SCARS and How to Treat Them like a Dermatologist | Doctorly Breakdown
ฝัง
- เผยแพร่เมื่อ 14 พ.ค. 2024
- Join our private group for the inside scoop: / 5476379669150796
Radiation treatment for keloids: www.pcdermatology.com/contact
Shop Favorite Skincare Products
Shop My Shelf: shopmyshelf.us/shops/dermdoctor
Amazon Favorites: www.amazon.com/shop/doctorly
20% Off Paula's Choice: pcskin.care/drshah
Shop SkinBetter Science: skinbetter.pro/doctorly
00:00 Intro
02:07 What is a scar?
03:36 How to prevent scarring
04:32 Wound care
06:37 How to minimize the scar
10:28 Procedures to minimize scars
14:30 Radiation Treatments (Special Guest)
17:00 Wrapping up, timeframe of scars
Affiliate Links Generate Revenue for the Channel
Disclaimer: This video is not intended to provide diagnosis, treatment, or medical advice. Content provided in this video is for educational purposes only. Please consult with a physician regarding any health-related diagnosis or treatment.
Can you guys make a video on stretch marks next? How to prevent them, different kinds, what u can do after, and treatments if it's been years.... that would be nice (:
YES please! After first baby, want to do better with current scarring and for next baby with prevention and treatment!
micro needling and laser can reduce it
I agree!
Was about to ask for this! We need it 😭
Yes, yes!! Please do ❤
I started watching this channel because I have had such a long history of skin issues. I'm also in NP school and I love when you guys are explaining the WHY and HOW of your recommendations. This channel has great clinical pearls, keep it up!
I love how straightforward and informative you guys are. I love how you break up your videos into sections that we can easily refer to!!
Absolutely love the terminology, and deep dive into the logic behind each approach. You go above and beyond, so thank you! Loved the guest appearance. There is a bit of magic when you get together, even though it’s harder for you.
As always, you two aren't afraid to go deep into the science--and as a viewer, I so appreciate that you respect us enough to do so! Love these videos, and really dig you two!
More (or all) videos together please. Your chemistry and camaraderie are so fun to watch!
I’m so glad y’all are back together! You two look like you’re having so much fun and it puts a smile on my face. Thank you for the wonderful content!
Excellent video and so timely - I'm due to have major surgery next month and I'm worried about scarring so this video has really put my mind at ease. Very interested in the treatment of scarring from a dermatologist perspective. You guys are a brilliant team - keep up the great work!
I used Scar Away silicone bandages after a partial thyroid removal. I used those with real aloe vera gel and was very intentional to use it daily, all day for almost a year. I have almost no scar on my throat. I had to fight people who would tell me that I didn't need to wear it so long but I knew I wanted to minimize the scar. Even the doctor who did the surgery was amazed at how little the scar was visible.
How soon after the surgery did you start to use Scar Away? Did you squeeze aloe gel from the plant or did you buy it?
@@dmclassical08 I started using the Scar Away bandages as soon as the stitches came out. I ordered aloe from a woman in California who had generations of older Aloe plants (massive ones) that she sold cuts from. I would order a supply each month and squeeze the gel straight from the cutting and rub it on my scar. I wore the bandages as close to 24 hours a day for close to a year. Changed them every week to a new one. I can't recommend the silicone bandages enough. They were amazing and you literally can't see a scar now. Hope that helps.
@@JohnDL212 thank so much. I just had a cervical spinal surgery which left the scar on the front of my neck. Will try your method. Thank again and Happy New Year
@@emilyd.4136 I took mine off each time I showered but reapplied it after. I wore it all day and would remove for a few hours in the evening to apply aloe gel to it for a while. From my reading on it they say for the absolute best outcome, you should wear the silicone bandage as long as you can. I definitely slept with it on all night too. I found that just wiping the silicone side of the bandage with a wet tissue sometimes made it stick again (you just wiped the body oils off it). Hope that helped.
