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Skin scarring

2003; BMJ; Volume: 326; Issue: 7380 Linguagem: Inglês

10.1136/bmj.326.7380.88

0959-8138

Ardeshir Bayat,

Genetic and rare skin diseases.

Deciding whether to treat a scar or leave it alone depends on accurate diagnosis of scar type and scar site, symptoms, severity, and stigma Each year in the developed world 100 million patients acquire scars, some of which cause considerable problems, as a result of 55 million elective operations and 25 million operations after trauma. 1 There are an estimated 11 million keloid scars and four million burn scars, 70% of which occur in children. 1 Global figures are unknown but doubtless much higher.People with abnormal skin scarring may face physical, aesthetic, psychological, and social consequences that may be associated with substantial emotional and financial costs.This article reviews the spectrum of abnormal scar types, a range of problems associated with scarring, and provides advice on assessment, treatment, and new therapeutic developments. MethodThis article is based on our scientific and clinical experiences in dermal scarring and on selected articles in recent issues of journals on plastic and reconstructive surgery, dermatology, and wound healing.