How To Get Rid Of 4 Year Old Scars?

SCARS   NO LONGER FOR LIFE
      Damaged skin tissues form cuts, burns or other wounds develop scars on healing. The most apparent are the scars that appear on  healing. The most apparent are the scars that appear on the surface of the skin.
    The scarred skin may appear dense and thick, it is usually pale in color than the surrounding skin as it is poorly supplied with blood, and it structurally replaces the damaged tissue.
    Scar formation is a natural process, which is the final  result of a wound healing. Scars are structurally and functionally different than the original tissue that was injured. Scar tissue is predominantly composed of fibrous connective tissue made of collagen fibers.
People  with scars may face physical, aesthetic, psychological and social consequences that may be associated with substantial emotional anguish and financial costs.
    Skin tissue repair results in a broad spectrum of scar types, ranging form a “normal” fine line to a variety of scars such as the following:

1. Hypertrophic  scars are raised scars that remain within the boundaries of the wound, sometime regressing spontaneously after the initial injury that are often red, inflamed, itchy and even painful. They typically occur after burn injury on the trunk and extremities.
2. Keloids extends beyond the borders of the original wound, does not regress spontaneously, grows in pseudo tumor fashion with distortion of the scare and  may recur after excision.
3. Atrophic scars are flat and depressed below the surrounding skins that commonly  arise after a bout of acne or chickenpox.
4. Scar contractures occur when the scare is not fully matured, often tend to be hypertrophic, and are typically disabling and dysfunctional. Scar that occur on joints or skin creases at right angles are prone to develop contractures.
       The current methods of treating problematic scars.
       A simple plan of treatment can be offered with three courses of action-invasive treatment, non-invasive treatment and leave alone management.

1. Non-invasive options   include use of topical gels creams, compression therapy (such as pressure garments with or without silicon sheeting); static and dynamic splints; acrylic casts; masks and clips; antihistaminic drugs (for symptomatic relief) and hydrotherapy. Silicon sheet, with or without adhesive, has become popular.
2. Heparin, cephalin and allantoin treatment  (Contractubex)
   Heparin, cephalin and allantoin gel (Contractubex) has been found to be very effective in treating scars. It can be used  to treat both recent and old scars (less than I year). The patient benefits tremendously form regular use and positive results are obtained within 3-4 months of treatment.

Invasive treatments  commonly include surgical excision. Intralesional corticosteroid injection is widely used but is prone to side effects (skin atrophy, skin thinning, and pigmentary  changes). Other treatments that have been advocated with variable outcomes include interferon gamma, skin grafting and radiotherapy, laser therapy and cryotherapy. Surgical Scar Revision, Dermabrasion, Laser Resurfacing and Pulsed Dye Laser, Soft Tissue Fillers (collagen injections or fat transfer) and Chemical Peels are some of the other options open for scar management.
    Most scars are best left undisturbed by invasive treatment for at least a year to mature before any judgment is made on their line of invasive treatment. Proper counseling of the patient prior to invasive treatment is advisable to help reduce inappropriate demands for treatment.

Conclusion
    One could easily go for the relatively safe option of non-invasive treatment like the use of Contractubex  gel containing heparin, cephalin and allantoin for scar management. It has been found to be one of the best forms of treatment, which is to a greater degree an effective alternative available to patients. Contractubex is  generally well tolerated, even during long-term treatment. Local skin reactions and side effects are very rare. Hypertrophic and keloidal scars, movement restricting and cosmetically disfiguring scars after operations, amputations, burns and accidents, traumatic tendon contractures etc can all be effectively treated.
  

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