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IMCAS Americas 2019
Program

S73

Keloid & hypertrophic scars

Room: Room 2
Date: Saturday 3 August 2019 at 13:00 to 14:00
Format: FOCUS SESSION > lectures covering a major topic of the congress
Objectives: 1. Compare and discuss surgical and non-surgical treatment methods for scars 2. Discover novel scar management strategies based

Chairs

Dr Felipe CASTRO ESGUERRA

Plastic Surgeon

Colombia

Dr Anthony ROSSI

Dermatologist

United States

Lectures of the session

Hours	Speakers	Lecture title	Abstract	Number
13:00	Dr Peter VELTHUIS	Emerging therapies in scar management	View	94843
13:12	Dr Johnny DE LA RIVA GUZMAN	New procedure in treatment of keloid scars	View	86469
13:24	Dr Gilbert ZAKINE	Surgical treatment of scars		95043
13:36	Dr Hugues CARTIER	Botulinum toxin for scars: why not?	View	95044

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Scars

Dermatologic surgery

Dr Peter VELTHUIS

Dermatologist

Netherlands

Other author(s) :

Emerging therapies in scar management

Objectives: This presentation introduces the most promising newest treatment options in scar management

Introduction: Different scars need different treatments. Sometimes a combination may be the most beneficial. The search for newer ones is ongoing.

Materials / method: New treatments for scars were identified and tested

Results: Promising new treatment options to be covered are Microneedling with Radiofrequency, Transepidermal Drug Delivery systems and Fractionated Picosecond Lasers

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Dr Johnny DE LA RIVA GUZMAN

Dermatologist

Bolivia

Other author(s) :

New procedure in treatment of keloid scars

Objectives: El objetivo principal es ofrecer un tratamiento satisfactorio para una patología frecuente y recurrente como es el keloide y poder demostrar que con cirugia
minimamente invasiva en cada zona del cuerpo se determinar el procedimiento a seguir no todos los sitios son aptos para un solo procedimiento.

Introduction: Los keloides son cicatrices fibrosas de crecimiento progresivo con una etiología no definida supuestamente de caracter genético, la injuria de la piel en cualquier sitio expuesto o definitivamente quirúrgico es suficiente como para desarrollar el crecimiento de los tejidos circundantes mostrando muchas veces hipertrofias gigantes.

Materials / method: Los materiales utilizados son de una caja básica quirúrgica con la presentacion de punchs de diferente calibre y de largo adecuado a cada keloide igualmente la utilizacion de Triamcinolona y 5 F.U.

Results: Los resultados son satisfactorios sobre todo los de menor tamaño y los que se localizan en la oreja desde luego con un seguimiento continuo cada 15 días y también importante la compresión constante.

Conclusion: Conclusión de haber aportado con unos métodos relativamente nuevos por cuanto se ensayó muchas formas de detener el crecimiento del keloide con siliconas y la infiltracion de corticoides con resultados ya conocidos .La conservacion de la dermis en muchos casos es fundamental .

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Dr Gilbert ZAKINE

Plastic Surgeon

France

Other author(s) :

Surgical treatment of scars

Objectives: After reminding the pathophysiological and histological definition of keloid scar, its predominance and its contributing factors, this presentation focused on surgical treatment and the prevention of keloid scars.

Introduction: Severe and extensive keloids often have only a surgical indication

Materials / method: Surgical indications are presented. Surgical techniques to excise and reduce the risk of relapse are described. Clinical cases, on African and Asian skin are presented. Several medical treatments and their indications are also remained.

Results: Treatments for thick or extensive keloids are often surgical. The prevalence of keloids in dark, African or Asian skin is higher than for Caucasian skin. Skin excision, local and loco-regional flaps, skin graft and dermal substitutes are used for keloid treatments. Occlusive and compressive dressing can help decrease the risk of hypertrophic scar formation and technique such as minimal tension scar, compression silicone sheet, silicone gel application, or injections. intra-incisional corticosteroids are explained.

Conclusion: The place of surgery in the treatment and prevention of keloids is essential. Severe and extensive keloids often have only a surgical indication.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Dr Hugues CARTIER

Dermatologist

France

Other author(s) :

Botulinum toxin for scars: why not?

Objectives: Each scar type has a different structural cause warranting a customized approach.

Introduction: Many cosmetic options exist to address these changes individually, but little literature exists about the safety and efficacy of combining such procedures and devices as hyaluronic acid, corticoids, laser and why not botulinum toxin.

Materials / method: A Medline search was performed on combination treatments because it relates, and results are summarized. In a personal practical application for using toxin is discussed_

Results: Review of the literature revealed multiple single options for scar treatment with minimal evidence in the literature found on the safety and efficacy of toxins.

Conclusion: The authors' experience is that combining treatment techniques if necessary can be performed safely and synergistically with optimal patient outcomes.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

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IMCAS Americas 2019 Program

S73

Keloid & hypertrophic scars

Chairs

Lectures of the session

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IMCAS Americas 2019
Program