Keloid Scarring: A Case Study

Scarring is a natural process within humans that can often create fibrotic tissue formed primary connective tissue fibres made of collagen. The extent to which each scar will occur is highly unpredictable and varies amongst the population. Scars that form within joint areas may seem to become stretched; this is due to the wound constantly being mobile during the healing process. There are several categories of scars, these will affect the amount of post wound care required alongside with the extend of detrimental impact on the individual. Flat, pale scars are the most common of all scars. These scars may initially be red or raised but as time passes they will become paler and flatter thus become less conspicuous on the individual. Other scars include Keloid scars (these are raised, itchy ,occasionally painful and “rubbery” scars which grow to a size greater than the wound),
Some patients may require anti depression tablets to be able to manage symptoms which can be very costly e.g. 1-year course: Trimipramine 75mg = £2,431.65 (Horsley, 2015). As scars can be painful, itchy or restrict movement further costs could be incurred when a referral to a consultant dermatologist or plastic surgeon. Many treatments are expensive and some are not covered under the NHS; potentially causing money concerns amongst the affected individuals e.g. Scar Surgery Revision; Guide Price £890 (Anon, 2016). Techniques which include the use of needles such as corticosteroid injects, surgery, dermal fillers and skin needling, could not only be frightening for those with the common fear of needles but break the skin; therefore, re-introducing the risk of infection, which if let to spiral out of control could lead to hospital admission leading to further costs and the lose of a vital hospital