Saudi German Health Dubai has brought together the best talents in healthcare industry to provide you with superior world class Scar Care.

Plastic Surgery

(Scar prevention/suppression/correction)

• Posttraumatic scars
• Postoperative Scars
• C-section
• Burn Scars
• Keloid

Dermatology

• Basis Scar/Skin Care
• Acne Scars
• Stretch Marks
• Keloid

Mental Support

• Scar coping
• Autoaggressive Scars

Make-up Artist / Medical Tattoo

(Scar Covering)

• Camouflage/Corrective Make-up
• Tattoo

Radiotherapy

• Keloid

Rehabilitation (Physiotherapy)

• Scar massage
• Treatment of Swelling (Lymphatic drainage)
• Compression Treatment
• LPG (Vacuum Massage)

There is no scarless healing: The scar is the end point of wound healing (cicatrisation).

Wound healing is a repair process, not a tissue regeneration, as the original tissue is always replaced by uniform fiber tissue – the scar.

Wound healing takes place in 4 different phases:

• Bleeding
• Inflammation
• Proliferation
• Remodelling

Scar Formation: From a clinical point of view, the 4 phases of wound healing are divided into 2 phases of scar formation:

• Scar Genesis: Bleeding/Inflammation/Proliferation
• Scar Maturation: Remodeling

There a multiple different scar types: They can reach above the skin level (hypertrophic scars) or lies below the skin level (atrophic scars). Scars can have different shapes (linear of flat) and different color compared to the surroundings, i.e. they can be darker or lighter.

Scars above skin level

Surgical Scars

Keloid

Scars below skin level

Acne Scar

Stretchmarks

Scars at skin level

Scar Coverage treatment

Scar coping treatment (Mental Support)

Body & Soul: Tissue damage not only leads to an externally more or less visible scar (Body Scar) with functional, medical and/or aesthetic impaiments, but often also to an internal psychological trauma (Soul Scar).

Body (Physical Impairment):

• Functional Impairment
• Medical Impairment
• Aesthetic Impairment

Soul (mental Impairment):

• Psychological Impairment

The core group :

A detailed initial consultation with Dermatology or Plastic Surgery forms the basis for successful individual treatment.

• Patients with stretchmarks and acne scars are primarily seen by dermatology.
• Patient with postoperative scars, hypertrophic scars and Keloid are mainly seen by Plastic surgery
  Very often the patient is seen by dermatology and plastic surgery together in a multidisciplinary context.

The special teams :

Depending on the findings of the initial examination other specialists are consulted such as:

• Physiotherapy (lymphatic drainage, manual scar treatment…..)
• Radiotherapy (postoperative radiation therapy)
• Internal medicine
• Mental Health
• Make-up artist/Cosmetology
  others ….

Treatments (Scope of Service):

1) Avoidance
The best scar is no scar. Through the development of new (minimally invasive) surgical techniques (e.g. endoscopic surgical techniques), longs scar are no longer needed in many cases. Laproscopic Unit.

2) Prevention/Suppression
If a scar cannot be avoided, it should be as less noticible as possible: Golden CET rules (“Dermatological Secrets”)
a. Consult before scar (stretch mark consultation at 2 trimester)
b. Evaluation before scar (early systemic acne treatment)
c. Treatment before scar (scar suppression after surgery/injury

• • Treat a scar as early as possible (i.e. after complete wound healing 14 – 21 days)
  • Combined treatment lines are the best
  • Treat a scar long enough (“as long as a scar is red, it can be improved”)

Before

After

•  

3) Correction
If a scar is established, there are multiple treatment options to improve it. Very often several treatment option are used in combination. The choice of treatment option(s) is determined by the type of scar.

Before

After

4)  Coverage
Some scars can no longer be improved by any conservative and surgical measures (e.g. pigment changes). Appropriate scar cover can make these scars appear less noticeable

Before

After