Paradigms in periorbital scar management

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Review Article

Author Details : Urmil Chawla, Khushboo Sheoran*, Divya Srivastava, Ashok Kumar Khurana, Rajender Prakash Maurya, Reena Gupta, Neebha Anand, Bhawna P Khurana, Deepshikha Yadav

Volume : 10, Issue : 3, Year : 2024

Article Page : 117-128

https://doi.org/10.18231/j.ijooo.2024.024

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Abstract

Periocular scarring following surgery or trauma is of great aesthetic and functional concern and is difficult to predict. In today’s era, with increasing scientific knowledge and technological advances, both physicians and their patients are highly concerned with minimizing scar appearance as a rising number of patients feel disappointed with their scars and are frequently seeking help for functional and aesthetic improvement. Although various non-surgical and surgical treatment strategies are available it is still difficult to improve excessive scarring. Thus, the importance of thorough knowledge of eyelid anatomy and heal­ing mechanisms along with appreciation of wound closure techniques like placing the sutures at natural cosmetic subunit junctions and along relaxed skin tension lines (RSTLs) in order to achieve scar camouflage and to ensure decreased tension on the wound cannot be more emphasised. Periorbital area should be tackled by the oculoplasty surgeons in view of their distinct anatomy and close proximity to the eye.Scars are commonly treated with a combination of non-surgical techniques, including watchful waiting, scar massage, pressure therapy, silicone gel sheeting, topical or intralesional injections, cryotherapy, laser therapy or radiotherapy. Surgical approaches include pincushioning debulking, direct scar excision, broken line closure techniques, scar lengthening procedures (Z plasty, V-Y/Y-V advancement) and scar excision with lid reconstruction. Mastery of this content is essential for consistent operative success. For good cosmetic and functional outcomes, scar revision techniques should be thoughtfully tailored to the individual and scar subtype.
 

Keywords: Periocular scarring, hypertrophic scar, keloid, intralesional injections

How to cite : Chawla U, Sheoran K, Srivastava D, Khurana A K, Maurya R P, Gupta R, Anand N, Khurana B P, Yadav D, Paradigms in periorbital scar management. IP Int J Ocul Oncol Oculoplasty 2024;10(3):117-128

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