Nonoperative Techniques for Scar Management and Revision

C. W. David Chang; W. Russell Ries

doi:10.1055/s-2001-18826

Facial Plastic Surgery, Inhaltsverzeichnis

Facial Plast Surg 2001; 17(4): 283-288
DOI: 10.1055/s-2001-18826

Nonoperative Techniques for Scar Management and Revision

C. W. David Chang, W. Russell Ries

Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University, Nashville, TN

Abstract

ABSTRACT

Facial plastic surgeons are frequently called upon to manage facial scars, whether iatrogenic or traumatic. Numerous treatment modalities are available for scar management depending upon scar characteristics, age, and patient expectations. The focus of this article is to review commonly used nonsurgical methods of scar revision. These include topical applications (silicone, vitamin E, pressure dressing, herbal extracts), intralesional medication (steroids, antimitotics), soft tissue augmentation (collagen, fat), laser applications (585-nm flashlamp-pumped pulsed dye, CO₂), cryotherapy, and make-up camouflage. Nonsurgical modalities can be used as prophylactic prevention of adverse scar formation, as definitive treatment, as intervening therapy until further surgical repair can be made, or as adjunctive treatment following surgical scar revision.

KEYWORD

Scar management and revision - nonsurgical techniques - flashlamp-pumped pulsed-dye laser - topical silicone - soft tissue augmentation

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Referenzen

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