Scars are an unpleasant memory of painful incidents, burns or surgical operations. Even in adulthood, they can remind us of chickenpox from childhood or strong acne from puberty. Paradoxically, they can be found attractive in men, but generally patients want to get rid of them forever.
There are several types of scars. They can be linear or flat, plastic – convex scars, sunken, soft or on the contrary very firm. In all cases, a consultation with a doctor is inevitable in their treatment.
Types of scars
Hypertrophic (raised above the skin)
They occur when there is an overproduction of new skin. They are also called hyperactive. Normally, they are red, thick and hard. They often itch and they are painful. They tend to rise above the surrounding skin, but they do not extend outside the original wound area. They usually occur within two weeks after the injury.
Keloid scars (expanding over the lines of the wound)
They are firm, round; they form irregular bands of scar tissue that grow beyond the boundaries of the original wound. In comparison with the surrounding skin they are often red or darker. They can appear even later after the injury and they can also worsen during pregnancy. They occur at every age, but they tend to develop faster in younger people and people with a darker complexion. The tendency to form scars is hereditary.
Atrophic (sunken scars)
They appear when the wound does not heal properly and insufficient number of new connective tissue is created. The sequential scar is beneath the surrounding skin, for example scars after acne or chickenpox.
The treatment is always combined. Various types of lasers are used.