Can Scald Marks from Childhood Be Treated with Medicine or Aesthetic Procedures? - Plastic Surgery

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Scald marks from childhood can indeed be treated, and there are various options available depending on the severity and characteristics of the scars. In your case, since you mentioned that the surface of the skin is completely smooth but has discoloration (black and white marks), this indicates that the scarring may be more related to pigmentation changes rather than textural changes. Here’s a comprehensive overview of the treatment options available for such scars.


Medical Treatments
1. Topical Treatments:
- Silicone Gel Sheets: These are often recommended for scar management. They can help flatten and soften scars over time. They are particularly effective for raised scars but can also help with discoloration.

- Hydroquinone Cream: This is a skin-lightening agent that can help reduce hyperpigmentation (the darker areas of your scar). However, it should be used under the supervision of a dermatologist, as prolonged use can lead to side effects.

- Retinoids: Topical retinoids can promote cell turnover and may help in reducing pigmentation and improving the overall appearance of the skin. They can also help in smoothing out the skin texture.

2. Chemical Peels:
- A dermatologist can perform chemical peels that use acids to exfoliate the top layer of skin. This can help in reducing pigmentation and improving skin texture. Superficial peels may be suitable for your case, but deeper peels should be approached with caution.

3. Laser Therapy:
- Fractional Laser Resurfacing: This procedure can target pigmentation and improve skin texture. It works by creating micro-injuries in the skin, which stimulates collagen production and helps in skin regeneration.

- Pulsed Dye Laser: This type of laser can effectively treat vascular lesions and pigmentation issues, making it a good option for red or purple scars.

4. 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. It can also help with pigmentation issues.


Aesthetic Procedures
1. Dermabrasion:
- This is a more invasive procedure that involves sanding down the top layers of skin. It can be effective for deeper scars but may require more downtime for recovery.

2. Fillers:
- If there are any textural irregularities, dermal fillers can be used to even out the skin surface. However, since you mentioned that your skin is smooth, this may not be necessary.

3. Surgical Options:
- In some cases, surgical excision of the scar may be considered, especially if the scar is particularly bothersome. This would involve removing the scar tissue and closing the wound in a way that minimizes further scarring.


Considerations
- Consultation with a Dermatologist: Before proceeding with any treatment, it is crucial to consult with a dermatologist who can assess your specific situation and recommend the most appropriate treatment plan. They can also discuss potential risks and benefits of each option.

- Sun Protection: Regardless of the treatment chosen, protecting the scarred area from sun exposure is essential. UV rays can worsen pigmentation issues, so using a broad-spectrum sunscreen is highly recommended.


Conclusion
In summary, there are several effective treatments available for scald marks from childhood, ranging from topical medications to advanced aesthetic procedures. The choice of treatment will depend on the specific characteristics of your scars and your personal preferences. Consulting with a qualified dermatologist will provide you with tailored advice and help you achieve the best possible results. Remember, patience is key, as scar treatments often take time to show significant improvement.