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Skin lesions leaving a more or less visible scar after healing are unfortunately inevitable throughout life. Effective wound treatment, infection-free healing and individual genetic predisposition are decisive factors in minimizing injury marks.

  • A scar is formed when not only the top layer of the skin, but also the deeper skin layers are damaged.
  • Scars are permanent, but their appearance may improve.
  • The formation of a scar is the last visible stage of wound healing , which takes place in three phases: the inflammatory phase, the repair phase and the regeneration phase.
  • The formation of a scar can last up to two years, this is called the maturation period. During this period, you can act positively on the appearance of the scar. The earlier you do it, the better the results.
  • Carefully treated scars are generally significantly softer, lighter and less protruding.

Outer scars normally form after damage to the deeper layers of the skin. A small cut or a light laceration often only injures the upper skin layer, the epidermis. It is in this context that a new intact skin layer is formed from the lower layer of the epidermis, and closes the wound.

The same does not apply when the lesion reaches the dermis or the intermediate skin layer: In this case, it then leaves scar tissue made up of collagen fibers devoid of elasticity. When a scar forms, protection takes precedence over aesthetics, because when the skin is damaged, pathogens can easily enter the body. It is therefore not surprising that the defenses try to close the wound as quickly as possible. It is therefore not uncommon for an irregular scar to form. The formation of a scar is the last step, with the visible result, of the scarring.

Most of the time, a recent scar is red and prominent. Over time, the scar tissue turns pale and sags slightly. The affected area remains pale and hairless, and appears generally smooth. This skin substitute is less elastic and continues to evolve for about two years. This can later lead to hardening and adhesions. The scar remodeling process can cause typical disorders such as

  • itching,
  • feeling of tightness,
  • pains and
  • increased sensitivity to sunlight.

On the other hand, depending on their extent and their location, the scars can interfere for aesthetic reasons. It is not always possible to cover them with clothing. In fragile regions such as the face, good scar management is therefore decisive.

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