Concerns About Scarring After Sweat Gland Tumor Treatment - Dermatology

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Issues After Treatment of Eccrine Poroma


I underwent laser treatment for pigmentation at the Kaohsiung Medical Aesthetic Center, and the results were quite good.
However, five days ago, I had a treatment for a hidradenoma, likely using electrosurgery, and I was surprised to find that after the scab fell off, there is a noticeable scar that resembles an acne scar.
Since the doctor did not inform me beforehand about the possibility of scarring, I am very concerned now.
I would like to know if the scar will eventually flatten out.
If not, what treatments are available to improve the scar, along with the associated costs and time required?

lisa, 30~39 year old female. Ask Date: 2005/03/13

Dr. Zheng Lizhen reply Dermatology


Hello: Even with electrocautery, there shouldn't be significant scarring.
Please return to the original physician's clinic to assess the healing of the wound, check for any signs of infection that may need to be addressed, and then determine if there are any scarring issues that require treatment.
Sincerely, Dr.
Cheng Li-Chen, Dermatology.

Reply Date: 2005/03/13

More Info


Scarring after any surgical procedure, including the treatment of sweat gland tumors, is a common concern among patients. It is important to understand that scarring is a natural part of the healing process. When the skin undergoes trauma, whether from surgery, burns, or other injuries, the body responds by forming new tissue to repair the damaged area. This new tissue can sometimes result in visible scars.

In your case, having undergone electrosurgery for a sweat gland tumor, it is not uncommon for the healing process to leave behind a scar, especially if the area was significantly affected or if the skin was sensitive. The appearance of scars can vary widely among individuals, influenced by factors such as skin type, the depth of the surgical incision, and individual healing responses.


Will the Scar Improve Over Time?
Yes, in many cases, scars can improve over time. Initially, scars may appear red, raised, or discolored, but they often become flatter and less noticeable as they mature. This process can take several months to a year. During this time, the scar may fade in color and become less prominent. However, the degree of improvement can vary from person to person.


Treatments for Scarring
If you find that the scar does not improve to your satisfaction, there are several treatment options available that can help reduce its appearance:
1. Topical Treatments: Over-the-counter silicone gel sheets or silicone ointments can be effective in flattening and softening scars. These products work by hydrating the scar and creating an optimal healing environment.

2. Steroid Injections: For raised scars, such as hypertrophic scars or keloids, corticosteroid injections can help flatten the scar and reduce inflammation.

3. Laser Therapy: Laser treatments can improve the texture and color of scars. Different types of lasers can target various aspects of scarring, such as redness or roughness.

4. Chemical Peels: Chemical peels can help improve the appearance of scars by removing the outer layer of skin, promoting new skin growth.

5. Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, which can stimulate collagen production and improve the appearance of scars.

6. Surgical Revision: In some cases, surgical options may be considered to remove or revise the scar, especially if it is particularly large or bothersome.


Costs and Timeframes
The costs associated with scar treatment can vary widely depending on the type of treatment, the provider, and your location. For example, topical treatments may be relatively inexpensive, while laser therapy or surgical revision can be more costly. It is advisable to consult with a dermatologist or a plastic surgeon who specializes in scar management to discuss your specific situation, treatment options, and associated costs.

In terms of timeframes, many treatments require multiple sessions for optimal results. For instance, laser therapy might involve several appointments spaced weeks apart, while topical treatments can be used daily over several months.


Conclusion
While it is understandable to be concerned about scarring after your treatment, it is important to remember that many scars improve over time. If you are dissatisfied with the appearance of your scar, there are various treatment options available that can help. Consulting with a qualified medical professional will provide you with tailored advice and a treatment plan that suits your needs.

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