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Q. Can children develop hypertrophic scars after scar excision?


 

Hello doctor,

My son has one somewhat large scar on the right side of his neck and a small scar on the left side of his neck from a burn injury since 10 months ago. He has received three laser treatments, and it looks much, much better. My son is almost 2 years old. Our plastic surgeon would do a scar excision if we wanted him too (or more laser treatments) but is leaving it up to us. I have read that other plastic surgeons say to wait until the teens so that the natural growth factors produced by a child do not result in a more hypertrophic scar after scar excision. Are children really more susceptible to the formation of hypertrophic scars after scar excision? I am trying to determine if scar excision is really the best option for him.


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Dr. Sandeep Dawre
MBBS., MS ( GENERAL SURGERY )., MCH ( PLASTIC AND RECONSTRUCTIVE SURGERY
Cosmetology, General Surgery, Plastic Surgery – Reconstructive And Cosmetic

Hi,

Welcome to icliniq.com.

Your son has a post-burn hypertrophic scar over the submandibular region.


Probable diagnosis:

Post-burn hypertrophic scar.

Treatment plan:

It is better not to do any surgery now for the scar as if the surgery is done, there will be a risk of hypertrophic scar again. This scar will improve over the period. Scar revision can be done later if wanted when the patient is a little grown-up.

Preventive measures:

To improve scar, the following can be done.
Scar massage, silicone gel to be applied twice a day, pressure garment if possible to reduce the chance of hypertrophic scarring.

 
 
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