Choosing the Right Scar Treatment After an Injury: A Guide - Dermatology

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Scar treatment for injuries?


I previously had an injury and want to remove the scar, but there are many types available on the market, and I'm unsure which one to buy.
Would it be better if I visit a dermatologist at the hospital to get a scar removal ointment? There are two types of scars: raised and flat.
What is the difference between them? I checked at the pharmacy, and the price difference between Mederma and ScarAway is nearly $300.
I've never heard of Mederma, but ScarAway is highly recommended online.
Since my injury was from a car accident, which type would be more suitable for me? What type of scar removal treatment do hospitals usually provide?

Kai Kai, 20~29 year old female. Ask Date: 2014/04/20

Dr. Lin Xinpeng reply Dermatology


Hello: I'm not sure what type of scar you are referring to.
Scars can generally be classified into atrophic scars and hypertrophic scars.
Currently, there are no effective topical medications for atrophic scars.
For hypertrophic scars, scar gels or silicone sheets can be used to improve the appearance, particularly for scars that are raised after surgery or in patients with a predisposition to keloids.

There is also another type of wound that appears smoother and has a brownish-black color, which is due to post-inflammatory hyperpigmentation.
This is not a scar, but many patients mistakenly believe it to be scar tissue.
Scar gels can be divided into those containing silicone (which have been clinically proven effective, such as Dermatix) and cosmetic products (which lack scientific validation, such as Hiruscar, Mederma, and Contractubex).
Both types aim to suppress scar inflammation and proliferation, but their effectiveness varies from person to person.

Based on your description, you only mentioned a bruise, so it is unclear which type of scar you have.
I recommend visiting a clinic for a proper examination by a physician, who can provide appropriate recommendations for topical treatments.

Reply Date: 2014/04/20

More Info


When it comes to choosing the right scar treatment after an injury, it’s essential to understand the different types of products available and how they work. Scarring is a natural part of the healing process, but various treatments can help minimize the appearance of scars, especially if they are hypertrophic (raised) or atrophic (depressed).

Types of Scar Treatments
1. Silicone Gel Sheets and Silicone Gel: These are among the most recommended treatments for scars. They work by hydrating the scar tissue and creating a protective barrier that helps to flatten and soften the scar. Silicone is effective for both hypertrophic and keloid scars. Products like Mederma or ScarAway are popular choices.

2. Scar Creams and Ointments: Many over-the-counter creams contain ingredients like onion extract (found in products like Mederma), vitamin E, or other botanical extracts. While some people report positive results, the scientific evidence supporting their effectiveness is mixed.
3. Steroid Injections: For raised scars, particularly keloids, dermatologists may recommend steroid injections to reduce inflammation and flatten the scar. This treatment is typically performed in a clinical setting.

4. Laser Therapy: This is a more advanced treatment option that can help reduce the appearance of scars by resurfacing the skin. It’s usually performed by a dermatologist or plastic surgeon.

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


Choosing the Right Product
When considering which scar treatment to use, it’s crucial to evaluate the type of scar you have. For instance:
- Hypertrophic Scars: These are raised scars that can benefit from silicone gel sheets or steroid injections. Silicone products are often the first line of treatment.


- Atrophic Scars: These are depressed scars that may require more advanced treatments like laser therapy or microneedling.


Consulting a Dermatologist
Visiting a dermatologist is a wise choice, especially if you have concerns about the type of scar you have or if you are considering more invasive treatments. A dermatologist can provide personalized recommendations based on the scar's characteristics and your skin type. They can also prescribe medical-grade products that may not be available over the counter.


Price Considerations
Regarding the price difference between products like "Lixme" and "Hixfu," it’s essential to note that higher prices do not always guarantee better results. The effectiveness of a product can vary from person to person. It’s often beneficial to look for products that have clinical backing or positive reviews from users with similar scar types.


Conclusion
In summary, the best approach to scar treatment involves understanding the type of scar you have, considering the various treatment options available, and consulting with a healthcare professional for tailored advice. Products like silicone gel sheets are generally well-regarded for both raised and flat scars, while more advanced treatments may be necessary for severe cases. Always prioritize professional guidance to ensure the best outcome for your skin.

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Related FAQ

Scars

(Dermatology)

Scar

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Wound Healing

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Resurfacing

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Wound

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Burns

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Keloid

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Bruising

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Surgical Care

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Foreskin

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