Posts Tagged ‘scar’

Getting to the Root of Pseudofolliculitis Barbae

First reported in 1908, pseudofolliculitis barbae (PFB) is a common inflammatory condition caused by ingrown hairs in the beard area of African-American and Hispanic men who have tightly coiled hair. Fox first noted the condition, and it was later described as pseudofolliculitis of the beard by Strauss and Kligman in 1956.1,2 Present in up to 83% of African-American men, this condition is characterized by inflamed papules and occasional pustules in the beard after close shaving.

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Central Centrifugal Scarring Alopecia

Central centrifugal scarring alopecia (CCSA) is a new term that encompasses the same clinical presentation originally described with hot comb alopecia and follicular degeneration syndrome (FDS). It also serves to include other related diseases with slightly different epidemiology (pseudopelade) and extent of inflammation (folliculitis decalvans).

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How to prevent scarring after surgery

How to prevent scarring after surgery

People with multi-hued skin tones (tan/olive/brown skin) have a higher risk of scarring after surgery.  There are a few things you can do to prevent this unwanted side effect.  First and foremost, it is important to understand your risk of scarring.  If you have had surgery in the past without any problems, it is less likely that you will develop a bad scar or keloid.  Unfortunately, some people who have no history of scarring after surgery can still develop a keloid or hypertrophic (thick) scar.  This is because not all skin on the body is the same.  For example, facial skin tends to heal better than skin on the body.

The areas that have the highest risk of scarring are those with a lot of tension.  The chest, shoulders, and back are typically the worst locations for scars for that reason.  If you know you have a personal or family history of bad scars, plan to see a dermatologist within 3-4 weeks of surgery.  Preventative treatment options include steroid injections, steroid tape, and silicone sheets.  Also it is imperative to wear sunblock on new scars to prevent hyperpigmentation or darkening of the scar.  If you do develop a thick scar, dark scar, or keloid, there are treatment options.  Bleaching creams can help with dark scars and some lasers can be used in lighter skin types to help with red scars.  It can also be helpful to see a dermatologist before your surgery so that you have a treatment plan in place ahead of time.  Surgical scars can be significantly minimized with an organized approach to scar prevention so plan ahead!

Scars-What are the best treatments?

Scars - What are the best treatments

Scars are a big challenge in my practice. Every patients always asks, “Isn’t there a laser that can remove this scar?” Well we do have effective treatments for scars but very rarely can we make them go away completely. First of all, it is important to know that they are many different types of scars. I treat a lot of keloids which are thick raised scars. These often occur on the earlobes after piercings or anywhere on the body after surgery. Keloids can be injected with cortisone to help shrink and flatten them. The injections work well to make keloids flat but they do not make keloids go away completely. Once flat, keloids can be either red or darker than the surrounding skin. In lighter skin, lasers can sometimes be used to improve redness. In darker skin, we can use fade creams to lighten the scar.

If a scar is already flat, like a scar from a burn or a simple cut, there are a few treatment options that have been proven to work. Sunscreen, of course, is key to prevent hyperpigmentation or darkening of the scar. As mentioned earlier, lasers can be used for redness and fade creams for dark discoloration. Silicone gel sheets are thin clear sheets of silicone that have proven to improve the appearance of slightly raised scars. Cordran tape is a prescription clear tape that conatins a steroid that can also help with scars. There are no topical creams that have been proven to work for scars so don’t waste your money on these over the counter products.

If you have a bad scar, don’t forget that there are excellent coverage makeups that can hide scars. Cover FX and Dermablend are two options that provide excellent coverage. The good news is that scars are a big area of research in dermatology and new treatments are on the way. I will keep you posted!