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Scars are marks left by a healed injury, burn, or incision. It is composed of tough fibrous tissue. Scar tissue on the skin may become abnormally thickened, raised, or red. This is called a keloid scar. Keloids are a mass of excessive fibrous tissue that appears at the site of a scar. Dark-skinned people are more prone to form keloids than are people of other races. Most unsightly scars can be removed or treated by cosmetic lasers, peeling or 'polishing' methods, various mineral and antioxidant supplements to help healing from the inside out, and the use of topical biological products to encourage tissue healing. Is any scar truly permanent? For the most part, scars in general are forever, although there can be ways to minimize the severity of the scar visibly. That means a scar can be improved or camouflaged and therefore reduced visibly, but there is usually some trace of a scar. Are there parts of the body on which scars can't occur? Usually the development of a scar is likely anywhere on the body. It's just a matter of how much of a scar is noticeable. Therefore, if there's an injury, there will usually be some residual scarring. The degree of scarring oftentimes depends on the age of the individual being scarred at the time of scarring, and the ethnicity of that individual. So, usually the younger the patient, the fairer the complexion and eye color, the more minimal the scar is. What is a hypertrophic scar? A hypertrophic scar is a scar which is visible, raised, large, red and oftentimes troublesome. It is an undesirable form of scarring and commonly responds to some form of treatment if you treat it early enough. How do you eliminate a hypertrophic scar? It depends greatly on the age of the person, the gender, where the lesion is, how the scar was formed, how long it's been there and whether anybody has tried to reduce it previously. All those factors will determine the usual treatments which will involve laser reduction. I am pregnant now and want to avoid getting stretch marks. What is your advice? Generally speaking, stretch mark appearance is an inherited trait related with with hormonal/skin changes during pregnancy. In general, there are very few effective ways to reduce stretch mark formation during pregnancy. Either they appear or they don't. The intelligent thing is to treat the stretch marks early, after they appear, or during the last months of pregnancy. You can safely take oral Vitamin A, C and E supplementation. What is a keloidal scar? A keloid scar is the same as a hypertrophic scar but it is older and it is commonly fixed, implying that a hypertrophic scar is usually still evolving or maturing. A keloid is commonly a scar which is in its final form and is somewhat more difficult to remove or remodel. Keloidal scars, depending on where they are, can be remodeled but with greater effort.
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