Scars & Wound Healing

Scars are the evidence of injury and the preexistence of a wound. The wound can be minor or traumatic either way a malformation and marking of the skin can occur leaving a scar. Understanding wound healing is important if one wishes to reduce scarring.


Scars

Wound Healing

Any trauma to the skin can create a wound can create a wound which leads to the potentiality of scarring. There are many physiological processes that effect wound healing. The process is a delicate one in which many various factors can affect the outcome. The outcome can be minimal to severe scarring. Wounds are made of collagen. Collagen is produced by the body to hold the wound together.

3 Phases of Wound Healing

1. The inflammatory phase, this phase begins upon injury, immediately when the wound is sustained and it lasts 2 to 6 days. During this period the injured area is usually warm and red. The wound is often swollen at this time and painful. The inflammatory phase is characterized by:
a. The cessation of bleeding
b. The proliferation of white blood cells to the wound area to fight bacterial infection
c. The formation of collagen begins. In this phase, the wound is usually warm, red, swollen, and painful.

2. The proliferative phase begins next and continues approximately 3 to 4 weeks. Collagen production increases rapidly drawing the borders of the wound together facilitating wound closure. The body also produces new capillaries to aid in healing. The proliferative phase is characterized by:
a. The skin edges of the wound become visibly thicker.
b. Granulation tissue is formed this is often represented by new red, bumps in the shrinking wound
c. Cells that help to keep the wound clean and fight infection can cause the wound to be wet, weeping, and white or yellow in appearance. (However if thicker white pus presents; it is a sign of an infection and should be treated.)

3. The maturation phase follows the proliferative phase and continues for a period from several weeks to several years. This phase involves the formation of even more collagen to strengthen the wound, and the development of scar tissue. This is the body’s form of “remodeling” to lessen excess collagen in the scar. This can be observed by example of a thick, red, raised scar to a thin, flat, blended scar over a period of months to years.

Scar Revision Surgery

Scar Revision of orbital facial scar.Enhancing your appearance with scar revision surgery

Several people are unhappy of having scars. Facial scarring is the most affected source of self-consciousness, even though scars may be disturbing anywhere in the body for a person. Facial scar revision is taken in consideration after any cosmetic procedure. Scar revision is a surgical procedure which may greatly improve the appearance of scars and increase one’s self-confidence.

Scar revision techniques vary. Finding the best technique for the right person would depend on the type of your skin, the individuality of the scar and other factors. Scar revision does not completely remove a scar but minimizes the appearance of it as much as possible.

Scars are visible markings, the formation or the discoloration on the skin is shown after the complete healing process of a wound. They are unavoidable consequences of minor traumatic injury or surgery. The development of a scar cannot be predictable. Poor healing may cause scars to be obvious, unsightly and have some sort of disfiguration. A wound that heals well can still result in a scar that adversely affects your appearance. Scars may be raised or recessed, may also differ in color or texture from the surrounding healthy tissue or particularly be noticeable due to the size, shape and location.

Treatment Options

Based on the degree of the scar and the scar classification the treatments can vary. Treatments may include:

• Over the counter topical treatments
• Prescribed topical treatments
• Minimally invasive dermatological procedures
• Cosmetic surgical revision with advanced techniques in wound closure

The one purpose of scar revision surgery is to minimize the scar so that it is more consistent with your surrounding skin tone and texture; basically to reduce the scars visibility. Scar revision provides a more pleasing cosmetic result to improve scar that has healed poorly. However, they may not be erased completely.

Reducing Scarring from Ingrown Hairs

How to get Rid of Ingrown Hair Scars

Body hairs sometimes become ingrown and can often leave scars.

Where hair grows which is anywhere in the body ingrown hair can occur, though they are more likely on places where you regularly remove hair. Men commonly experience ingrown hairs on the face, back, chest, legs and arms. Women tend to have ingrown hairs on the bikini area, legs and armpits. If you pick or squeeze ingrown hairs, you may damage the skin permanently. Scars from ingrown hairs are very common. Thankfully, there are many things you can do to reduce the appearance of ingrown hair scars.