@@emilyd.4136 Sure. I think keeping it clean is important but just as important is keeping it well moisturized (I highly suggest a natural organic Aloe) but to really minimize the scar as much as possible you have to consistently wear the silicone bandage for quite a while. Remember the skin heals on the surface much quicker than the skin below which can take as long as a year to fully heal (depending on the natural of the scar). Good luck.
Great to see you guys together, again!! 👍🏽
Always bring in experts to compliment what you’re talking about. I loved that you brought in another Dr. On the video. Thanks!
So great seeing you all back together. Thank you for sharing all the information on wound/scar care.
Thank you guys so much! Thanks to you i not only upped my game with my skincare and slowing down aging a bit, but now also put me at ease with the scars I'm gonna deal with pretty soon. You are great fun and presenting all info in an understood manner ❤️
The camaraderie and jocularity between you guys is so much greater when in one another’s presence! I watched all the commercials just to offset your travel expenses in hopes you’ll do more videos together vs. long-distance 😁
I vote for you guys being together. As today’s show proved, it’s nice to have each other to learn from. Thank you doctors.
When we were kids, my best friend fell on a space heater and burned her outer thigh, it was not horrible because the heater was pretty low because it had been turned off but it was enough to cause a dark hatch mark and peel (she has dark brown skin). Her grandma told her to apply a bit of onion juice from a sliced onion on it several times a day. She never got a mark. So the old wives tale remedies can work :)
Most people or new generation don't believe on those remedies
Wow! The scar cream called Mederma claims it’s active ingredient is made from onion
Could it work for old scars?
@@blessingsara11hi... Good question!! Hope some one reply!!
@@blessingsara11 I don’t think it would it has to be fairly recent is my understanding but I don’t really know.
Thanks for addressing this. I have post surgical scars (2 months old) that I'm dealing with. I've tried silicone scar tape, which led to some pretty bad inflammation of the area, and has taken several weeks to get under control. Scar gel may be my next choice.
Your videos are better, when the two of you are together!
There are 2 post op surgeries scars I have in the past 2 months. Breast reduction and removal of calcium deposits. And later revision on my laparotomy. What is the best for both? Thank you
Yes please, do the videos together whenever possible - you supplement each other so well and you are so very entertaining (no harm in entertainment - it doesn’t detract from all the knowledge you share with us).
You guys are awesome. Just had my first MOHS on the side of my nostril and worried about scarring. Happy to hear your advice is exactly what my doctor told me. Thank you
Love the synergy and fun of having you both together to do these videos! Love the information and tossing all the Neosporin and Hydrogen Peroxide!
So glad you guys are back. You make a great team, educational but you keep it fun!!!
Thank you for sharing this, great info! I had surgery a few years back and was left with scars on my rib cage and microneedling has done wonders to help with the scarring. Since I also suffered with acne scars and have consistently used an at home microneedling stamp, the Banisher 2.0 from Banish, I figured I would try it out on the scars on my side and I'm so glad I did. They have healed so much, and I even apply their Vitamin C Serum after that helps to build collagen. I've seen the scars go down about 60% so far.
It was so good to see you back together!!
Thank you so much for sharing this. Badly placed/sized keloid scars can have so much effect on a persons self-image and desire for connection with others. It’s life-changing to know of the options out there ❤
I agree.
Yay, the dynamic duo is back again!! 😊
Love you guys together! You play off each other and you are entertaining as well as informative( and easy on the eyes!!❤️)
I've had acne and acne scars scars since I was a teenager, I'm 65. Your podcasts give me alot more options for treatment. Thank ya'll, awesome podcast's.
Love seeing both of you together again❤ It’s THE vibe!🎉
💛
Could you please include information for dark skin tones. Specifically Africans. A lot of your examples are tailored for fairer skin. Redness doesn’t show up as red on our skin. Thank you. I love the videos though
A friend & I were discussing Sepsis, which I survived in 2017. A big warning with white skin is loss of pink, skin is abnormally pale. She asked about black skin. I did not know. Blue, grey, noticeably pale. A rash may be present. Test with a jar. The palms may be easier. You will feel increasingly unwell. Everyone needs to be sepsis aware.
