Scars / Keloids

Trauma and surgery may cause unsightly scars. In order to combat this the EA Clinic offer a number of different treatment options that may dramatically improve their appearance. Keloids are a more difficult problem but there are treatments that may keep them at bay or remove them permanently.

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Scars can be functionally hindering, aesthetically displeasing or a reminder of a past event. Keloids on the other hand are a more difficult form of scarring and as such the management is slightly different. The real cause keloids is not known at this stage but is being researched and are more common in people who have darker skins but they can affect all people of all colours. There are studies indicating that there may be a genetic link. Various treatments are available, but here at EA Clinic we offer steroid injections, Ultrapulse CO2 lasering and surgical removal.

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FAQ

Different scars require different treatments. A few common scars include:

Burn scars.
Keloid scars
Hypertrophic scars, unlike keloids, do not grow out of the boundaries of the scar area, but because of their thick, raised texture, can be unsightly.

Facial scars can be unattractive simply because of where they appear on the face, while others affect facial expressions.

All surgical possibilities will be discussed in the initial consultation along with risks involved for each type of scarring.

The goal of facial scar treatment is to disguise the scar, relocate it, or minimize its prominence.

Important factors to be discussed with your doctor include:

Skin type and color
Ethnic background
Individual healing rates
Age

Different types of scars respond to different surgery techniques. A person considering facial scar revision must understand that there is no way to remove scars completely.

We usually advise against any scar revision in cases where the scar is less than a year old.

Because scars are highly individualistic and the patient’s attitude toward scars is so personal, maximum improvement in facial scars may require more than one procedure. More than one technique may be employed.

Following is a general description of the surgery. Remember, each patient’s individual needs and features are considered before surgery.

Laser resurfacing is method a doctor uses to make “rough or elevated” scars less prominent by removing part of the upper layers of skin with an abrading tool or laser light. Clearly, the scar will remain, but it will be smoother and less visible.

Keloid or hypertrophic scars are often treated first with injections of steroids to reduce size. If this is not satisfactory, the scars can be removed surgically, and the incisions closed with fine stitches, often resulting in less prominent scars.

The treatment option will be discussed with your doctor and depend on the scar location, size and characteristics. It will also depend on your reasons for having treatment in the first place, i.e. is your scar causing you distress because of its appearance.

We offer three main treatments:

Steroid treatment: An injectable steroid, Triamcinolone is used. It is a quick treatment usually of a 5-15 minutes duration once the diagnosis and treatment options have been discussed. We use small amounts of steroid injections on repeated occasions to reduce or flatten mature scars (Scars which are older than 12months), usually 4-6 weeks apart.

Surgical scar revision: This technique is used to reposition or reduce the size of the scar. The techniques we use include:
Excision and direct skin closure is the surgical removal of the scar out and closure of the skin with stitches to create a more cosmetically appealing scar. Excision and realignment is the surgical removal of the scar and a change of direction in order to make the scar lie in the body’s natural relaxed skin tension line. On occasion those with transverse self harm scars on the arm will opt for a long longitudinal scar which has different social connotations.

Laser skin resurfacing: The Erbium YAG and CO2 laser are effective in dealing with scars. They use heat to remove the very top layer of your skin and stimulate the growth of healthy new skin. There is some downtime with lasering. With a surgical scar revision you may need to rest for a day or two.

  1. Topical Steroid
  2. Silicone creams gels/strips
  3. Steroid injections
  4. Laser; Pulsed Dye laser CO2 Laser or ND YAG
  5. Cryotherapy
  6. Injected anti-cancer drugs (ie. 5-FU and Bleomycin)
  7. Surgery: Intralesional & extralesional excision. We prefer the intralesional approach to avoid damage and stimulation of healthy skin.
  8. Radiotherapy

There are many suppliers but the ones that we are familiar with are Triangle Surgical, www.trianglesurgical.uk and Delasco, www.delasco.com/pcat/3/Earrings/DPearP/DPEarP/.

Avoid piercings, tattoos, unnecessary surgery and any injury to the skin

Testimonials

  • EA Clinic is first class! Dr Anthony and Sister Gillian are great! They listen to your needs and provide an excellent tailor made service to suit you. I won’t hesistate to come back and work with EA clinic. In addition to brilliant services, great results and top notch medical expertise and execution, EA clinic also care. They check in on you regularly. After care is hands on, great service. So happy with all procedures and treatments done here.

