Can Injections Flatten Raised Scars on Eyelids and Joints? - Dermatology

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When it comes to treating raised scars, particularly on sensitive areas like the eyelids and joints, injections can indeed be an effective option. Raised scars, also known as hypertrophic scars or keloids, can be flattened through various injection treatments, including corticosteroids, 5-fluorouracil, or even newer options like intralesional verapamil. These injections work by reducing inflammation and collagen production in the scar tissue, which can help flatten and soften the raised area.

Eyelid Scars:
For scars located on the eyelids, caution is paramount. The eyelid skin is particularly delicate and thin, and any treatment in this area should be performed by a qualified dermatologist or plastic surgeon who specializes in ocular procedures. Corticosteroid injections are commonly used for eyelid scars, as they can effectively reduce the size of the scar without causing significant side effects. However, the proximity to the eye means that the injector must be highly skilled to avoid complications such as intraocular pressure changes or damage to the eye itself.
In some cases, other treatments such as laser therapy or silicone gel sheeting may be recommended in conjunction with or as an alternative to injections. These methods can also help in flattening scars while being less invasive.

Joint Scars:
For raised scars on joints or areas that undergo frequent movement, injections can also be beneficial. The same types of injections used for eyelid scars can be applied here, but the treatment may need to be repeated more frequently due to the dynamic nature of these areas. The movement can sometimes cause the scar tissue to reform or remain raised, so a combination of treatments might be necessary.
In addition to injections, physical therapy or silicone gel sheeting can be effective in managing scars in these areas. Silicone sheeting can help flatten scars over time and is particularly useful for scars that are in motion, as it can provide a protective barrier while allowing for some flexibility.

Considerations:
Before proceeding with any treatment, it is essential to consult with a healthcare professional who can assess the scar's characteristics and recommend the most appropriate treatment plan. Factors such as the scar's age, size, and location, as well as the patient's overall health and skin type, will influence the treatment choice.

In summary, injections can be an effective method for flattening raised scars on both eyelids and joints, but they must be administered by experienced professionals, especially in sensitive areas like the eyelids. For joints, a combination of treatments may be necessary due to the movement in these areas. Always consult with a qualified healthcare provider to determine the best course of action for your specific situation.