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Skin Scars : Types, Treatment and Aftercare 2022

Scars; It can occur due to various reasons such as injury, disease, contamination, surgery or damage to the skin as a result of penetration of a tool into the skin.

Scars can be thin and light, as well as a raised scar on the surface of the skin and in a different color from the color of the skin near the wound. Sometimes, significant scars are accompanied by pain, tenderness, itching in the wound area, and difficulty in movement, although the frequency is less.


Types of Scars

There are different types of pathological scars:

Hypertrophy Scars

Hypertrophic scars are hard, raised, red scars that result from overgrowth of connective tissue that leads to scar tissue.

There are certain areas of the body that are susceptible to this type of scarring: the shoulder and back, and behind the ear.

The formation of hypertrophic scars is highly related to the following factors:

  • Closing the wound with sutures
  • The presence of a problem that prevents the blood flow necessary for wound healing, which is usually caused by a chronic disease such as diabetes and various vascular problems.
  • Smoking, which causes vasoconstriction (narrowing of blood vessels)
  • The intensity and color formation of the red hypertrophic scar worsen from six months to the first year, after which an improvement in the color, thickness and firmness of the scar is observed.

Keloid Scars

Keloid scars are scars that go beyond the boundaries of the scar and result from overgrowth of connective tissue as a result of a genetic disposition.

Keloid scars can occur anywhere on the body, but the areas most prone to this type of scar are the auricles, chest, shoulders, and back. Differentiating keloid scars from hypertrophic scars clinically has proven difficult in the early stages of scar formation.

keloid scar

Pigmentation Scars

Pigmentation scars are scars that are darker than the surrounding skin and usually develop in people with darker skin.

Pigmentation scars often result from increased inflammatory reaction associated with an inappropriate wound healing process such as contamination or from excessive sun exposure in the early stages of wound healing.

Shrinking Scars

Every scar has a tendency to shrink, but significantly reduced scars can greatly limit joint movement.

Scar Treatment

There are many ways to treat pathological scars, and the goal of treatment is to heal and hide the scar. However, it can improve the condition by correcting the scar, but it should be known that it cannot completely hide the scar.

After a successful scar removal procedure, a very slight scar remains. This tissue blends well with the surrounding tissue. Thus, the scar is almost unnoticeable, but in some cases the healing is not significant.

scar treatment

The most obvious methods of treating scars are:

Steroid Injection

Steroid injections aim to suppress the excessive inflammatory reaction that leads to thickening of the scar. It is effective for hypertrophic and sometimes keloid scars.

Steroid injections can be used two weeks after the incision is closed. If the scar remains active, that is, dark red, thick and raised, injections can be continued every few weeks for a year or two.

Steroid injection has very few side effects, including thinning of the skin, formation of small blood vessels on the skin surface, and changes in skin pigmentation.

Compression Bandages

Pressure pads are pads that are based on activating mechanical pressure, which reduces the thickness of the scar as its working principle.

Treatment includes pressure earrings and various pressure bandages for all parts of the body.

Silicone Treatment

Used in thin bandages or forms of topical lubricants, silicone has the advantages of reducing the appearance and thickness of the scar and is effective in all active stages of scarring. Silicone-based creams can be used during the lactation period.

Surgical treatment

Surgical treatment is a relatively late-stage option, as most scars heal over time and respond to conventional treatments.

Surgical treatment is usually performed in cases where the range of motion is reduced.

Combined Treatment

Sometimes different treatments are combined for best results. An example is the use of steroid injections during surgery to treat a smallpox scar and prevent its recurrence.

Laser Therapy

The laser is aimed at dark red scars and aims to lighten the scar color by shining laser beams on them to a certain extent.

laser therapy


Wound massage to soften the scar, applying oil to the scar area to reduce itching, natural treatments to reduce scarring and increase range of motion are complementary treatments that contribute to scar treatment. Centella asiatica extract creams are pregnancy category A.

Other Treatments

A number of other treatments for advanced keloid scars include radiation, local chemical injections, and liquid nitrogen freezing.

IMPORTANT NOTICE: All the above information is provided in summary form and DOES NOT contain all possible information about this product. All the information in this summary does not guarantee that the product is safe, effective or suitable for you. All this information is never personal medical advice and does not replace the advice of a physician, pharmacist or any healthcare professional. On behalf of your health, we recommend that you consult your healthcare professional for accurate and complete information and prescription information about this product and your other health questions and problems.

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