Scars

Scars are areas of fibrous tissue that replace normal skin after an injury or surgery. They are a natural part of the healing process and are necessary for the repair of damaged tissue. However, scars can be unsightly and may cause discomfort or functional problems depending on their location and size.

There are several types of scars, including keloid scars, hypertrophic scars, and contractures. Keloid scars are raised, flesh-colored scars that extend beyond the original wound. They are more common in people with dark skin and may be painful or itchy. Hypertrophic scars are raised, red scars that are similar to keloids but do not extend beyond the boundaries of the original wound. Contractures are scars that form when the skin and underlying tissues are tightened or shortened, often as a result of burns.


The treatment of scars depends on the type and location of the scar, as well as the age of the scar. Younger scars tend to respond better to treatment than older scars. Treatment options for scars may include over-the-counter or prescription creams, gels, or ointments, silicone sheets or dressings, steroid injections, laser therapy, and surgery.

Over-the-counter or prescription creams, gels, or ointments may help to soften and flatten scars, and may also help to reduce redness and itching. Silicone sheets or dressings may also help to soften and flatten scars and may be particularly effective for scars that are raised or thick. Steroid injections may be used to reduce the size and redness of keloid or hypertrophic scars. Laser therapy may be used to improve the appearance of scars by reducing redness and unevenness. Surgery may be necessary to remove keloids or other types of scars that are causing functional problems or are otherwise difficult to treat.


It is important to keep in mind that no treatment can completely remove a scar, and the success of treatment will depend on the individual and the type of scar. It is also important to protect scars from the sun, as exposure to ultraviolet (UV) rays can cause scars to darken or become more noticeable.