Scar revision2020-08-11T17:48:22+02:00

Scar treatment and correction

While scars may become less obvious over time, all scars are permanent. However, there are many factors influencing the characteristics of scars even within the initial stage. Below you can find all relevant information about it.


Scarring is a part of the body’s natural healing process of damaged skin tissue. Scars can result from accidents, diseases, burns, accidents, skin conditions such as acne or surgeries. During the healing process a wound can be divided into some distinct phases. A short-term inflammation within a primary stage is vitally essential for healing. However, it should be borne in mind, that a long healing process can lead to chronic life-changing scarring. Generally, the faster a wound heals, the less scarring will occur. Many people have aesthetic issues by considering scars unattractive, especially on highly visible parts of the body, such as arms, legs or face. Furthermore, scars are also a source of frustration, sadness, anger or anxiety.

Types of scarring

Various factors can affect scarring: age, genetic predisposition, location, ethnicity, infection, etc. Accordingly, there are three main types of scars.

Atrophic scar

Atrophic scars are formed when wounds, such as acne, heal very badly and formation of new connective tissue fibers is insufficient. In this case, scar is located beneath the skin’s surface.

Hypertrophic scar

This type of scars are wounds that heal overzealously above the skin surface. They are formed immediately after or during the healing process of damaged skin due to the excess connective tissue fibers. These scars are large abrasions, formed during the impared healing process accompanied by various complications such as infection. Itchiness can often occur in the affected area as a part of the healing process of this scar type.

Keloid scar (growths of extra scar tissue)

Keloids come from the overgrowth of scar tissue, often itchy and painful to the touch. They are driven by the formation of the excess connective tissue fibers and particularly affect adolescents and young women. Keloid scars are similar to hypertrophic because of dermal thickness. However, they can grow much larger and extend beyond the boundaries of the damaged area.


The treatment of scar correction is affected by various factors, including location of the scar, how the wound heals, type of the scar, stage of healing, etc. It is important to note that scars cannot be removed completely, but they can be partly reduced to look noticeably better and not cause itch or pain.

Scar correction without surgical intervention, cortisone injections

Cortisone is primarily used for swollen and overgrown scars; it blocks collagen production that inhibits scar growth and bulging. Cortisone is injected directly into the scar tissue. Injections are made at regular intervals. After several injections with cortisone, the scars usually become less visible.

Medical scar correction

To stop collagen production and soften the tissue, certain medications can be used in form of creams, gel or ointment. These medications include cortisone or vitamin A. It is highly important to start treatment of the damaged area to inhibit unattractive scar formation.

Scar correction with silicone

Using silicone gel or silicone patches, sheets can reduce a risk of scar bulging and overgrowth of tissue.

Scar correction massage

Scar treatment may include massaging as well. Once the initial wound is healed, gently massage movements of the affected area may help to soften a scar, smooth the skin and make it more elastic.

Surgical scar correction

When everything mentioned about doesn’t help, a healing process doesn’t go smoothly, or scar is located at a visible place, it is recommended to perform a surgical correction of the scar. This is generally an outpatient procedure, performed under a local anesthesia and takes about an hour, depending on the case. However, when it is expected surgery to be painful or difficult, operation is carried out under general anesthesia. After a scar is removed, a fresh tissue is sent to the laboratory for further examination, subsequently, skin of the affected area is sutured in layers.

Surgical scar correction. Postoperative period

Stitches are usually removed a few days after a surgery. Moreover, it is very important to treat properly your scars of the damaged area, including a regular massaging and constant sun protection. Scar is considered to be healed when redness around the area disappears. The healing process can take some months. Depending on location and size, there is a risk of scar recurrence.
  • Day clinic
  • Local or general anesthetic treatment (depending on the scar size and patient’s wishes)
  • Compression garments: up to 2 weeks
  • Pain: insignificant



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