Do Genes Determine Keloid Scars?

Do Genes Determine Keloid Scars?

Genetics play a significant role in the healing process of the body, which affects the formation of scars. Scientists have noted some factors that seem to suggest that genes play a role in the forming of keloid scars, including facts such as that people with darker skin are more at risk than people with fairer skin and that keloid scars seem to run in families. A study out of Henry Ford Hospital in Detroit recently identified a gene that seems to play a significant role in the development of keloid scars.

What are Keloid Scars?

Keloid scars are those that are raised, dark, and larger than the original wound. They typically become itchy or painful, and may even continue to grow into a very large and unsightly scar. They can form in any area, although places where the skin stretches are more at risk of keloid scars. Scars formed due to piercings, especially in the ear lobe, are also at a higher risk. Because this type of scar tends to cause more problems than other types of scars, scientists have tried to understand why they form in order to find better ways to prevent and treat them.

Read: Where Do Keloid Scars Form?

The Genetic Link of Keloids

Doctors have tried to discover a reason for the formation of keloid scars, often looking for answers in genetics, especially as it is more common for keloids to form in families and certain skin tones. Previous studies have found that keloids more often form in dark skinned individuals, especially those of African heritage, while albinos have the lowest rates. It has long been recognized that certain cellular signals in change of controlling the growth become altered, which lead to keloid growth. Because genetics controls the cells, including these signals, a common hypothesis is that genes must play a role in the formation. This recent study sheds more light on the subject.

Read: Who is at Risk for Developing Keloid Scars?

Study Findings

Researchers from Henry Ford Hospital were able to demonstrate for the first time a relationship between an alteration of the AHNAK gene and keloid scars. The AHNAK gene has associations with cell-cell adhesion or exocytosis, which is involved in wound healing. The researchers reviewed normal tissue and keloid tissue for the expression of this gene, and found that three of the five keloid samples had a large reduction in the expression when compared to the normal samples, thus demonstrating a relationship. Although it remains in the early stages, it promises to provide better understanding about keloid scars, including how they form and the function of healing. This study was small, so subsequent research is necessary to provide further information.

Understanding the genetic link involved in the formation of keloid scars can help doctors learn better forms of treatment. Although researchers are still searching for more information, if you have a family history of keloids, then you have a greater risk of developing them yourself. There is a high chance that keloid scars are determined in some extent by your genes, but genetics are never the only factor involved. Lifestyle, environment, and other factors can also affect the healing process, leading to different types of scarring, including keloids.

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Thyroid Surgery Scars

Thyroid Surgery Scars

One common surgery performed on people is thyroid surgery, which typically involves removing part or all of the thyroid gland. This type of surgery is used to treat problems in the thyroid, including any cancer, a benign or cystic nodule causing problems, goiters, or some extreme forms of hyperthyroidism for which medication has not provided any benefits. Although surgeons will try their best to reduce the amount of scarring that occurs after surgery, you will have small, but noticeable scarring, as long as it heals properly.

Types of Thyroid Surgery

There are three main types of thyroid surgery: total thyroidectomy, thyroid lobectomy with or without an isthmectomy, or a subtotal thyroidectomy. A total thyroidectomy is the removal of the entire gland, including the surrounding lymph nodes. A thyroid lobectomy only removes one of the lobes of the gland, and it occurs when the problem is isolated to one area. It may include the removal of the connective tissues, known as the ishtmus. A subtotal or near total thyroidectomy removes one total lobe and part of the other one and is typically used for patients with Grave’s disease. Most thyroid surgeries are performed through endoscopic thyroidectomies, which reduces the amount of scarring and overall recovery time.

What is an Endoscopic Thyroidectomy?

Surgeons do their best to reduce the amount of trauma to the skin, and the rest of the body, when performing surgery. They often will create the incision in the natural creases of the skin on the neck, which will make the scar even less noticeable. Additionally, many surgeons now perform an endoscopic thyroidectomy, which is a minimally invasive surgery that only requires a very small incision on the neck, reducing the amount of scarring. A video camera and the necessary implements are inserted through the incision, and the surgeon performs the surgery using controls and the video camera. In some cases, you may still have a conventional thyroidectomy, which will require a larger incision and thereby leave a larger scar.

