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  • It is currently Sun May 19, 2013 4:40 am

Hypertrophic scar on back of neck

This section of the forum is dedicated to discussions addressing linear scars, depressed scars, keloid scars, hypertrophic scars, and other facial reconstructive topics. (Of note, Dr. Lam no longer accepts medical insurance so he rarely manages cancer reconstruction or trauma anymore.)
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Hypertrophic scar on back of neck

Postby jws83 » Wed Jun 27, 2012 7:59 am

Hi Dr. Lam,

I am a 28-year old asian male with hypertrophic scarring on the back of my neck. I had a scar revision done about 15 months ago with poor results. The doctor performed an excision with steri-strips followed by 5 steroid injections spaced 6 weeks apart. The shots flattened the scar a bit but my plastic surgeon recommended no more shots because the outsides are almost indented now (the raised part was mostly in the middle).

I am now considering laser treatment. Dr. X here in Washington DC charges $500 for a consultation. Before spending that kind of money for a consultation I was wondering if you could kindly provide your opinion on whether or not laser treatment (CO2, pulsed dye) would be effective in reducing the raised portion of the scar and the redness. I would very much considering traveling to see you if you think you could help.

Thank you!!
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Re: Hypertrophic scar on back of neck

Postby dr. lam » Wed Jun 27, 2012 10:30 pm

I would do 5fu injections and pulsed dye or KTP laser as a first maneuver. it may take a few rounds though to improve matters.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery
dr. lam
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