Many parents are afraid of scars that do not go away or that scar less well. We asked Prof. Haik, a specialist in plastic and aesthetic surgery, the director of the Department of Plastic Surgery and the National Center for Intensive Care for Burns in Sheba, to sort out the scars of children and the ways to treat them.
“Because children’s skin is thinner and they are in the process of building the body, the chance of over-scarring is greater,” says Prof. Hayek.
All of these need to be examined, of course, individually, since family history and environmental influences have significance. “Even with the same person at different times and in different areas, the scarring abilities are different. There are no rules,” he says, explaining why it is important to go to a qualified person who can give advice on scarring and the right ways to treat and prevent over-scarring.
Sewing the wound will help in the healing process
Prof. Haik wants to explain why it is worth sewing a skin injury, if only possible. “An injury that is treated with a suture will heal faster, so untreated injuries can heal with excessive scarring. The suture shortens the duration of the injury.
Treatment of pediatric scars
Scarring is a natural process of body healing and usually the healing will be complete and natural and the scar will heal with the body. If the scar does not heal properly, the treatment and prevention are similar in adults and children, with the individual element, as mentioned, determining the scarring process.
A ‘good’ scar will affect the level of stress on the scar, a cut in the right direction, concealment, avoiding the sun with a sunscreen of at least 30 SPF, and lubrication of the spot. Later more problematic scars can be treated by topical pressure, silicone sheets or ointments, medical tattoo, make-up, lasers and microneedling.
“Later, if it does not help, you can switch to more aggressive treatments such as steroid injections, local chemotherapy injections, radiation and freezing of the scar, but this is only in scars that continue to grow of the keloid type,” says Prof. Hayek. Treatment, sedation or anesthesia according to the degree of cooperation of the boy or girl, who are less tolerant of medical treatments.
Eliminate children’s scars
Many parents are debating when to start treating scars in children so that they do not leave a mark in adulthood. Here, too, Prof. Haik explains that the date must be a minimum of one month after the wound has healed and in consultation with a qualified physician. “Time does the scar always good only because of the skin regeneration. When the scar is active it should be treated and you have to decide if it is worth anesthesia or not but it depends on the nature of the skin damage,” he says.
* Keep in mind that everything said here is not a medical recommendation for this or that scar. If you have any questions, contact a plastic surgeon or a specialist doctor in the field.