Recommendations for the Treatment of Hypertrophic Scarring in Young People

Sure! Here’s the translation into American English:

Ana Martínez Buil, a dermatologist at Policlínica Gipuzkoa, has highlighted the issue of raised or hypertrophic scars, which often appear after surgeries, burns, or accidental injuries. Although the body has a natural regeneration process, in some cases, healing is altered, resulting in visible marks that can affect both the quality of life and the self-esteem of those who suffer from them.

The specialist differentiates between hypertrophic scars and keloids. The former remain within the boundaries of the original wound, while keloids extend beyond. According to the Spanish Society of Wounds, between 5% and 15% of wounds may progress to these abnormal forms of healing, which can arise after surgical interventions, piercings, trauma, or acne, with bothersome symptoms such as itching or pain.

Martínez Buil also points out that genetic predisposition is a crucial factor. Some individuals, due to their family history or skin type, are more prone to developing hypertrophic scars or keloids. Additionally, the location of the wound is relevant; certain areas, such as the sternum and shoulders, are more susceptible. Age is another factor to consider, as younger individuals tend to have a greater tendency to experience excessive healing.

The dermatologist emphasizes the importance of proper wound care to prevent abnormal scarring. It is essential to follow medical guidelines and avoid actions that may interfere with healing, such as lifting weights or exerting effort in the affected area. For those at risk, there are preventive treatments, such as intense pulsed light or fractional laser, that can help modulate healing before visible signs appear.

Once formed, there are different treatment options for hypertrophic scars and keloids. Drug injections can help reduce excessive tissue formation, and they can be combined with laser or pulsed light sessions to optimize aesthetic results. In more severe cases, where the scar causes significant discomfort, the possibility of surgery to remove it is evaluated.

The specialist also warns about common mistakes that can complicate the healing process. Everyday activities, such as carrying heavy bags or exercising too soon, can negatively impact the wound. For this reason, it is essential for patients to maintain medical follow-up and understand that healing requires time and care, even after the wound is closed.

Finally, it is recommended that individuals with genetic predisposition or wounds in at-risk areas seek dermatological attention immediately. This early action allows for the initiation of more effective preventive treatments. If symptoms such as excessive itching, hardness, or unusual scar growth are observed, it is crucial to consult a dermatologist as soon as possible to evaluate the available treatment options.

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via: MiMub in Spanish

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