatment options for you. They can provide personalized recommendations based on your skin type, the nature of your scar, and your overall health. A thorough evaluation will help ensure that you choose a treatment plan that aligns with your goals and expectations.

In conclusion, cryotherapy may help fade scars on the back of your hand, particularly if they are hypertrophic or keloid scars. However, it is essential to have a comprehensive discussion with a healthcare professional to explore all available options and determine the best course of action for your specific situation. Remember, while scars can be a source of distress, many treatment options exist that can help improve their appearance and enhance your confidence.

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