Nonoperative techniques for scar management and revision.
Facial plastic surgeons are frequently called upon to manage facial scars, whether iatrogenic or traumatic. Numerous treatment modalities are available for scar management depending upon scar characteristics, age, and patient expectations. The focus of this article is to review commonly used nonsurgical methods of scar revision. These include topical applications (silicone, vitamin E, pressure dressing, herbal extracts), intralesional medication (steroids, antimitotics), soft tissue augmentation (collagen, fat), laser applications (585-nm flashlamp-pumped pulsed dye, CO(2)), cryotherapy, and make-up camouflage. Nonsurgical modalities can be used as prophylactic prevention of adverse scar formation, as definitive treatment, as intervening therapy until further surgical repair can be made, or as adjunctive treatment following surgical scar revision.
Chang
C W
CW
Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University, Nashville, TN 37232-2559, USA.
Ries
W R
WR
D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D000970:Antineoplastic Agents / Q000008:administration & dosage; D002921:Cicatrix / Q000628:therapy*; D003357:Cosmetic Techniques; D003452:Cryosurgery; D005145:Face / Q000601:surgery; D005440:Fluid Therapy; D006801:Humans; D015552:Injections, Intralesional; D028022:Low-Level Light Therapy; D009824:Ointments / Q000627:therapeutic use; D011312:Pressure; D019233:Retreatment; D012828:Silicones / Q000627:therapeutic use; D015626:Tissue Expansion
D000305:Adrenal Cortex Hormones; D000970:Antineoplastic Agents; D009824:Ointments; D012828:Silicones