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Note from the Editor
In 2005 I wrote a paper with my colleague Linda Huang which looked at keloid and hypertrophic scars from a rather different perspective (Burd A, Huang L. Hypertrophic response and keloid diathesis: two very different forms of scar. Plast Reconstr...Early treatment of scars with laser therapy
Wound healing is a complex process, made up of three phases that overlap with each other: inflammation, proliferation and remodelling [1]. The last phase is the remodelling of the extracellular matrix resulting in a mature scar; it lasts from three...CO₂ laser treatment for burn scars
Background Scars, of any type, can be a significant source of anxiety and psychological distress, not only for the affected patient, but also for close friends and loved ones. Scars represent focalised areas of fibrous tissue that replace normal skin...
Assessing the quality of scars from incisions made by a Colorado needle or a scalpel
Traditional teaching has held the best scars are achieved with cold steel although no previous study has formally investigated this hypothesis in oculoplastic surgery. This paper describes a non-randomised cross-sectional study comparing the scar quality achieved from cold steel with...In conversation with Dr Peter Shumaker
“The views expressed in this interview are those of the member and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States government.” Dr Peter Shumaker, Chairman of...How I Do It - Non-ablative laser treatment of surgical and acne-induced scars
Scars tell stories of life – almost everyone has at least one. The disappearance of postoperative scars is important to many of our patients. This is particularly indicated for aesthetically dominant areas such as the face, neck and décolleté, but...
A single blinded RCT comparing triamcinolone with 5-FU treatment for keloid scars
This single blinded randomised controlled trial (RCT) compared 43 patients with 50 symptomatic keloids were were randomised to two matched groups of 25 scars, receiving either flurouracil (5-FU) or current first-line treatment, triamcinolone (TAC). The surgeon administering the injectable treatments...
Comparison of intralesional verapamil versus intralesional corticosteroids in treatment of keloids and hypertrophic scars
This paper by Abedini et al., is a randomised observer blinded controlled trial comparing the efficacy, safety profile, and recurrence rates of intralesional verapamil versus intralesional triamcinolone acetonide in the treatment of keloid and hypertrophic scars. Whilst corticosteroids represent the...What’s new in treating hypertrophic scars and keloids?
World renowned dermatologist, Michael H Gold, explains new treatments available in the challenging field of hypertrophic scar and keloid management. The treatment of hypertrophic scars and keloids remains one of the most challenging conditions that dermatologists face on a regular...
Purse string closure after excision of paediatric facial lesions
Circular excision and purse-string closure has been described for infantile haemangiomas as an alternative to lenticular excision. Records of 77 consecutive paediatric patients with facial skin lesions treated with circular excision and purse-string closure from 2007-2014 were reviewed. Lesions excised...
Traumatic split earlobe repair using double triangular skin flaps
Split earlobes are a common secondary deformity of the ear. Numerous techniques have been described to repair a traumatic split earlobe and break the linear scar. However, most of the techniques require elevation of additional flaps from normal surrounding tissue...