Medical Treatments

Facial In Grown Hair ScarringVisit a dermatologist. A doctor can prescribe you stronger bleaching or fading creams. Ask your doctor about Retin-A creams. These topical treatments encourage cell regeneration, meaning that you’ll have a fresher, more even skin tone with regular use.

Get laser treatment on the ingrown hair scars. Laser light will target the hyperpigmentation in the scars, thereby lightening the area. In addition, laser treatments encourage collagen production so your skin will look firmer and more even. Laser treatments can be quite expensive, and you’ll generally need multiple sessions to achieve satisfactory results.

Talk to your dermatologist about chemical peels to lighten the ingrown hair scars. Depending on the severity of scars, you can opt for light, medium or deep chemical peels. Your skin will be burned by the chemicals, but after it heals, younger skin will be revealed. If you opt for a series of peels, you’ll generally have better results.

Consider microdermabrasion on the scarred area. The top layers of your skin will be buffed away by a mini sandblaster-type device. The skin below will be younger and less damaged so the scars will not be as apparent.

Personal Hygiene

Exfoliate the area, by using a body scrub and loofah. Exfoliation removes dead skin cells, thereby encouraging new skin cell production. Less damaged skin cells will be apparent sooner when you exfoliate regularly.

Wear sunscreen on the scarred area. The sun will often worsen the appearance of ingrown hair scars. In order to fade the scars more quickly, keep the area protected from the sun’s damaging rays. Choose a full-protection sunscreen with a high SPF rating.

Some people report having results by rubbing cocoa butter on the ingrown hair scars. Cocoa butter has been shown to fade scars and encourage healthy skin.

Ingrown hair scars usually have a darker pigmentation than the surrounding skin. When applying bleaching cream to the scars it will lighten the scars, helping then blend in with the rest of your skin. You’ll need to apply most over-the-counter bleaching creams twice a day for several weeks before you see results.

Stretch Marks Getting Under Your Skin?

What causes stretch marks?

Male Strech Mark ScarringStretch marks are medically referred to ass “striae.” Stretch marks can often appear after rapid weight gain or loss. Both pregnancy and teen years are characterized by when growth spurts do to increased levels of steroid hormones necessary for growth of the fetus and adult maturation during puberty. Stretch marks can also be brought on the by the stretching of the skin caused from obesity and and increase muscle mass gained through weight lifting.

In August 2008 issue of Esthetic Dermatology News, Mohammed L. Elsaie, MD, MBA, said Genetic factors – including inherited defects of connective tissues—also play the role. But the basic causes of stretch marks are unknown.

Stretch marks are known to affect the vast majority of women and they are difficult to get rid of. Treatment of straie is best if done in the initial phases. This is usually characterized by a reddening or purpling that can be noted in fairer skin people. Later on the tone and color of the stretch mark will be closer to the skin but are noticeable because of paler pigmentation. Sometimes they have an indentation characteristic as well. In the latter stages stretch marks are less responsive to treatment.

Leslie Baumann, MD, director of the University of Miami Cosmetic Group
and author of The Skin Type Solution; notes that the key is to prevent them.

Baumann states that; “Avoiding rapid weight gain or loss is a good start. For those who are pregnant or experiencing the hormone changes of the teen years, it is crucial to moisturize, the skin becomes more plaint, more plasticized and better able to stretch when it’s well hydrated.”

She recommends moisturizing three or four times a day with products that contain cocoa butter or shea butter as a prine ingredient. Massage the moisturizer deep into breasts, belly, hips, and buttocks.

Surgery can Help Facial Scars

Surgery of Facial Scars

Facial Scar Revision

With very few exceptions most people are self-conscious about facial scars. Facial scar surgery is good choice for individuals who self worth and esteem is impacted by the scarring. Whether from acne or traumatic injury the advancements in scar revision make it worth considering.
Scarring results when the skin is in the process of recovering from an injury, whether the result of an accident, surgery, a burn, or acne, scarring will occur wherever multiple layers of the skin have been affected.

