Scar problems

Scars are not only an aesthetic problem. Scars near the joints restrict mobility.

In the vicinity of the eye, scars impair the closing of the eye or lead to a watering eye.

In the area of the mouth, scars distort the facial expression.

What's a hypertrophic scar?

Hypertrophic scars are thick raised scars that do not grow beyond the border of the scar. However, the healing phase lasts up to one year.

What is a scar contracture?

Injuries to the skin that lead to the loss of tissue, such as burns, can cause a firm and contracted scar. This is called contracture. For surgical treatment, removal of the contracture and covering of the defect with a skin flap plastic or a graft is necessary.

Which procedures do we offer for scar correction?

  • Surgical scar correction
  • Z-plastics
  • W- plastics
  • Injection of scars with autologous fat
  • Microneedling against scars
  • Injection of scars with cortisone

The result of the scar correction depends on the type, size and course as well as on the individual wound healing, postoperative protection and scar care.

What is the difference between keloids and hypertrophic scars?

  Beaded scar (hypertrophic scar) Sprawling scar (keloid)  
Appearance Sublime, limited to the wound Proliferating beyond the wound edges  
Healing tendency regressing No regression tendency  
Scarring site No predilection sites Predominantly on ears, sternum  
Healing process Spontane regression No regression  
Family tendency No risk of recurrence High risk of recurrence  
Scar Shrinkage Possible Contracture No Contracture  
Treatment methods excision, cortisone infiltration, printing, silicone excision, cortisone infiltration, printing, silicone, irradiation, 5-fluorouracil  

Author's statement

Author: Stéphane Stahl, MD, PhD. There are no financial relationships with the pharmaceutical or medical device industries that could have influenced the above text. Any reproduction, even partial, is permitted for personal use only. All texts used on this website are protected by copyright.


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