Assessment and management of immature facial scars by non-surgical methods

Abstract

Background: Scar quality is affected by patients’ wound healing conditions, trauma type, and skin features that differ due to ethnicity. Despite tremendous improvements in scar remodeling techniques, conspicuous scars can still remain postoperatively. Non-surgical methods used for handling scars include the use of topical corticosteroids, pressure therapy, lasers, and platelet-rich plasma (PRP). This study aimed to assess and evaluate different non-surgical modalities for treating immature facial scars. Methods: Fifteen patients with scars were included for non-surgical management. They received one or more of 5 treatments: corticosteroid injection, topical silicone gel application with or without bandage, pressure therapy, lasers, or PRP injection. Scars were assessed using the Patient and Observer Scar Assessment Scale (POSAS) and serial photographs. Results: There were no significant differences in the results obtained using POSAS. None of the patients required a secondary intervention or sought a second opinion. The rate of complications associated with the treatments were very minor. Conclusion: Good assessment of patient characteristics, proper planning, and appropriate treatment lead to favorable outcomes.

Keywords

• Facial scar
• Immature scar
• Non-surgical methods