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Hypertrophic Scars and Keloids

What is Hypertrophic Scars and Keloids? 

Hypertrophic scars and keloids are types of thick, raised scars that form when the skin heals after an injury, surgery, burn, or even minor cuts like acne or piercings. A hypertrophic scar stays within the boundaries of the original wound and may improve over time, while a keloid grows beyond the wound edges and often continues to enlarge. These scars can appear red, itchy, painful, or firm and may cause discomfort or embarrassment, especially when located on visible areas like the face, chest, or ears. Dr. Vicky Jain helps patients manage these scars through personalized treatments like silicone therapy, steroid injections, laser treatments, or surgery, depending on the size, location, and individual skin response.

Why Do People Consider treatment for Hypertrophic Scars and Keloids

  • 1. Cosmetic reasons:

  • To reduce the raised, thick, or discolored appearance of the scar.

  • To improve skin texture and smoothness in visible areas like the face, neck, chest, or ears.

  • To boost self-confidence and reduce the emotional distress related to the scar’s appearance.

  • 2. Functional reasons:

  • To relieve itching, pain, or sensitivity caused by the scar.

  • To improve movement or flexibility if the scar is located near a joint (e.g., neck, elbow, shoulder).

  • To prevent recurrence or enlargement, especially in keloids that keep growing or become irritated.

Dr Vicky Jain Approach to Post-Burn Contracture (Neck, Hand, Elbow, Axilla, Knee)

Dr. Vicky Jain’s approach to Post-Burn Contracture (Neck, Hand, Elbow, Axilla, Knee) is rooted in restoring both function and appearance through personalized, step-by-step care. He begins by carefully assessing the severity of the contracture, scar quality, and impact on mobility or daily activities. Depending on the case, he may recommend techniques such as Z-plasty, skin grafting, or flap reconstruction to release tight, scarred skin and restore joint movement. The focus is not just on releasing the contracture but also on ensuring long-term success through custom splinting, physiotherapy, and scar modulation after surgery. Dr. Jain emphasizes minimally invasive methods where possible and prioritizes the patient’s comfort, functionality, and aesthetic outcome at every stage.

What is the suitable age group for Post-Burn Contracture (Neck, Hand, Elbow, Axilla, Knee)?

Post-burn contracture surgery can be performed at almost any age, depending on the severity of the contracture and its effect on daily function or growth. In children, surgery is often considered after the scar has matured (typically 6–12 months post-burn), especially if the contracture is limiting movement, affecting joint development, or causing difficulty in everyday activities. In adults, age is less of a limiting factor as long as the person is healthy enough for surgery, treatment can be done whenever the contracture impacts mobility, posture, or quality of life. Dr. Vicky Jain customizes timing based on individual needs, ensuring both safety and effectiveness.

How long does recovery take for Post-Burn Contracture (Neck, Hand, Elbow, Axilla, Knee)?

Recovery from post-burn contracture surgery usually takes around 2 to 6 weeks, depending on the area treated, the extent of the surgery, and the patient’s overall health. Initial wound healing typically happens within the first 2 weeks, but physical therapy and splinting may continue for several weeks or even months to restore full movement and prevent the contracture from coming back. Dr. Vicky Jain ensures that patients receive a detailed recovery plan, including scar care, physiotherapy, and follow-ups, to achieve the best functional and cosmetic results.

Tests Requirements

Before undergoing surgery for post-burn contracture (in areas like the neck, hand, elbow, axilla, or knee), a few important tests are required to ensure safety and proper planning. These typically include blood tests (like CBC, blood sugar, and clotting profile) to check general health, X-rays if bones or joints are affected, and sometimes ultrasound or MRI to evaluate deeper tissue involvement. A physical examination and range-of-motion assessment help understand how much movement is restricted. Dr. Vicky Jain may also recommend anesthesia fitness tests to confirm readiness for surgery, especially in children or those with other health conditions.

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