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Prevention of keloid and hypertrophic scars
Medical expert of the article
Last reviewed: 08.07.2025
As noted above, the addition of a secondary infection and concomitant chronic inflammation contribute to the appearance of keloid and hypertrophic scars. Often such scars occur in patients with a genetic or acquired predisposition, but no less often in weakened patients, especially after major injuries, burns, against the background of an accompanying infection.
Strictly speaking, the prevention of pathological scars coincides in many points with the prevention of complications after aesthetic and dermatosurgical operations, as well as with the prevention of scars after various skin injuries. However, patients with a predisposition to such scars and patients with developed prolonged inflammation of the destruction zone are a potentially dangerous contingent in this regard. Therefore, they require increased attention and more careful observance of all points concerning the prevention of scars.
Such patients require:
- cleanse the wound surface as quickly as possible using enzymes, antibiotics, antiseptics, biologically active wound dressings,
- improve microcirculation and reduce tissue hypoxia with the help of vasoactive drugs (theonikol, andecalin, trental, capilar, sodium salicylate, oxygen insufflation);
- improve metabolic processes and increase tissue resistance with the help of microelements, vitamins (K, Fe, Mg, Mn, Zn, vit. C, group B, E); systemic enzyme therapy; biologically active substances administered per os, phonophoresis, electrophoresis, laserphoresis, mesotherapy;
- increase local and general immunity using immunomodulatory drugs: imunofan, immunal, thymolin, thymogen. aloe, vitreous body, decaris, interferon-alpha, gamma, interleukin-2 human recombinant, oxygen therapy, ozone therapy;
- to treat wound surfaces under modern moisturizing and antiseptic wound dressings:
- At the stage of completion of epithelialization, it is mandatory to conduct at least one session of Bucky therapy or a course of close-focus radiotherapy.
- recommend that at home you lubricate the scars with Contractubex or Kelofibrase at least twice a day, alternating with hydrocortisone ointment.
If, despite the measures taken, the patient notices a growth of the scar or an increase in color towards a red-blue color and itching, it is necessary to begin systematic treatment of the scar with a dermatologist or dermatocosmetologist.
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