Omg thank you so much for mentioning and talking about laser treatments!! I found myself a clinic that hsa many different scar reduction options and now I'm going through different laser treatments and chemical peels and sometimes with some dermapen and microneedling action too to get rid of my deep acne scars.
Getting done treatmets like fractional resurfacing, IPL, iPRF. It's not cheap but I see results so fast and can't wait to get fully rid of my scars!!
Soooooo glad you are back together !!!!!!
You both are the BEST….knowledge and personalities….and even better together. I always feel like you teach me so much and entertain me at the same time.
I recently came across your channel and love the content! I'm now binge watching all your videos and sharing them with family and friends. You make a great team and I love that you don't take yourselves too seriously. I'm turning 64 next week and I hope it's not too late for me to make some positive changes to my skin care routine.
Im 72 and I just found out about niacinamide. So far so good!
My youngest just had VNS surgery this week-perfect timing!!! Thank you for the info and appreciate you both!! 🥰🤟🏼
Thank you for taking the time to do these videos!
Love it when you both are together! Best chemistry!
I had a partial thyroidectomy 19 years ago, before that incision was made on a wrinkle or line on the neck. This was back when it looked like you were partially decapitated 🙂. It did turn into a hypertrophic scar and somewhat darker. The scar has never bothered me so I just let it be. Almost 20 years later it’s barely noticeable. It’s lightened almost completely and it did flatten on its own. The ONLY thing I’ve always had a problem with is the sensation on the scar itself still to this day.
I have a scar from an acsedent when I was little it left a scar that is just lighter than my skin tone but doesn't tan. It definitely affects my confidence I'm happy I found this video cuz now I know where to go to treat the scar! Thank you so much!
Hi, May I ask Where do you go in Illinois? Omg my white thick scar on face loosing my confidence🥲
This Channel is my no 1 on whole TH-cam.
Thank you.
The chemistry in between two of you is so beautiful. You are humble, pleasant and trurly amazing ❤
Enjoy seeing you guys having a good time together ❤️
So happy to see you both together. The energy from your interaction is fabulous to see. Very entertaining to watch and learn. Keep it up.
Yes and to add to this comment-can you guys go into the dermaclara brand and whether you think those patches work?
Hello, what a blessing to come across y'all's video! I just had a 20 lb fibroid removed from my body almost 4 weeks ago. I weighed 167 lbs now I'm at 135. So I was curious on how to get rid of the extra stretch marks and just helped my stomach heal. I'm happy to say that watching your video has given me plenty of insight on my options and lots of hope for a prettier tummy! 🙏😊 I'm a new subscriber and thank you!
Wow! You had a 20 pound fibroid?! You poor dear.
Oh goodness!! I hope you’re doing well😊
So educational, thank you! And your editor has a sense of humour so it’s educational and entertaining to watch!
You guys are great. I love the energy when you are together for these video. Thank you for the wealth of information. It is helping me as I truly dive in to my skin care.
I have breast cancer and just had a double mastectomy and reconstruction. This information is so greatly appreciated! You two are amazing! Thank you ❤
I hope your recovery goes smoothly! ❤❤
Me too! 🙏🏾❤️
This video came out at the perfect time, I underwent a surgery in July, the incision I had has developed into a hypertrophic scar. I visited my derm yesterday and she recommended getting a corticosteroid injection after 6 months.
This video has been extremely informative for my scar management journey. Props for making this video 👏👏👏
did your scar still visible ?
@@sajenshrestha9061 so I did get the corticosteroid injection as prescribed and it helped tremendously, it has flattened out my keloid and the pigmentation is also gradually fading over time. Additionally my doctor has prescribed using silicone gel (hexilak ultra gel) or silicone sheet aswell as tazarotene 0.05% (tazret gel) to improve the appearance of the scar over time.
Please keep in my mind that a surgical /incision scar can not completely vanish. We can only minimize the appearance of it and make it less prominent.
I might consider lazer ( if it is an option in my case) maybe a year from now.
@@sajenshrestha9061 also I'd like to mention that if your wound or scar is still fresh (I.e. it's hasn't been a year) any topical treatment that you will use now would be more effective now than a year later when you scar has fully developed and matured.
