Despite the fact that hypertrophic scars, like keloid scars, are usually considered pathological, they have more in common with normal, physiological scars than with keloid scars.
Hypotrophic scars occur as a result of deep destruction of skin tissue and subcutaneous fat. Such scars can occur after deep forms of acne, chickenpox and look stamped, approximately the same size and shape with sharp borders from healthy skin and often crater-like edges.
Strictly speaking, atrophic scars are a variant of normotrophic scars. These scars, like normotrophic ones, are located flush with the surrounding skin, but they form where there is practically no subcutaneous fat.
The first doctor who should begin treating a patient with extensive normotrophic scars is a plastic surgeon. And only after the surgeon's work is completed, should a dermatocosmetologist begin working with the remaining scars.
As noted above, the addition of a secondary infection and accompanying chronic inflammation contributes to the appearance of keloid and hypertrophic scars.
In addition to proper care of wound surfaces and postoperative sutures, it is important to know that patients must receive adequate nutrition in the postoperative period, since a lack of vital substances received by the body from the outside can have an adverse effect on skin reparation processes.
After the crusts or wound coverings fall off after dermabrasion or after burn treatment, the epithelialized surface has a pink-red color due to dilated vessels and the ongoing post-inflammatory recovery period in the tissues.
By covering wounds with films that are impermeable to water and bacteria and that allow normal gas exchange, a moist environment is created in the wound, which stimulates the removal of autolysis products from necrotic tissue and the destruction of excess collagen.
For a long time, in centers performing surgical resurfacing, the most successful means of caring for the postoperative surface was a 5% solution of KMnO4.
It is necessary to begin procedures almost immediately after surgery to help the body cope with lymphostasis, ischemia, edema, hematomas and to avoid inflammation.
