Raised Scars: When to Seek Dermatological Advice - Surgery

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When it comes to raised scars, particularly after an injury like the one you experienced from a car accident, it is essential to understand the healing process and when to seek professional dermatological advice. Based on your description, it sounds like you may be dealing with a hypertrophic scar or possibly a keloid, both of which can develop after skin injuries.

Understanding Raised Scars:
1. Types of Raised Scars:
- Hypertrophic Scars: These are raised scars that remain within the boundaries of the original wound. They can be itchy and may change color over time, often becoming darker as they mature.

- Keloids: These scars extend beyond the original wound site and can be larger than the initial injury. Keloids can also be itchy and may continue to grow over time.

2. Color Changes: It is not uncommon for scars to appear darker than the surrounding skin, especially in the early stages of healing. This hyperpigmentation can be exacerbated by sun exposure, even if you are wearing protective clothing. The skin's response to injury often includes increased melanin production, leading to darker areas.

3. Itching and Texture: The itchiness you are experiencing is a common symptom associated with healing scars. However, if the scar is becoming increasingly raised and itchy, it could indicate that it is not healing normally. The texture of the scar can provide clues; if it feels firm and rubbery, it may be a hypertrophic scar or keloid.

When to Seek Dermatological Advice:
1. Persistent Symptoms: If the raised scar continues to itch, change in color, or grow larger, it is advisable to consult a dermatologist. They can assess the scar's characteristics and determine the best course of action.

2. Treatment Options: Dermatologists can offer various treatments for raised scars, including:
- Silicone Gel Sheets: These can help flatten and soften scars over time.

- Steroid Injections: These are often used to reduce the size and itching of hypertrophic scars and keloids.

- Laser Therapy: This can help improve the appearance of scars by reducing redness and flattening raised areas.

- Surgical Options: In some cases, surgical removal of keloids or hypertrophic scars may be considered.

3. Preventive Measures: While you are already taking precautions to protect the scar from sun exposure, it is crucial to continue using sunscreen on the area, as UV exposure can worsen pigmentation issues.

4. Self-Care: In the meantime, keep the scar moisturized and avoid scratching it, as this can lead to further irritation and potential complications.

In conclusion, while some changes in the appearance of your scar are normal during the healing process, the symptoms you describe warrant a visit to a dermatologist. They can provide a thorough evaluation and recommend appropriate treatments to help manage the raised scar effectively. Early intervention can often lead to better outcomes, so don't hesitate to seek professional advice.