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Scars
What are scars?
Scars are unsightly and often sensitive skin defects that occur when wound healing is disturbed. A disturbance can be caused by infection, general poor condition or poor blood flow to the area, for example. The skin can also produce too much collagen tissue, resulting in a thickened scar. A scar may also be retracted, or stuck to underlying tissues.
What complaints might you have?
Not all scars cause symptoms. If a wound heals normally, an 'ordinary' scar may remain in the form of a narrow line. Over time, the stripe may become white or darker due to stronger pigmentation in that area. We distinguish between different types of scars. Acne causes different scars than, say, surgery. Some scars are sunken into the skin, others are red, itchy or painful. A scar can also grow outside the wound edges; this is more common in young people and people with a dark skin type. They occur during the healing of surgical wounds, burns, vaccinations, tattoos, piercings or acne. It is very annoying when a scar gives limitations in movement.
What types of scars are there?
- Hypertrophic scar
- Keloid
- Atrophic scar
Hypertrophic scar
A hypertrophic (= Latin, meaning "thickened") scar usually occurs in young people, especially after burns and in people with darker skin. This type of scar is usually red, thickened and raised and may also be itchy or painful. However, an important feature is that the size of the scar does not exceed the boundaries of the original injury. A hypertrophic scar usually appears within weeks of the injury and can heal spontaneously, although this can sometimes take years.
Keloid
A keloid can occur at any age, but tends to occur earlier in younger people and those with darker skin. It is an abnormally thickened, irregularly shaped red to dark-coloured scar that is larger than the original injury. A keloid can occur after any kind of skin damage, e.g. surgical wound, burn, vaccinations, tattoos, piercings or acne scars. In addition, a keloid can also arise spontaneously, without any damage to the skin.
Atrophic scar
This scar is usually small, round and somewhat recessed into the skin. If there are several, the well-known "pitting effect" develops in the skin. This type of scar occurs when the normal healing process is disrupted, resulting in insufficient new skin material being produced. Well-known examples are the atrophic scars in acne and after chicken pox.
What treatments are available with us for scars?
- Surgical correction
- Chemical peelings
- Injection with scar-reducing substances
- Silicone (in the form of plasters or gel)
- Camouflage therapy
- Microneedling
- Lymftaping
- Connective tissue massage
- LPG endermology
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