Your scar management strategy should be to try to keep the scar as flat as possible and prevent it from developing into a keloid, in case it starts developing into a hypertrophic scar/ keloid try to get a corticosteroid shot as soon as you can and try to use silicone gel/ or sheet in the meantime.
I cannot recommend getting a corticosteroid injection enough, it the best you can do early on in your scar treatment. It also helps with pain, irritation, tugging sensation and itchiness that you might have in the area of your scar/ wound.
I am soooooooo happy to see you guys TOGETHER!❤❤❤❤🎉🎉🎉😊
Great content and love the positive vibes and chemistry between you two. You guys are a pleasure to watch.
I was disappointed that you didn't provide more info on steroid injections for hypertrophic scars...how often and which types of steroid works best and to avoid, i.e reducing hyperpigmentation on people of color? I would a appreciate follow up video. Thanks! Glad to see you two together again.
Remember, all wounds heal from the bottom up. You need to keep the wound clean and covered with the dressings that your doctor prefers. You will get wound care instructions when you leave the hospital, outpatient surgical center, or office. Don't deviate. If you think it's healed, it isn't. Keep treating until the skin has healed. I tell my patients to keep the wound treatment up for 3 months after the epidermis appears healed.
After Gallblader removal zero wound care instructions. 😑Even after asking post surgery it was brushed off.
Same. No instruction given on wound care after unilateral mastectomy.
Elizabeth, I am 75, 1 year go 30% my body burnt and skin grafted, still have pain and tightness. I am using e -oil, I am overwhelmed lots suggest products. I am grateful your knowledge.
used appropriately, Elase ointment (fibrinolysin) and Silvasorb (antimicrobial wound dressing) can aid in healing with minimal scarring by keeping edges of the wound from drying out and forming cicatrice scarring
@@deltasquared7777 Thank you so much
Medical Esthetician here always learning more from you two. Thank you! 😎
I appreciate experiencing the fun chemistry between the two of you. 👍
Just had spine surgery that left me with 7 scars each up to 6”. I’ve been searching for the right products. Thanks!!
but girls dont care about wound scars tho, and dont care even if it grows to the size of the sun
I have missed you two SO much!! Please do these videos as frequently as possible. There are very few reputable doctors that can be trusted to give honest advice via TH-cam. Please don't stop!! This video was especially helpful for me. I had an accident 3 weeks ago and have a huge abrasion on my knee cap. I've been keeping Vaseline on it per my doctor. I just purchased the Scar Away sheets and liquid because I remembered you recommending it in a previous video. Thank you both.
You guys have to do more together... it's so much fun with you both and you learn something... love it❤❤
Thanks so much for this informative video! As a recurring skin-cancer patient this is extremely helpful in verifying my silicone treatments.
This couldn't be a more timely find! Thank you so much! I just had an ACDF 2.5 weeks ago so I have a fresh 3-4” scar across the front of my neck. I had been using bacitracin until the stitches came out per my surgeon's orders and now scar tape, so I'm really happy to have the regimen confirmed. Extra delighted because I have EDS so my scars are unpredictable.
Years ago I got a huge and very deep Harley bite (tail pipe burn) on my right calf. After the danger of infection was past with a few weeks of silvadene, I applied zinc oxide and a single layer of gauze to keep dirt out of it for about six months. There is literally no scar at all. Nada. I can't discern where the burn was. So I still think zinc oxide is the best treatment, but I do scar tape because everyone tells me to.
From what I know a scar can take up to 1.5 years to really know how it will look. I got a hockey stick to the eyebrow and it was pretty big. I did not go to the doctor because it was done bleeding and did not need stitches. I put antibiotic cream on it until it completely healed and had no scab. It’s about 8 months in and looks significantly better every month. Do you think cream does anything past the point of healing up? I mean sure I can see it getting to the dermis or epidermis, but a scar is like an iceberg when it is from blunt force trauma or a cut.
So fun and helpful! Thanks docs!
Good to see you all together again 😊
Hey, I'll watch your videos if you do them individually or together - the latter is my favorite. The dynamic between you two is great!
