Scars form after our skin has been severely damaged:as a result of an injury such as a cut or burn, from conditions such as severe acne, and following planned procedures such as surgery. The scar may still be visible long after the wound has healed. Especially if the scar is obvious, it can be a serious impediment to self-esteem. And in some cases, scars can also cause physical problems.
Over time, the appearance of most scars improves, but depending on where it is, its presence can remain unsettling. And some scars can cause physical problems, for example if they mold and tighten the joints, limiting movement. Here are some tips to improve the skin with scars.
Remember how a scar was formed
Scars are a lengthy process. The way a scar looks immediately after an injury or surgery is not what it will look like months later. Scars can stay even and fade for up to a year. It is wise to give the area time to improve naturally before proceeding with a procedure.
Special scars need special treatment
With 'normal' scars after injury or surgery, treatments such as lasers can improve color and texture so that the scar tissue looks natural. But special categories—acne scars and hypertrophic scars—require special considerations. With acne, the acne must first be treated – hopefully to minimize or prevent scarring. If scars do occur, they may benefit from chemical peels to even out the tone, as well as fillers to address dimples. Hypertrophic scars are particularly inflamed, so it is helpful to consider anti-inflammatory treatments such as steroid injections.
Extra-special scars need extra-special treatment
Keloid scars really are in their own category. They need a specialized approach. Keloids form when our body's defenses go into overdrive and fail to shut down scar-building systems. They are challenging because additional skin disruption — even treatment-based — can cause additional scarring. A knowledgeable doctor can design a plan that takes into account the scar's stage, size, and location. In particular, combination treatments such as steroid injections in combination with cryotherapy may be effective.
Keep reasonable expectations Scar tissue is built to last, so it's there to stay unless it's removed. In certain cases, where the scar is severe, or causes restricted movement and pain, surgical removal may help. But it is of course essential that the surgery is designed in such a way that recovery minimizes scarring. For other cases, scar treatments such as lasers can improve the appearance of the scar so that it blends more evenly with the surrounding skin.
Where possible, prevent prevention
During surgery, surgeons can make incisions and place stitches to reduce the amount of tension placed on the wound as it heals. Post-operative dressings can also reduce tension – or pull on healing skin.
Keep up to date with developments
The future looks promising. There are more opportunities to promote healing that minimizes scar tissue. Duts keeps an eye on developments