Effective Treatments for Raised Scars from Skin Mole Removal - Dermatology

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To address raised scars left by skin mole removal, consider the following options:
1.
Topical Treatments: Use silicone gel sheets or silicone ointments to help flatten and soften the scar over time.
2.
Steroid Injections: Corticosteroid injections can reduce inflammation and flatten raised scars.
3.
Laser Therapy: Laser treatments can improve the appearance of

Ye Hui, 30~39 year old female. Ask Date: 2004/07/16

Dr. Zheng Lizhen reply Dermatology


Hello!
1.
Acne scars can be classified into "true scars" (atrophic or hypertrophic scars) and "false scars" (erythema or hyperpigmentation).
True scars, particularly atrophic scars, can be treated with dermabrasion, with laser dermabrasion being the most common method used today.
This method causes less damage compared to traditional dermabrasion and has a quicker recovery time, with wound healing typically taking about one week.
Redness may last approximately one to two months, depending on post-operative care.
Hypertrophic scars, which are related to individual skin types, can lead to raised keloid scars.
These can be treated with topical or injectable steroids or cryotherapy.
As for false scars, the redness or hyperpigmentation left by acne usually fades gradually over time (approximately three to six months).
The use of whitening products and proper sun protection can help accelerate the fading process.
2.
Please consult a dermatologist.
This is a response from Dr.
Cheng Li-Chen, Dermatology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2004/07/16

More Info


When dealing with raised scars resulting from skin mole removal, there are several effective treatments and strategies that can help minimize their appearance. Raised scars, also known as hypertrophic scars or keloids, can be a common outcome after surgical procedures, including mole excision. Here’s a comprehensive overview of the treatment options available:

1. Topical Treatments
- Silicone Gel Sheets or Silicone Gel: These are often considered the first line of treatment for raised scars. Silicone gel sheets can be applied directly to the scar and are known to hydrate the scar tissue, which can help flatten and soften the scar over time. They should be used consistently for several weeks to months for optimal results.

- Hydrocortisone Cream: This topical steroid can help reduce inflammation and itching associated with raised scars. It may not be as effective alone but can be used in conjunction with other treatments.


2. Injections
- Corticosteroid Injections: Injecting steroids directly into the scar can help reduce its size and flatten it. This treatment is usually administered every few weeks until the desired effect is achieved.

- 5-Fluorouracil (5-FU) Injections: This chemotherapy agent can also be injected into the scar to help reduce its size, particularly in keloids.


3. Laser Therapy
- Laser Treatments: Various types of lasers, such as pulsed dye lasers or fractional lasers, can be used to treat raised scars. These lasers work by targeting the blood vessels within the scar tissue, reducing redness and promoting a more even skin texture. Multiple sessions may be required for significant improvement.


4. Surgical Options
- Scar Revision Surgery: In some cases, if the scar is particularly bothersome or unsightly, surgical revision may be an option. This involves removing the raised scar and closing the wound in a way that minimizes the chance of a new scar forming. However, this should be considered carefully, as it may lead to the formation of another scar.


5. Other Treatments
- Cryotherapy: This involves freezing the scar tissue with liquid nitrogen, which can help reduce the size of keloids and hypertrophic scars.

- Microneedling: This technique involves using fine needles to create micro-injuries in the skin, which can stimulate collagen production and improve the texture of the scar.


6. Prevention and Care
- Sun Protection: Protecting the scar from sun exposure is crucial, as UV rays can darken scars and make them more noticeable. Using a broad-spectrum sunscreen with an SPF of 30 or higher is recommended.

- Moisturization: Keeping the scar moisturized can help improve its appearance. Products containing vitamin E, aloe vera, or other emollients may be beneficial.


7. Consultation with a Dermatologist
- It is essential to consult with a dermatologist or a healthcare provider who specializes in scar treatment. They can assess the scar's characteristics and recommend the most appropriate treatment plan tailored to your specific needs.


Conclusion
In summary, raised scars from skin mole removal can be effectively treated using a combination of topical treatments, injections, laser therapy, and possibly surgical options. The choice of treatment will depend on the scar's characteristics, your skin type, and personal preferences. Consistent care and follow-up with a healthcare provider are crucial for achieving the best possible outcome. Remember, patience is key, as scar treatments often take time to show results.

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