Despite the fact that hypertrophic scars, as well as keloids, are usually classified as pathological, they have more in common with normal, physiological scars than with keloid scars.
Hypotrophic scars arise as a result of deep destruction of skin tissues and subcutaneous fat. Such scars can occur after deep forms of acne, chicken pox and look stamped, of approximately the same size and shape with sharp boundaries from healthy skin and often cratered edges.
Strictly speaking, atrophic scars are a variant of normotrophic scars. These scars, as well as normotrophic ones, are flush with the surrounding skin, but they are formed where there is practically no subcutaneous fat.
The first doctor who should start treatment for a patient with extensive normotrophic scars is a plastic surgeon. And only after the completion of the surgeon's work, the dermatocosmetologist must start the work with the remaining scars.
As already noted above, the addition of secondary infection and concomitant chronic inflammation promotes the appearance of keloid and hypertrophic scars.
In addition to competent care for wound surfaces and postoperative sutures, it is necessary to know that patients should receive adequate nutrition in the postoperative period, since the lack of vitally important substances received by the body from the outside can have an adverse effect on the processes of skin repair.
After the fall of the crusts or wound coverings after dermabrasion or after the treatment of burns, the epithelialized surface has a pinkish-red color due to dilated vessels and continuing post-inflammatory restorative period in the tissues.
When the wounds are covered with impermeable films for water and bacteria that allow normal gas exchange, a moist environment is created in the wound that stimulates the removal of autolysis products from necrotic tissues and the destruction of excess collagen.
For a long time, 5% solution of KMnO4 was used as the most effective means of care for the postoperative surface in the centers that make operative polishing.
It is necessary to begin procedures almost immediately after the operation to help the body cope with lymphostasis, ischemia, edema, hematomas and avoid inflammation.