Scars are permanent; however the latest technology and advancements in cosmetic surgery yields great results. The scar can be made less visible or relocated surgically. At times scarring can have additional effect. People can experience diminished functioning of the eyes, mouth, or nose due to scarring.

Facial scar revision can improve your appearance, your self-confidence, or perhaps even improve the level of facial functioning. You can learn how scar revision works and what you can expect from this procedure by consulting a cosmetic surgeon who specializes in scar revision.

Successful facial plastic surgery is a result of good rapport between patient and surgeon. Trust, based on realistic expectations and exacting medical expertise, develops in the consulting stages before surgery is performed. Your surgeon can answer specific questions about your specific needs.

Enhancing Self Image with Scar Revision

 

Enhancing your appearance with scar revision surgery

Most people are not happy about having scars. Facial scarring is often a source of self-consciousness though scars almost anywhere can be disturbing to a person. Scar revision is a surgical procedure which can greatly improve the appearance of scars and enhance one’s self confidence. Facial scar revision is a sought after cosmetic procedure.

There are different scar revision techniques. The best technique that is right for a person depends on the type of individual scar, your skin type and other factors. Scar revision does not completely remove a scar but rather minimizes its appearance as much as possible.

Scars are visible marking, formation or discoloration on the skin after the complete healing process of a wound. They are often unavoidable consequence of minor and traumatic injury and or surgery. A scars development is not predictable. Poor healing can cause scars that are obvious, unsightly and disfiguring. A wound that heals well can still result in a scar that adversely affects your appearance. Scars may be raised or recessed, different in color or texture from surrounding healthy tissue or particularly noticeable due to their size, shape or location.

 

Treatment Options

Treatment options vary based on the type and degree of scarring. Treatments can include:

  • Over the counter topical treatments
  • Prescription topical treatments
  • Minimally invasive dermatological procedures
  • Cosmetic surgical revision with advanced techniques in wound closure

The purpose of scar revision surgery is to minimize the scar so that it is more consistent with your surrounding skin tone and texture; in plain terms to reduce the scars visibility. Scar revision provides a more pleasing cosmetic result or improve scar that has healed poorly. However, a scar cannot be completely erased.

Determining if Scar Revision is Right for You?

Scar revision is a very personal decision. A person should do it for their self, not fulfill an ideal image Scar revision can be performed on people of any age and is a good option for you if:

  • You are bothered by a scar anywhere on your body
  • You are physically healthy
  • You have a positive outlook and realistic goals for your scar revision surgery
  • You do not have active acne or other skin diseases in the area to be treated

The Scar Revision Procedure

Surgical scar revision techniques are usually performed with local anesthesia and sedation or with general anesthesia. Excision techniques are commonly used for scar revision. Another technique, often referred to as Z-plasty, repositions the existing scar so that it is hidden in a less conspicuous area, typically within a natural skin crease.

The Scar Revision Recovery
The recovery after surgical scar revision may involve some minor swelling and bruising. Patients may also experience some discomfort which can be alleviated with medication. Bandages may be applied after surgery and these usually remain in place for one week. The scar will likely appear red immediately after surgery but it will eventually fade to a fine line. Most patients find that they can return to work within one to two weeks.

 

Treating Scarring from Ingrown Hairs

How To Avoid Scarring from Ingrown Hairs

In grown hairs can leave scarring. This scarring for some people can become troublesome and become more severe overtime. Areas frequently shaved are more susceptible to ingrown hair though they can occur any place where hair grows on the body. Place where hair has been shaved and there is friction from skin rubbing or at times clothes can be more vulnerable to the nuisance and at worse scarring from ingrown hairs.

Shaving, waxing, tweezing, electrolysis, and other hair removal methods can often irritate the hair follicle to the point of causing pain, heat, redness, swelling and eruption like skin reactions. These reactions appear as irritating red bumps which at the very least are an embarrassing sight if not a stinging reminder lasting many hours or days. Coarse, curly or wiry hair has a greater tendency to become ingrown because of the curl pattern.

