Yaron Har-Shai, MD

Unit of Plastic Surgery, Carmel Medical Center, The Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel,yaron07@yahoo.com

Wifred Brown, MD, FACS

Aesthetic Surgery Associates, P.C., Middlebury, Connecticut

Daniel Labbé, MD

Department of Plastic Surgery, Caen University Hospital, Caen, France

Anne Dompmartin, MD

Department of Dermatology, Caen University Hospital, Caen, France

Irina Goldine, RN, BA

Unit of Plastic Surgery, Carmel Medical Center, The Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel

Tamir Gil, MD

Unit of Plastic Surgery, Carmel Medical Center, The Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel

Issa Mettanes, MD

Unit of Plastic Surgery, Carmel Medical Center, The Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel

Norbert Pallua, MD

Department of Plastic Surgery, Hand Surgery, Burn Center, University Hospital of the RWTH Aachen University, Aachen, Germany

Abstract

Hypertrophic scars and keloids following aesthetic surgery, which ignite patient dissatisfaction, are difficult to handle. Intralesional cryosurgery for the treatment of such scars has been introduced. This study was designed to evaluate the efficacy of this technology in the treatment of such scars and to assess the reduction of dissatisfaction. Eleven scars (on 11 patients) were treated by intralesional cryosurgery, following breast surgery, otoplasty, face-lifting, and brachioplasty. Each patient scored the concern from the scar and the scar deformity (scale from 1 to 5) prior and following treatment (higher score represents least satisfaction and a severe deformity). The follow-up period was between 3 months and 8 years. The results demonstrated a significant reduction in concern and deformity scores compared with before the cryotreatment (P = .001). The intralesional cryosurgery technique provides the plastic surgeon with an effective instrument to treat hypertrophic scars and keloids following aesthetic surgery, thus reducing the dissatisfaction of patients.