Topic of the month – September 2012

Even older scars can be treated effectively – with ultrasound

Photo: Danneberg, Darmstadt

When it comes to ultrasound, many people immediately think of examinations of the thyroid gland or other organs. But ultrasound is not only a proven instrument for diagnosis, it can also be used therapeutically – e.g. for the treatment of scars.

How does ultrasound work?

Ultrasonic waves penetrate deep into the tissue and can be used there for a targeted deep massage. By penetrating the tissue, the sonic waves are converted into heat and vibrations, which promote the blood circulation of the tissue and improve the lymph drainage. This also leads to raising the metabolic activity of the cells in the affected tissue – and thereby also the effectiveness of medications.

How does ultrasound assist the treatment of scars?

By combining Contractubex® with ultrasound, the effective ingredients penetrate even deeper into the skin with the help of the sonic waves. The ultrasound waves improve the cellular metabolism, so the effective ingredients of Contractubex® are absorbed even faster. At the same time, the deep massage loosens up the tissue and has a positive effective on the general reduction of the scar. Especially older, hardened scars can be treated in an optimum way through this combined therapy.

Successfully used in practice

Dr. Danneberg, a surgeon, is one of the doctors who also successfully treat older scars with the combined therapy of Contractubex® and ultrasound. In his view, it is especially important that the patient consults a specialist who is familiar with scar therapy and has a certain wealth of experience, and also uses the necessary equipment in order to carry out the therapy.

Dr. Danneberg: There is the possibility of treating fresh and also older scars with ultrasound and a special scar gel. In this case, the gel is massaged into the skin with the ultrasound device. The gel contains various active ingredients which enhance the effect well: heparin, allantoin and onion extract. This leads to a reduction of the swelling in the scar area, particularly with so-called hypertrophic, raised scars. Another effect is that in the case of older scars the painfulness of the scar diminishes.

It is important to find the right doctor for this treatment. For this reason, talk with your dermatologist or an experienced surgeon specifically about the combination therapy. He can either perform the treatment directly or refer you to a colleague who is familiar with ultrasound and has the appropriate equipment.


Contractubex® Composition: 100 g gel contains: 10.0 g Extr. cepae, 5000 IU heparin sodium, 1.0 g allantoin. Indications: Hypertrophic and keloidal scars, movement-restricting and cosmetically disfiguring scars after operations, amputations, burns, and accidents; contractures such as Dupuytren’s contracture and traumatic tendon contractures; cicatricial strictures. Contraindications: Hypersensitivity to parabens. Side effects: Very rare skin reactions. Mode of action: Contractubex® exerts an antiproliferative, antiinflammatory, softening, and smoothing action on proliferating scar tissue. Dosage: Unless otherwise prescribed, Contractubex® should be gently massaged into the skin several times a day until all the gel has been absorbed. In the case of hardened older scars, it may be necessary to cover the treated area with a dressing overnight. Interactions: None known. Package sizes: 20 g, 50 g. Merz Pharmaceuticals GmbH, Eckenheimer Landstraße 100, D-60318 Frankfurt/Main, Germany

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