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Cirugía Plástica Ibero-Latinoamericana

On-line version ISSN 1989-2055Print version ISSN 0376-7892

Abstract

PREZZAVENTO, Gustavo; RACCA, Liliana L.  and  BOTTAI, Hebe M.. Scarring: an evaluation of two topical treatments commonly used in post-aesthetic surgery scar. Cir. plást. iberolatinoam. [online]. 2017, vol.43, n.3, pp.255-263. ISSN 1989-2055.  http://dx.doi.org/10.4321/s0376-78922017000400006.

Background and Objective

Healing is a complex process that involves different cell types and phases of inflammation, proliferation, remodeling and repair. Each one is characterized by specific biochemical events and characteristic cell leading to the regeneration of damaged epithelium.

This study compares and evaluates 2 treatments, applied topically in 2 post-reconstructive aesthetic surgery scars of the same patient with the purpose of determining if there are differences in the characteristics of the same. Particularly in Aesthetic Surgery, it is sought that the new tissue does not stand out from the surrounding skin.

Methods

One of the treatments consisted in applying topically a cream with silver sulfadiazine, vitamin A and lidocaine, and the other a moisturizer without any active ingredient.

Linear and superficial scar measurement, scar severity (Vancouver Scar Scale) and patient perception (Patient and Observer Scar Assessment Scale) were used as parameters to evaluate the results.

Results

They show that the use of a topical treatment with a cream containing silver sulfadiazine, vitamin A and lidocaine decreases the wound size faster, improves scar quality and increases patients positive perception in comparison with those scars treated topically with a cream without active ingredients.

Conclusions

The topical use of a cream containing silver sulfadiazine, vitamin A and lidocaine is a therapeutic option that improves the final aesthetic and functional result of post-surgical scars.

Keywords : Wound healing; Scar; Surgical wound; Silver sulfadiazine; Vitamin A; Lidocaine.

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