What to Expect from Thyroid Surgery Scars

The incision or incisions from your surgery will form scars as part of the naturally healing process. Most surgeons will cover the wound with some type of steri-strips or tape covering the stitches. These typically remain in place for a week or so while the skin begins to heal. You should follow your doctor’s orders about treating the incision area to reduce the risk of infection and re-opening the incision, as this will create additional trauma to the skin and intensify the prevalence of the scar tissue. You will want to keep the area as dry as possible and covered with bandages until the skin has healed well enough.

For the first six weeks or so, the incision may be bruised and slightly swollen, and it may also be raised a bit. As it heals, this will fade and it will begin to look similar to the surrounding skin. While the scar is healing, you should wear sunscreen of at least 30 SPF, as this will reduce any further damage to the skin cells by the UV rays of the sun. You can also use a scar treatment cream to help expedite the healing process.

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Gallbladder Surgery Scars

Gallbladder Surgery Scars

Your gallbladder is a small, but important organ that stores bile produced by your liver, which helps with the digestion of fats. Although it provides an essential function for your digestion system, it is not an essential organ, meaning you can survive without it. Gallbladder surgery is one of the more common surgeries, and as with most surgeries it can leave a scar.

Why is Gallbladder Surgery Performed?

There are a few reasons people undergo gallbladder surgery, which often includes removing the organ. One of the most common problems involves gallstones, which are crystallized bile substances that can cause pain, inflammation and nausea. The inflammation caused by gallstones is known as cholecystistis, and it can lead to fever and severe pain. When this inflammation is recurrent, then the organ is typically removed. Gallstones can also block the ducts draining the pancreas, which can lead to pancreatitis, or inflammation of the pancreas, which can be quite serious. The other reason for gallbladder surgery is cancer, which is very rare. Not all instances of gallstones and other gallbladder problems will resort to surgery, although it is the most common treatment. Gallbladder surgery is one of the most common surgeries performed in the U.S., and typically is done using laparoscopic surgery.

The Benefits of Laparoscopic Surgery

Laparoscopic surgery is a minimally invasive surgery that only uses very small incisions. The necessary instruments, typically graspers, scissors, and clip applier are entered into the patient through the small incisions, and the surgeon performs the surgery using a camera. Typically, each implement will be inserted through its own very small incision, for a total of four. Three will be in the right side near the bottom of the rib cage, while the fourth will be above or at the belly button. One version of laparoscopic surgery involves just one incision at the belly button. Traditional surgery requires a six-inch incision for the gallbladder to be removed. The less invasive laparoscopic surgery not only reduces some of the associated risks of surgery, it also greatly reduces the amount of scarring you will have after the surgery.

Treating and Preventing Gallbladder Surgery Scars

When you undergo surgery to remove gallstones and/or your gallbladder, you can prevent how much scarring you have after the surgery. The best way to do this is to treat the wound, following all directives from your doctor. Typically, you will be told to keep the incisions bandaged during the initial healing, and might also apply some antibiotic cream or other healing agent. You also want to minimize any movement, as this could reopen the wound, which will cause further scarring.

Scarring occurs because the skin tissue is damaged, and the more layers of skin that are damaged, the more prominent the scar will be and the longer it will last. Therefore, by keeping the trauma to the skin to a minimum and increasing the skin’s natural healing abilities, you will be able to reduce the amount of scarring you have after the surgery. Once the incision wounds have healed and you get the clear from your doctor, then you can apply a scar treatment cream that will help to further reduce the visibility of your scars.

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Can You Reduce the Size of Acne Scars?

Can You Reduce the Size of Acne Scars?

After battling acne to finally get it under control, many people are left with prominent scars that continue to mar their complexion. If this is the case, then you are looking for ways to reduce the size and appearance of your acne scars. There are several different types of acne scars, and the type of scarring you have may affect the type of treatment most effective for your situation. However, most acne scars can be minimized and faded.

The Different Types of Acne Scars

The severity of your acne and how you treated — or did not treat — any outbreaks affects the type of scarring with which you are left. One of the most common types of acne scarring is known as ice pick scars, which are deep scarring that creates a pitted look in the skin. They are formed due to cysts or inflammation that affects several layers of skin. A similar type of scarring is known as boxcar scars, which are wider than ice pick scars. You may also have scarring known as rolling scars, which creates waves under otherwise normal skin due to fibrous bands of tissue growing between the skin and underlying tissue. Lastly, you may have keloid or hypertrophic scars, which are large, unsightly raised scars.

