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Q&A Topics

Scars


Yesheen (dr.) Singh Medical Doctor View profile

Dear Lauren



Thank you for your question. The reality is that scars are notoriously challenging to "influence" - they will usually take their own course and all you can do is try to perform damage control. Fortunately though your son is young, so his scar will more easily allow itself to be helped along.



To this regard there are a couple of pointers you should keep in mind that decrease his systemic levels of inflammatory markers, be they from the scar process itself or from something completely different like a blocked nose - they all share similar inflammatory signalling and so one can influence the other. Ensure he is cutting out as many inflammatory foods as possible - sugar, dairy, gluten, preservatives, artificial colourants and sweeteners. Secondly add in a good probiotic, usually an adult one from the fridge section of your local health shop. Probiotics not only help bowel health but keep the skin microenvironment in good running order. Thirdly introduce him to a paediatric omega 3 supplement - there are some available in liquid format and a teaspoon of this once a day will increase the availability of omega 3 in his body which can then be used as the preferred building blocks of new cell membranes instead of other "second-grade" materials that lead to anunsightly scar. Fourthly massage into the scar a good organic natural essential oil. Bio Oil is petrochemical based (horror!) and I would not advise anyone to continue applying refined petrol to their faces. Start off with a base of rosehip (3 drops in the palm of your hand) and add to it some lavender (1 drop), some marigold (1 drop) or some geranium (1 drop). Mix together and massage into his skin twice daily for as lon as it takes for the scar to whiten or to contract. Usually this can take a couple of months.



The fact that the incident occured in January will make it more challenging to alter the scar now but if you combine the systemic tips and the topical oil application then you will be hitting it in both directions with the best nature has to offer.



Best of luck, many thanks and warm regards

Yesheen Singh

HealthNation


Yesheen (dr.) Singh Medical Doctor View profile

Dear L



Please see my response to you other post regarding your son's facial scar.



Warm regards

Yesheen Singh

Yesheen (dr.) Singh Medical Doctor View profile

Dear L



Thank you for your question. There are many factors that contribute towards the development of an hypertropic scar. They range from genetic predispositions, the impact of nutritional and lifestyle factors on immune and inflammatory responses and stress. I would recommend beginning with a good quality Omega 3 supplement at high doses, a fridge-stored probiotic, a diet targetted at reducing the inflammation and increasing your activity levels. Topical application of Rose Hip oil or any other oil rich in anti-oxidants may also help. There are more specialised supplements such as collagen powders but these are not necessarily the best first line therapy.



Laser therapy can be beneficial on scar reduction depending the tone of your skin and the type of laser your local practitioner has available. I would recommend seeing a reputable dermatologist as they would be more likely not to take advantage of you desperation and identify the more appropriate forms of laser therapy useful in your condition.



Unfortunately I do not know any dermatologists who offer free consultations. Payment plans depend on your discussion with the individual dermatologist.



As I practice in Cape Town my knowledge of KZN-based dermatologists is limited. You could try Dr Dylan Naidoo at (031) 206 1060 to start with. He is based in Durban but perhaps they can refer you to a practitioner in Pietermaritzburg.



Many thanks and warm regards

Yesheen Singh

Sean (dr.) Gomes Medical Doctor View profile

Using antiseptic cream will help to prevent any infection. Using ice will reduce swelling and help the natural healing process (don’t put this directly on the skin, place within a damp cloth). Once their is no longer any broken skin you can use Bio Oil. Apply this 3 times daily in a circular motion. It contains Vitamins A&E, Calendular, Lavender, Rosemary and Chamomile Oils. Also be sure to avoid sun exposure (wear a hat when in direct sunlight as well as high factor sun cream), as this can result in hyper pigmentation (darker skin) as the skin heals.

Kind regards

Dr Sean Gomes


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