NORMATROPHIC SCAR TREATMENT
- Ferment therapy
- Massage and lymphadrainage
- Electrophoresis and phonophoresis
- Liniment therapy
- Peelings: glycolic, TCA, phenol
- Surgical excision
Recently fresh wound was cleansed with potassium permanganate. Such treatment often caused formation of crust with scar under it. Besides, the scar got rough. It’s essential that wound is to heal in humid medium so that cells could migrate, divide and receive necessary information. A series of synthetic and semisynthetic coatings are being applied to moisturize wound.
Ferments are used to cleanse off necrosis cells, normalize the process of healing as well as form smooth cicatrix. A number of liniments and gel applications with fermentative drugs are available along with electrophoresis, phonophoresis, injections etc.
Photo: Normatrophic scar before and after ferment therapy and hydration.
Massage and lymphadrainage are applied to reduce or remove oedema. The bigger and the older oedema is the rougher cicatrix becomes. Different oils, gels and creams are used for massage and lymphadrainage.
Photo: Normatrophic scar before and after its treatment.
Microdermabrasion is a process of skin polishing in scar localization with aluminium microcrystal (Al2O3). Throughout vacuum aluminium fillings are delivered to the outer surface of skin and after knocking the particles out of the problem zone they are sucked in other container. Such method does not need anaesthesia. Restoration period is within 4-10 days. The patient is able to live their usual social life. This method is also called “the day-off procedure”. 3-7 procedures through 3-4 weeks each are to be taken to achieve some visible results.
Photo: Normatrophic scar before and after microdermabrasion.
Liniments are used according to their functional purpose. They are divided into the following groups: antibacterial, for normalization of blood circulation, increasing or reducing collagen synthesis, diluting injury medium, strengthening immunity in cicatrix region etc. The following liniments are applied: Cordran, Dermatix, MedGel, Kelofibrasa, Scarguard, Contractubex, Aldara etc. As some drugs can make cicatrix condition worse advice from a doctor is necessary in this case or another. As a rule, liniment therapy is used along with the other methods or after them.
Peeling means “removing”, “removing skin”, or “separating”. Therefore, any process referred to as “epidermis removing” or “outer layers of derma removing” is considered as peeling. According to the depth of exposure peelings are divided into 3 groups:
1. superficial ( several layers of keratinized cells);
2. middle ( throughout the keratinized layer);
3.deep ( throughout epidermis up to the basal layer and papilla derma with penetration into retina derma.
Photo: Normatrophic cicatrix before and after a series of peeling.