You might also have other remaining effects from your acne in the form of discoloration of the skin, which are not technically scars but do create problems. This could be either hyperpigmentation, where the scars have excess pigmentation and will look like freckles or blotches on the skin, or hypopigmentation, where there will be no pigment, leaving the mark as white. The skin may also remain red due to damage to the small capillaries in the skin.

How to Reduce the Size of Acne Scars

You can reduce the size of your acne scars, but the best treatment differs based upon the type of acne scarring you have. If you are left with discoloration such as red marks or dark spots after your acne is under control, then you can benefit from using a scar fading cream that helps your skin resume normal pigment production. Smaller and lighter scars can also benefit from scar treatment creams. You want to be sure to use ingredients that are natural and will help the skin’s own natural healing process, including licorice root extract, which lightens any dark spots, and vitamin C, which helps to rebuild collagen and normalize skin growth.

If you have more prominent scars, then you may need to undergo a more invasive skin care treatment, such as laser surgery, subcision, punch excision, grafting, dermabrasion, or dermal fillers. Scar reduction cream can also work on many scars, including hypertrophic scars, especially if it includes silicone as one of the ingredients. Scar treatment creams can only reduce the size and appearance of scars, but they usually do not completely eliminate very prominent scarring. One option that is becoming very popular among those with hypopigmented acne scars, is having the skin tattooed the same color as your flesh so as to camoflauge the scar. You can discuss the different types of treatment, especially the more invasive treatments, with your dermatologist or doctor to find the best solution for your unique situation.

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Should I See a Dermatologist About My Scars?

Should I See a Dermatologist About My Scars?

When you have a prominent and unsightly scar, especially in a location not easily hidden by clothing, you likely want to work on minimizing its appearance. There are many different scar treatment options, and the most effective for you will depend on the type and severity of scarring from which you suffer. There are many scar treatment options that do not require any doctor’s intervention. However, there are times where seeing a dermatologist about your scars is the best way to proceed. Therefore, it is beneficial to know when you should see a dermatologist about your scars.

What Does a Dermatologist Do?

Dermatologists are specialized doctors who work on conditions affecting the skin, including acne, scarring, eczema, and more. Therefore, they are experts in solutions for reducing the appearance of scars, especially prominent ones such as keloid scars. They also offer more invasive procedures to remove scars, including laser surgery, dermabrasion, grafting, and more. However, not all scars require the assistance of a dermatologist to treat.

What Type of Scars Require a Dermatologist?

Large, prominent, and raised scars, especially keloid scars, will most likely not find any help from a scar treatment cream. Instead, you will need to see a dermatologist to discuss other scar treatment options. Any injury to the skin that harmed many layers of the skin tissue, such as a third degree burn, or did not heal correctly typically forms a larger and more prominent scar that will need more advanced treatment options to reduce the appearance of the scars. Certain acne scars, including ice pick scars, rolling scars, and boxcar scars also often require more invasive treatments offered by dermatologists.

When Don’t You Need to See a Dermatologist?

Any time you have scarring or other skin conditions about which you have a question, you can typically benefit from the expertise of a dermatologist. However, for less prominent scars, you do not have to see a dermatologist for help. These include scars formed by injury to the skin that only affects the top layers of skin or from wounds that healed correctly, such as occur after surgery or with some cases of acne. Those scars that have not caused much damage to the collagen or to deeper layers of skin can typically be reduced by over the counter scar treatment creams. You can also use many of these scar reduction creams for pigmentation problems, such as hyperpigmentation, also known as dark spots. For hypopigmentation (aka white scars) tattooing a white scar flesh-colored is also an option. Over the counter creams are beneficial, but they do take time to work. If you do not see any improvement in the appearance of your scar or discoloration after you have been using the cream for a few months, then you should see a dermatologist for help.

A dermatologist can be your partner and best friend when it comes to ensuring you have smooth and flawless skin, especially when you are working to reduce the appearance of any scarring. They not only will be able to offer you help with the invasive procedures, but they can also provide expert advice on the best ingredients for an effective scar treatment cream.

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