SCAR MANAGEMENT

Overview

The skin consists of the epidermis and the dermis. The dermis is the deeper of the two layers and any injury here be it traumatic or surgical will result in scarring. New scars are usually red and can be raised. Over a period of 12 months, the scar matures, flattens and loses its redness. Occasionally ‘bad’ scars such as keloid scars or hypertrophic scars can form which are lumpy, itchy and painful. Scars can also be located in prominent areas such as the face which may cause patients to feel self conscious of their appearance. There are various treatments available to manage scars ranging from steroid injections, laser scar treatments and scar revisions. The type of treatment appropriate to you depends on the maturity and type of scar that you have. 

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REDUCE 
   THE 
 APPEARANCE
OF SCARS

There are two types of ‘bad’ scars that can form :

1

keloid scars

A keloid scar is a lumpy, red and itchy scar which can extend beyond the initial injury. It more commonly occurs in asian and afro-carribean skin although it can also occur in caucasian skin. They also occur more commonly in certain areas such as the central chest, the shoulders and the ears. Keloid scars are notoriously difficult to treat due to their propensity to recur.

2

hypertrophic scars

A hypertrophic scar occurs more commonly than a keloid scar. They are usually red, lumpy and itchy too but do not extend beyond the initial injury. The majority of hypertrophic scars resolve conservatively over time however in some cases, they require treatment.

Before & Afters

Treatment Options :

Conservative management consists of scar massage and moisturising the scar. This helps the scar to mature. Scars generally take 12-18 months to fully mature. The effectiveness of this treatment however is limited for hypertrophic or keloid scars.

Silicone tape or silicone gel can be effective when used on hypertrophic scars however they need to be used consistently over a minimum period of at least six months for any appreciable improvement

Steroids can be injected into both keloid and hypertrophic scars to improve them. The injections usually need to be performed every 6-8weeks directly into the scar and a course of treatments typically consists of three to five injections

Lasers can be used to improve the appearance of scars. The CO2 laser can resurface scars, helping to flatten them and improve their appearance. The pulsed dye laser can be used to reduce the overall redness of scars.
Surgical scar revision is usually reserved as a last resort, after all other methods have been tried. This is occasionally combined with intralesional steroid injections to reduce the recurrence of a ‘bad’ scar. The outcome of surgical scar revision however can be unpredictable with hypertrophic or keloid scars recurring soon after treatment.

Scars that are depressed can benefit from fat injections to raise the scar up and disguise the depression. Fat cells that are injected also have important growth factors that can help improve the overall skin quality around a scar thereby making them less obvious

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What my patients say

5* Surgeon 5* Experience
5* Surgeon 5* Experience
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Mr Kok had been recommended to me by several people at various times, so when the time came for me to explore my surgery options, I had no hesitation in booking my consultation. Right from our first meeting I knew I had found someone that I felt comfortable with and more ......
Thank You Dr Kok
Thank You Dr Kok
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I went to Ken for a consultation for Breast Augmentation quite a few times, before having my procedure. Finally this year I did it. I seen a few surgeons for consultation, as I thought it was a good idea to speak to more than one and have the opportunity to ask questions and have answers, as well as do my research about breast implants and the procedure. I have to say I knew Ken was the...
My smile just keeps getting bigger and bigger
My smile just keeps getting bigger and bigger
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I was already familiar with my doctor Mr Kenneth Kok, as he had performed my... way overdue breast implant change earlier in the year with a fabulous outcome. I was so happy with my result that when I wanted to explore options for my lower facelift procedure, Mr Kok was the only doctor I wanted to put my trust in again.After several thorough, detailed consults, I felt I had been given well...
Amazing Surgeon
Amazing Surgeon
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Ken is an incredible surgeon. Throughout the process he went above and beyond in answer my questions and concerns and then the results speak for themselves. A beautifully clean scar that I’m sure will fade to nothing. Cannot recommend Ken enough to anyone looking for this procedure
Perfect All Round
Perfect All Round
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My rhinoplasty surgery went better then I could ever imagine. From consultation to the final result Kenneth Kok made sure there was no unanswered questions and absolutely no pressure placed on me to go ahead with the procedure. I am very happy with the end result and there was 0 pain from start to finish. Kenneth would be the first person I would recommend to anyone.
Fantastic experience with Dr. Kok
Fantastic experience with Dr. Kok
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During my consultations, I never felt pressured or rushed into the procedure, in fact Dr Kok advised me to take the time to think about it before booking a date with him. Dr Kok answered all my questions beforehand, and also provided me with his contact information in case I wanted further information at any time. I didn't go into the surgery with any expectations, my only requests were for...
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