ISSN: 2574-7800
Authors: Kassel J*, Baybay H, Jroundi C, Soughi M, Elloudi S, Douhi Z and Mernissi FZ
The quality of a surgical scar depends on many local and general factors. The combination of different treatment methods is necessary to obtain better results, and to avoid unsightly scars that can affect the quality of life of the patient [1]. Surgical revision of enlarged hypertrophic scars gives good results, but there is always a risk of recurrence and enlargement during the first 6 months, especially in areas subject to movement, which is why it is interesting to act early and to combine several treatments. More recently, botulinum toxin has been attributed as an interesting treatment that allows the improvement and prevention of pathological scars [2]. Several mechanisms have been suggested to explain the effect of botulinum toxin on scarring. On the one hand, it allows a temporary paralysis of the muscles, causing immobilization and therefore a reduction in tension at the wound. On the other hand, it can inhibit the proliferation of fibroblasts, promote their apoptosis and inhibit their differentiation into myofibroblasts, always with the objective of avoiding hypertrophic scarring. At the same time, botulinum toxin can modify the collagen deposit and induce its remodeling [3]. The various studies carried out have shown better and more aesthetic results after botulinum toxin injection in post-surgery scars. More recently, studies have also shown satisfactory results for the treatment of scars. Hypertrophic and keloid scars by intra-lesional injecton of botulinum toxin in comparison with other commonly used methods such as corticostéroïde injectons [1,3,4]. We report in the case of a young father with a scar at the front level that has evolved well with a combination treatment associated with the botulinum toxin.
Keywords: Scars; Botulinum toxin; Management
