What does "scar constitution" mean?

Written by Liu Gang
Dermatology
Updated on September 23, 2024
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Scar constitution is a type of special genetic constitution, typically leading to larger scars from minor injuries, especially in areas such as the chest and back where skin and muscles are tense. People with scar constitution should avoid injuries or bumps, particularly avoiding scratching or squeezing folliculitis on the chest, as scars formed are difficult to completely remove. Common anti-scar medications often do not work well. If scar proliferation is significant, treatment with medical injections in a standardized hospital's dermatology department may be required. Regular exercise, boosting the immune system, avoiding spicy or irritating food, and avoiding staying up late can help reduce the frequency of this condition.

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Written by Li Rui
Otolaryngology
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Can ear piercing caused keloids be cured?

After getting ear piercings, some patients may develop keloids, which could be related to individual body reactions. Some cases are due to a person's scar constitution. First, the size of the keloid should be examined. If the keloid is small and does not show obvious growth, it is generally considered appropriate to observe and regularly re-examine the growth. However, if the keloid is large and gradually increasing in size, surgical removal should be considered. After surgery, superficial radiotherapy is recommended to help prevent recurrence. However, it is typically necessary to have regular follow-ups post-surgery, as some patients are prone to recurrence.

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Written by Liu Gang
Dermatology
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Can keloids be cured?

Once keloids appear, they are essentially irreversible, meaning that they cannot be completely cured clinically. The formation of keloids is mostly related to one's own constitution, such as a keloid-prone skin type. Some keloids are also due to trauma occurring in areas of the skin where muscular tension is relatively high, or where the wound is indeed large and deep, which might lead to the formation of keloids. In such cases, localized drug injections can be used to reduce and soften the keloids. One can also use ointments that soften scars, such as keloid soothing and softening cream, but these require long-term application to be effective. If the keloid is relatively small, cosmetic surgery to remove and re-sew the area can also be an option for treatment. In summary, once keloids have developed, they are not easy to completely cure.

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Written by Liu Gang
Dermatology
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Can scars soften and flatten?

Scars are related to the size and depth of one’s own trauma, and some patients have a scar constitution, where even a small wound can leave a relatively large scar. Once a scar forms, it cannot be completely eradicated, but topical medications or local injections can be used to gradually soften and flatten or shrink the scar. However, this condition also has a certain recurrence rate, such as often consuming spicy and stimulating food, drinking alcohol, or when the body is inflamed, which can lead to the scar proliferating again. Therefore, this condition cannot be completely cured. After treatment, it is essential to avoid spicy and stimulating food for a long time, not to irritate or scratch the area, and to strengthen exercise according to one's immunity, and take some medications to enhance the immune system.

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Written by Li Rui
Otolaryngology
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What should I do about auricular keloids?

Auricular keloids are a relatively common clinical condition, which may be related to an individual's scar constitution. Firstly, it is necessary to examine the size of the keloid. If the keloid is small, without obvious enlarging, redness, pain, infection, or inflammation, this situation generally can be considered for observation followed by regular ENT (ear, nose, and throat) specialist follow-ups to check for any rapid growth. However, if the keloid is large and progressively growing, surgical removal should be considered. After the surgery, local superficial radiation therapy can be considered to help prevent postoperative recurrence.

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Written by Liu Gang
Dermatology
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How to remove keloids?

The formation of keloids is largely related to one's inherent scarring constitution. Some patients are not prone to keloids but can still develop them due to particularly deep or large wounds. Additionally, keloids can form on the chest or shoulders after repeated occurrences of folliculitis. Currently, there are not many treatments for keloids. For larger keloids, medication can be used locally to gradually soften and reduce their size. For smaller areas, cosmetic surgical methods can be employed for removal, although this does not guarantee prevention of recurrence. Once keloids appear, they are mostly irreversible. If the keloid grows rapidly, treatment can also be sought at nuclear medicine departments, where nuclear radiation therapy is used.