Wound healing (trauma, postburn, postoperative) is called scarification. It is influenced by factors such as infection, the presence of hematoma, malnutrition. For the scar to be less visible is required to align perfect the wound edge, and to restrain the area.
Healing takes place in several phases:
- Inflammatory (within 2448 hours)
- Proliferative (until week 23)
- Remodeling (up to 1 year)
Initially, the scar tends to be red, and the surrounding tissues are indurated. They gradually diminish and disappear, resulting in a supple scar , more pale than the surrounding tissue.
The final aspect of the scar can be found after approx one year after the injury.
There are situations in which healing is not a normal evolution. This scar tends to become more red and thick, sparking hypertrophic scars or keloid.
Hypertrophic scars do not invade surrounding tissues and tends to regress spontaneously. Keloid scar invade surrounding tissues, is itchy and has a tendency to regress spontaneously (pseudo looks).
Keloid forming tendency decreases with age. The breed is predisposed for the emergence of black keloid which can sometimes look grotesque.
Before resorting to surgery to try less aggressive treatments:
- Presoterapia: application of elastic bandages, compression on the entire period of the healing process (sometimes unbearable, especially for large scars after burn)
- Local steroid injection (triamcinolone, acetone) for isolated scars, this is done with small needles (thin) only in the scar, until it becomes white. This can be repeated weekly until smooth, supple, in the same plane with the surrounding tissue. Injection may cause excessive skin and fat atrophy local.
- Silicone geltreatments are applied to the affected area . The method is noninvasive, has no side effects and is especially good for children.
- Contractubex treatment (heparinbased gels and onion extract) to be applied two times daily in a thin layer at 15 days postoperatively.
- Cellu M6 Keymodule allows mobilization improves blood circulation and lymphatic tissue from the scars, which favors the formation of a scar supple.