A short video by Thomas P. Sterry, MD, a plastic surgeon, describing scar revision of a facial scar followed by dermabrasion.

According to the most recent statistics by the American Society of Plastic Surgeons (ASPS) chin augmentation is the fastest growing plastic surgery, a trend which appears, in part, to be sparked by increased usage of video chat technology, an aging baby boomer population and a desire for success in the workplace.

“The chin and jawline are among the first areas to show signs of aging. People are considering chin augmentation as a way to restore their youthful look just like a facelift or eyelid surgery,” said ASPS President Malcolm Z. Roth, MD. “We also know that as more people see themselves on video chat technology, they may notice that their jawline is not as sharp as they want it to be. Chin implants can make a dramatic difference.”

Factors like wanting a competitive advantage in the workforce may lead people to consider a variety of cosmetic facial procedures. The following are additional cosmetic procedures that saw an increase in popularity in 2011:

  • Lip augmentation: 49% increase
  • Cheek implant: 47% increase
  • Laser skin resurfacing: 9% increase
  • Soft tissue fillers: 7% increase
  • Facelift: 5% increase

 

An informative article on the subject of post-laser wound care was recently published on Plastic Surgery Practice web site.

The author, Joseph Niamtu III, DMD, FAACS, discusses recent trends in laser treatments and focuses on post-treatment care:

Inducing an intentional and controlled second-degree facial burn removes the entire epithelium and part of the dermis. This is obviously a giant insult to the normally intact integument. Patients who undergo fully ablative, high-fluence, high-density, multipass CO2 laser resurfacing have to understand in the preop period that this treatment will be their hobby for 4 to 6 weeks. I am very blunt with my patients who are considering this type of laser treatment, and I do not sugarcoat the recovery.

Read more of his discussion here.

Stratpharma AG, Swiss based specialty pharmaceutical company has developed Stratamed, the first silicone-based scar management product that may be applied to open wounds and compromised skin after procedures discussed in Dr Niamtu’s article, such as laser skin resurfacing. The new product helps with rapid epithelialization, reduces down-time, and is the only silicone gel treatment that improves the outcome of scarring by up to 78%.

Surgeon doing a surgical breast biopsy.

Image via Wikipedia

PharmEcosse, a Scottish company, is starting clinical trials to explore the use of insulin (PE001) for the reduction or prevention of surgical scars in patients undergoing non-cancer bilateral breast surgery. The trial will commence in January 2011 and is expected to report in the first quarter of 2013.

Insulin was found to control the activity of the key cells involved in wound closure and subsequent scar formation which apparently slows down or stops the build up of scar tissue.

For more information about taking part in clinical trials, please go to pharmecosse.com

We occasionally receive questions by email or in the comments section. Let us know if you have any questions related to scars, scar treatment or scar prevention and we will try to answer them. You can ask the questions anonymously via the comments section below. And remember, the only stupid question is the one you don’t ask.

 

In a recent interview with Life & Style, the former star of “The Hills” described a variety of post-surgery scars ranging from a two-inch long blemish under her chin to lumpy legs, uneven breasts and bald spots left from a brow lift.

“People have fewer scars from car accidents than I have on my body,” Montag told the magazine.

All plastic surgery but especially major surgeries like tummy tucks and breast reductions, can involve scarring. Ask your doctor to show you a picture of what the scar looks like beforehand. Another important question is what sort of treatments they offer to minimize scarring, for example silicone gel (e.g. Strataderm), silicone sheeting or laser procedures. It’s not always easy to know in advance whether or not you’re likely to scar. Some people are more prone to scarring than others. People heal differently, and patients with a poor history of wound healing or keloid scars are at high risk of scarring.

 

While silicone is recommended as a safe and effective option for treatment and prevention of hypertrophic and keloid scars, surgery might be the only option for certain scars. In particular this might be the case for patients with hypertrophic scars from complicated wounds or delayed closure.

There are two possible reasons for excision:

  1. Surgical excision of the scar brings the new excision within the relaxed skin tension lines which ultimately improves healing, stating this is ideal in patients with hypertrophic scars crossing joints or wrinkle creases at a right angle, and
  2. Excision causes scar disruption making the lesion less conspicuous.  Most surgeons acknowledge that surgery in case of keloid often makes the situation worse by stimulating additional collagen synthesis. Simple excision of keloids has been associated with up to an 80% recurrence rate. Thus surgery should be used in conjunction with other modalities when treating keloids, if used at all.

Even with surgery, however, the scar will not be completely erased. Surgery can provide a better cosmetic result or help with a scar that has healed poorly.

For more information about scar revision surgery visit the web site of American Society of Plastic Surgeons. And, after you surgery, be sure to use Strataderm; silicone gel is the only noninvasive option for which evidence-based recommendations have been made for both scar treatment and prevention by leading specialists worldwide. A clinical trial published in 2007 found only 7% of patients who were treated with silicone gel developed scarring compared with 26 % receiving no treatment.

If you want to learn more about scars follow Strataderm on Facebook and / or Twitter.