[music]hello, iâ€™m dr. neal schultz [pause] and welcome to dermtv. in other episodes i discussed what scars areand in the acne scar episode i discussed how to treat the pushed in or whatwe call atrophic scars that you get from acne, such as ice pick scarsor even the crater shaped scars. and by the way, chicken pox scars are anothergood example of pushed in or atrophic scars. but what happens if you geta raised scar? the type that you get from deep cuts and injuries or evenfrom having had stitches or a
surgical procedure. those scars are usuallywhat we call hypertrophic scars and they usually are raised, firm and theystart out pink or red and then they finally become white. now if you geta cut along your hand, a straight cut, and you get a raised scar from that cut,the raised scar is going to be right over the area of the cut. itâ€™sover the footprint of the injury and thatâ€™s to distinguish these hypertrophicscars or raised scars, which is what weâ€™re talking about today, fromkeloid scars which, once you have an injury, they grow in all different directionsand become much bigger than the footprint of the injury. so for athome treatments for raised
scars, there are silicone sheets or even scargels like mederma and this scar gel from duane reade. the scar gels havechemicals called polyethylene glycols or even polymethacrylates. usuallythese products work over a period of weeks to months to fix the scarbut iâ€™ll give you a tip for another home treatment. take some vaselineor any other lubricant and very firmly rub the scar for 15-30 seconds, threeto four times a day for a few weeks and that may well make the scar go away.itâ€™s the rubbing and the pressure that makes the scar better and thevaseline or whatever other lubricant youâ€™re using is just to preventa skin irritation. but what
happens if these treatments donâ€™t work?then you see your dermatologist who will shrink the scar and normalize it withtiny injections of cortisone or if the scar is young enough so that itâ€™sstill pink while itâ€™s raised it can be fixed with painless laser treatments.okay, so you have a raised scar, what the big deal? why bother treatingit? the reason is, if you donâ€™t treat a raised scar over a periodof time it becomes fixed and hard and when that happens, then even the pressureof clothing touching the scar is very painful and at that point the scarsare very difficult to treat. so, the bottom line is, if you get a raisedscar after an injury, get it
treated sooner rather than later because itâ€™smuch easier to fix it sooner.