Men often experience ingrown hairs on the face, back, chest, legs and arms. Women tend to get ingrown hairs on the bikini area, legs and armpits. At times the epidermis surrounding the ingrown hair can become swollen and form puss as part of the bodies healing process. People often pick or squeeze ingrown hairs, this activity repeated over time may damage the skin permanently. Scars from ingrown hairs are common. There are a number of good grooming practices that can reduce the appearance of ingrown hair scars and mitigate the reoccurrence and further scarring.

Grooming Preventions for In Grown Hairs

1. Exfoliate the area, Exfoliation removes dead skin cells and nurtures new skin cell production. Less damaged skin cells will be more apparent sooner when you exfoliate regularly. Over a period of months scars often lessen and in some cases become unapparent to the naked eye.

2. Wear sunscreen on the scarred area. Wear sunscreen period. Let’s not worry about environmental controversy and the ozone layers. Many cosmetic companies produce good skin moisturizers with sunscreen so that’s a two for one. The sun can often worsen the appearance of ingrown hair scars. The higher SPF rating is preferable to prevent further damage from harmful sun rays.

3. Cocoa butter has been shown to fade scars and encourage healthy skin. You could find a moisturizer with cocoa butter and sunscreen on the open market.

Professional Medical Treatment

1. See a dermatologist. Some may recommend apply a bleaching cream to the scars. Ingrown hair scars usually have darker pigmentation than surrounding skin. A bleaching cream will lighten the scars, helping them to blend in with the rest of your skin. You’ll need to apply most over-the-counter bleaching creams need to be applied twice a day for several weeks before you see results.

2. A dermatologist may recommend getting laser treatment on the ingrown hair scars. Laser light will target the hyperpigmentation in the scars, thereby lightening the area. Laser treatments also advance collagen production so your skin will look healthier. This is a more costly alternative that generally requires multiple sessions to achieve satisfactory results.

3. Another alternative a dermatologist can suggest is a chemical peels to lighten the ingrown hair scars. Depending on the severity of the scars, you can opt for light, medium or deep chemical peels. Your skin will be burned by the chemicals, but after it heals, younger skin will be revealed. If you opt for a series of peels, you’ll generally have better results.

4. Consider microdermabrasion on the scarred area. The top layers of your skin will be buffed away by a mini sandblaster-type device. The skin below will be younger and less damaged so the scars will not be as apparent.

SCAR FAQs

Important Questions Regarding Scarring

 What causes scars?

Scars are a permanent mark that indicates the skin’s attempt to heal itself. When the skin is damaged the top layer occurs, cells to quickly multiply to form new cells to fill in the gap. When the wound is deeper into the underlying skin tissue, the cells that form collagen are stimulated and they fill in the gap by producing abundant fibrous connective tissue.  If the density of this new tissue is relatively extensive it is usually replaced by normal skin layer over time. A result of a persistent scar remains, when the mass of new tissue is relatively extensive it is associated to cell damage and the fibrous tissue remains.

Facial scar with hyperpigmentation. Why do scars have different colors?

New scars would always turn out to be red or purple in color as a result of damaged blood vessels and inflammation. These are hyperpigmented scars. Older scars are white in color. Resulting from the inflammation and damage to the blood vessels and cells loss of pigment-producing, cells occur. The scar becomes hypopigmented (pale), because of the loss of skin pigment. The skin has a great capacity to regenerate itself. The scars are a sign of the skin attempting to heal itself. Normally when the skin is quickly repaired, the new skin may have a different appearance. This persistent in the formation of the scars that don’t fade away.

How long does it normally take for scars to fade to their final color?

Generally, major scars from either surgery or injury take about six to twelve months to fade to their final color.

Do some people have a predisposition to develop more prominent scars?

It believed that genetic factors play a role in the scarring process. Scarring may be more disfiguring for some people. There has been new treatment developed that can help scars fade away.