     Liya2017

    Published 16 February 2017

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    Amazing EA Clinic.Brilliant, dedicated professionals. Excellent customer service.
  • I just want to say thank you so much for the amazing care I received from you. I removed my moles in your clinic from my face just a few weeks ago. They are still in healing process.

    I look forward to be see you again.

     I.H

    Published 07 March 2017

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    Dr Edwin Anthony & Sister Gillian Hallett, RGN Clinic Nurse Manager
  • Quite simply the best clinic l have been to on Harley Street. I would strongly recommend EA Clinic to anyone. World class results.

     Paul

    Published 19 June 2017

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    The best clinic on Harley Street
  • Excellent work great listening skills great attention to detail very informative and helpful very considerate extremely professional can’t say a bad would recommend any who wants professional great surgery here. Very happy now after my operation which was breast reduction.

     C.M

    Published 19 June 2017

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    Excellent work great listening skills…
  • I would like to say big thank you for sister Gillian And for Dr Anthony and for Dr Shaban they all together done amazing job And gave me excellent results,I am really happy

     D.M

    Published 10 November 2017

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    Number 1-EA Clinic!
  • He’s an excellent doctor, he gave me the best results on my treatment

     W.D

    Published 10 November 2017

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    He’s an excellent doctor
  • I just had a consultation with Dr Edwin Anthony and Gill. They were both very welcoming and professional. I was made to feel at ease and very comfortable. They explained everything I wanted to know very clearly so I had a great understanding of the various procedures I had enquired about. Lovely place, lovely staff I couldn’t recommend them more highly 👍👍😀

     G.S

    Published 10 November 2017

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    I just had a consultation with Dr Edwin …
  • Dr Edwin Anthony and Sister Gill were amazing from start to finish. They both made me feel comfortable and thoroughly explained the vaser Lipo procedure. I took my time to think about what they had advised and the expected results I would see and I wasn’t disappointed when I decided to have the treatment. Results were fantastic and the after care was great – I’m currently into my 4th week after the operation and still feel great. I feel more confident in myself and have maintained the MLD sessions to help with the drainage and bruising. Would highly recommend EA clinic to anyone wanting a procedure.

     K.S

    Published 11 November 2017

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    Vaser Lipo / Contouring – Amazing Results!
  • I saw Gill at the end of October and she suggested I tried the VI derm range, which I was reluctant at first because nothing has worked on the sun damage and discolouration on my face. Within two weeks I had noticed an improvement, then at my review Gill suggested a VI peel, which I did not want as I have had a TCA peel before and the pain was awful with no improvement to my skin. Today I have just had my VI peel and I must say there was no pain at all. Gill was amazing and I cannot wait to see the results

     Clive

    Published 14 November 2017

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    Sister Gill and the Viderm Precision Plus peel are brilliant
  • Extremely friendly team which make you at ease the moment you walk into the clinic. I felt I trusted the team from the moment I met them. The environment is very clean and professional. Dr Anthony went through my treatment thoroughly and has managed my expectations very well. I will be a patient for life.

     Mark

    Published 14 November 2017

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    Extremely friendly team.
  • What a professional and friendly clinic. I felt at ease from the moment I arrived and I am so pleased with the results. Sister Gill is fantastic and is always so welcoming and takes the time to talk me through the treatments and what to expect. I’ve now been to EA Clinic 3 times and would happily recommend to friends and family.

     H.B

    Published 23 November 2017

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    Fantastic clinic and great staff
  • over the last 6 months iv had my vaser lipo on my legs, upper and lower tummy, flanks and lower bk, as a larger person everyone else turnt me away but they work with me to make it all possible, This has given me so much confendence to wear new clothes. i’m still shocked i can wear shorter dresses and just be proud of who i am. Because it’s given me such an amazing boost i have started eating and exercising so i lost a further stone. Dr Edwin Anthony and Gill. are both very lovely, unjugmentle, welcoming and so professional. also they we’re totally honest with about what could be achieved. I was made to feel at ease and very comfortable. They explained everything. step by step. Lovely place, lovely staff I couldn’t recommend them more highly 😀i can’t say thank you enough. for me it’s truly life changing 🙏

     C.S

    Published 14 February 2018

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    There an amazing team 😊👌