A reappraisal of shaving and skin grafting for hypertrophic burn scars

A modification of the Hynes procedure--a surgical innovation in the treatment of mature hypertrophic scars in children

In 1957, Hynes first described the shaving and grafting procedure for the treatment of mature hypertrophic scars (HTSs). This procedure involved excision of mature HTS using a scalpel blade followed by split-skin grafting (SSG). We have modified this technique through the novel application of Versajet™ (Smith & Nephew, Hull, UK) for the sub-total excision of mature HTS with SSG. To date, this modified technique has shown excellent cosmetic results. A review of cases and an example of the technique is provided.

Laser treatment of hypertrophic scars, keloids, and striae

The successful use of the 585-nm pulsed dye laser for the treatment of hypertrophic scars has been well established over the past decade. Although 5 years ago this treatment option might have been considered as a viable choice only after all other methods failed, it is now generally recognized as an excellent first-line treatment option. Early scar treatment with pulsed dye laser irradiation effectively prevents scar formation or worsening and yields a better and more prolonged clinical improvement. The concomitant use of corticosteroids, 5-fluorouracil, or other treatments is proving to be of particular importance in reducing scar bulk and symptoms of more proliferative scars. Although optimal management for keloids and striae has yet to be determined, pulsed dye laser irradiation will no doubt continue to play a role in their treatment.