Hey Doctorly. What are your thoughts on microneedling the scalp for hair loss + a natural topical (including those you have recommended like pumpkin seed caffeine, rosemary oil and supplementing saw palmetto and curcumin) + aquaphor to lock in oils overnight?
The aim is to speed up the microneedling recovery phase and absorption of the topical.
Cheers!
Thank you. As someone with a self inflected 4 centimeters radius 2nd degree burns who had over 150 stiches for deep wounds during the course of my life, this helps a lot.
You are of huge help for people struggling with symptoms of severe mental health ilnesses, because once you come out of the hospital psych ward, you're kind of on your own, because for some people, it's very hard going to see an actual professional who is not a psychiatrist and say "I did this, I did this on purpose".
The open wound burn took over 6 months just to close, so I'm not quite there yet, so I am guessing the time window is a bit different for me, but as soon as I notice the wound actually healed and seemed "robust" enough, I'll be moving on from vaseline to silicone sheets.
Thank you again.
This is nice but no need for intense description, other people read and still struggle with that
May God bless you with peace of mind and blessings!
I love that you guys are back. How about old age thin skin that bruises so easily.
I used Mederna back in 2002 after having an antier lumber fusion. My scar was from my belly button all the way to my pubic bone. After using the Moderna, the scar was barely noticeable. My surgeon was amazed.
The silicone may work well also, but I was sold on Moderna after it worked so well on that large scar.
I love all of your informative videos, keep them coming!!
I had my spine cut open on the exact same spot three times and definitely more to come. So happy for this video, each time I am more and more afraid that it won’t heal, but this video shows me the best way to treat them 😊
I’m so sorry, I hope you have good health from now on
I’m about to go back in for a revision on my spinal fusion since my screws broke, i definitely relate to it being scary. kinda just brings up old feelings of fear mostly!
@@ParaTara I'm so sorry, I wish you the very best & although I haven't no where near as bad, I'm probably going to have a disc replacement in L5-S1 in the future after a car accident.
You both change my life 😢 I had a bad acne since then, been to dermatologist and spends thousands of 💸 and you two introduce me on the products that I had never heard before. Thank you ❤
Share what worked for you pls.❤
Hi sorry to bother you can you mention please what product did you use becoz I have really bad acne I used so much stuff but nothing is working 😔😔
Yes please tell us what products you used??
@@mahi3764 Acutane it gets dry but makes the face better
@@akumaghilardi2992 thanks for texting...you know can we use this on full face?
I love when you are back together! And the amount of shade from Dr. Shah 😂 I'm here for it!
Love when you’re back together!!!
This is a such needed video ! This scar on my throat from my surgery i hate so much 😢 thank you for this
aw i hope you’re ok love ❤
Such a great informative video! I love how you both explain everything so well and teach the viewers. However, what are your thoughts on the environmental effects of Vasoline (or petroleum jelly) as it is a byproduct of gasoline production or the claim that it has poly aromatic hydrocarbons (PAH)?
Hands down one of your best videos!👏. Thank you so much for all the valuable information😊
Fabulous teaching! Learned so much now what to do after my lipo sculpture scars next wk. keep the show going 🙌🙌
Loved this as I have a number of surgery scars I've collected over the years. You didn't say how best to treat hypertrophic scars though. Would you treat them like normal ones or keloid? I have a rather large one from a laparotomy so would love to know so I could try to improve it.
Love your channel. Thank you for your always interesting, informative and entertaining videos. I got the impression that this video pertained more to post-op incision type scars. Would the same apply to large, deep graze-type scars? I’ve had a few sporting mishaps recently and can’t imagine applying Vaseline on the area, when I almost faint just looking at it!
All these young, smart Dr's is great to see ❤
Perfect timing guys. I just had surgery and I'm working to minimize the scaring afterward.
These guys look like they've never had a scar in their life.
