Effective Ointments for Reducing Scars from Severe Abrasions - Dermatology

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Massage scars?


For large abrasion scars on the knees and elbows caused by severe injuries (which appear dark brown), what ointments can help reduce scarring? Thank you for your response.

winna, 20~29 year old female. Ask Date: 2000/10/11

Dr. Liao Wenyu reply Dermatology


Hello: The "pigmentation" left by an injury will gradually fade over time, and there is no need to apply anything special for removal.
If it is necessary to use a topical treatment, you may apply some depigmenting agents, which may provide some assistance.
Liao Wen-Yu

Reply Date: 2000/10/11

More Info


When it comes to treating scars from severe abrasions, particularly those that are discolored and raised, there are several effective ointments and treatments available that can help reduce their appearance. The key is to start treatment as soon as the wound has healed sufficiently, which typically means that the skin is no longer open or weeping.

1. Silicone Gel Sheets and Ointments: One of the most recommended treatments for scar management is silicone gel sheets or silicone gel. These products work by hydrating the scar tissue and creating a protective barrier that helps to flatten and soften the scar. Studies have shown that silicone can significantly improve the appearance of hypertrophic scars and keloids. It is generally advised to use silicone products for at least 12 hours a day for several months to see optimal results.

2. Hydrocortisone Cream: For scars that are raised and itchy, a low-potency hydrocortisone cream can help reduce inflammation and itching. However, it should be used cautiously and not for extended periods, as prolonged use can lead to skin thinning.

3. Vitamin E: While the effectiveness of vitamin E in scar treatment is debated, some people find it beneficial. Applying vitamin E oil to the scar may help with hydration and could improve the appearance of the scar over time. However, it’s important to note that some individuals may experience allergic reactions or irritation from topical vitamin E.

4. Onion Extract (e.g., Mederma): Products containing onion extract, such as Mederma, are popular for scar treatment. They may help to reduce the redness and improve the texture of scars. The effectiveness can vary from person to person, and it’s best to apply it consistently as directed.

5. Chemical Peels and Laser Therapy: For more severe scars, dermatological treatments such as chemical peels or laser therapy may be recommended. These procedures can help to resurface the skin and reduce the appearance of scars. Consulting with a dermatologist can provide options tailored to the severity of the scars.

6. Massage Therapy: Regularly massaging the scar tissue can also help break down the collagen fibers that form the scar, making it softer and less noticeable. This can be done with or without the application of ointments.

7. Sun Protection: It’s crucial to protect healing scars from sun exposure, as UV rays can darken scars and make them more noticeable. Using a broad-spectrum sunscreen with an SPF of 30 or higher on the scarred area is essential.

8. Patience and Consistency: It’s important to remember that scar treatment takes time. Most treatments require consistent application over several weeks to months before significant improvements are seen.
In conclusion, while there are various ointments and treatments available for reducing the appearance of scars from severe abrasions, the best approach often involves a combination of methods tailored to the individual’s skin type and the characteristics of the scar. Consulting with a healthcare provider or dermatologist can provide personalized recommendations and ensure that the chosen treatment is safe and effective for your specific situation.

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