Cosmetic defects, provoked by scars that cause patients displeasure and force them seek the medical care
Journal Title: Український журнал дерматології, венерології, косметології - Year 2018, Vol 0, Issue 1
Abstract
Objective — to clarify what cosmetic defects, provoked by the scaring, discomfort patients and force them ask for the medical care. Materials and methods. Sixty patients, aged from 12 to 67 years (42 females and 18 males) were enrolled in to the investigation. The burn scars were in 11 of them, postoperative and traumatic — in 49. The patients filled specially designed query with the list of cosmetic defects that could appear in process of cicatrisation. The list of possible aesthetic defects was created as a result of expert evaluation of photographs of 100 patients with the scars. During assessment E. J. Strasser approach was used. Results and discussion. The most often patients complained the pathologic changes of the scar itself. In 63.3 % of cases it was different position of the scar plane relatively to the plane of surrounding skin (in 45 % it extended above the skin, in 18.3 % it was lower the skin). Big size of normotrophic scar disappointed 15 % patients because of difference in texture of scar and normal skin. Unattractive aesthetic changes of the surrounding tissues frustrated 25 (41.7 %) patients and 19 (31.7 %) of assessed patients attributed the changes to the paramount importance. Thirteen of them (21.7 %) stated that surrounding tissues deformation by the scar is the only cosmetic problem they wanted to get rid of. The less serious the cosmetic defect was the greater share of dissatisfaction was caused by cosmetic aspect. Conclusions. Almost half of patients demonstrated aesthetic dissatisfaction with the scars which was conditioned by the deformation of the nearest tissues but not the view of the scar itself. It is useful to introduce the concept «cosmetic defect provoked by the scar» that will include both unattractive view of the scar itself and mentioned deformations. It is advisable to develop a classification of cicatricial origin cosmetic defects.
Authors and Affiliations
K. М. Grebchenko
Keywords
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