LOL
Fr
😂
😂
Did Dr Shah not say like halfway through that he had a chest scar? Case closed.
dr. maxfield's reaction when the guest compliments dr. shah had me dying lol
I love the interactions and energy between you when you’re together, it’s 1 + 1 = 3
Great seeing you two together 😊
Love this! I had a laparoscopic surgery mid-May and I used silicane sheets consistently for 2.5+ months for 22-23 hours a day consistently (June, July, & August)... but then I fell off during a birthday trip. For the last couple of months, I still used them but not as consistently. I know I was supposed to use them for AT LEAST three months based on the data, but I lost the habit. I've picked it back up now. Hoping I still have some hope! Unfortunately, one of my scars as a little bleb of hypopigmentation, but it's really the 3 little lines from the insicions that I want to make sure vanish as much as possible.
One problem I do have though... is I may have to get another surgery. I wonder if it's safe for them to enter back into the places they did before. If so, I'm doing all this work only to have the scars right back again.
Same here. I may need the same surgery again in the mean time I need to get rid of or minimize the current scars.
@@ebo7310 The silicone sheets really did a great job! I did a lot of research before my surgery to understand the stages of scar healing and followed those to the T for the first 2 weeks after surgery. Then I used the silicone sheets after that. I bought the ones for C-sections and then cut it up into baby strips for my scars (saves so much money). Everyone else sys they're barely there, but (of course) I notice them alot. However, compared to other scares that I've healed on my body, I can say that they absolutely made a diffrence. Still a lot of healing to go though. I decided I'm going to keep using the silicone as long as possible. Sounds like overkill, but I just want to give them every chance to heal nicely. After my second surgery, I'll probably try CO2 lasers.
Hello Dr Shah and Dr Maxfield! Thank you so much for your amazing videos. Being a medical doctor myself, i find your videos a fun way to keep up with new papers! I was wondering if you could compile a list of landmark papers we could go through as a reading list for more details on what was discussed on the videos? thank you so much
Hi, you guys (doctors) are so informative, knowledgeable, funny, have great chemistry 'working together' and simply the 🤟please keep on doing what you're doing
I watched this video and was nodding the whole time because I previously did extensive research on how to prevent/treat my surgical scars. Good to know that all the sources/articles I referred to were valid 😅
Great info. What are your thoughts on medical tattooing for scars that have hypopigmentation ?
Hi Dr Shah & Dr Maxfield, I have a 10 year old post surgical scar but it's still itchy sometimes. What can I do about it? Appreciate your videos and your efforts. Cheers.
I GREATLY appreciate you guys making this video - thank you soooo much!😊💕
I’ve waited for a video like this in a while😍
I have a terrible cat scratch that I have been trying to keep clean and moist. It is on my face. Two months later and it is still so tender. Glad to find out that it is really early still in the healing process
Omg i have way to many cat scaratches scars on. my hand
. my hand looks horrific and i want badly to get back. my beautiful scar free skin.
How you guys doing with scars ?
My cousin starts having kind of Milia/ Syrigoma around her neck after heaving her first baby. Is there any treatment for that?
Love to see y’all together!! ❤🎉
Good to see you together!😃
I had surgery that required an incision from in front of my ear down to my neck (as well as a drainage in my neck). The silicone gel was easier to apply, but I switched within a couple of weeks to the silicone sheets that were more effective. I used them for four months. I'm happy with the results. However, I never got the sheets to stick for more than two days. I put a new one on every day after my shower. It also takes practice to figure out how to apply them yourself. Shop around for prices, because some stores charge double the price. I hope this helps someone recovering from surgery.
Does this also apply to keloids from laser mole removals? Thanks!
I'm thankful for the emergence of young experts here. Before, when I needed to research about skin solutions, there were a few skin doctors who are less likely to recommend an affordable drugstore product. I don't resort to home remedies if I need at least 6 ingredients to mix in a bowl.
Charlotte, NC : hey DOCTORS. Thank you for all of the advice. I really use it.
Is there any way to fade or remove scars from cuts and burns through objects? I have quite noticeable self-harm scars that have become a trigger for me and are now associated with my PTSD. It's been years but the scars have not gone away. Any advice would really help :)
Finally!!! I really miss how Dr Maxfield looks at Dr Shah 😝😝 Now I feel complete again 😂
Luv to see you guys together again 👍🏼😁❤
Love y’all together, great topic!