Scar correction
Saarland

Healing a scar & scar treatment

Scars are not just an aesthetic problem. Scars near the joints restrict mobility. Scars near the eye impair the closing of the eye or lead to a watery eye. Scars around the mouth distort the facial expression.

What our patients say

    How a scar develops

    The aim of a good skin suture is a tension-free, gentle and precise adaptation of the wound edges so that the wound heals as inconspicuously and quickly as possible. For this reason, wounds are ideally sutured with very fine sutures and under optical magnification.

    1. week: Scabs form during these days.
    2. Week: Final scar tissue develops, the wound contracts.
    3. Week 2: The scar tissue begins to lighten and slowly flattens out. The scar has reached 20% of its final strength.

    Scar healing takes 6 to 12 months. In the first few months, scars are red, possibly painful or itchy and sometimes slightly raised above the skin level.

    As a rule, scars are pale, soft, painless and flat after one year.

    Mathematically speaking, the course of scar healing can be compared to an asymptotic curve. This means that a lot changes in the first weeks and months. Collagen is produced to close the wound as quickly as possible. As a result, the collagen is remodeled so that it is ideally aligned with the skin’s tension conditions. The conversion takes much longer. Initially, the scar may be red, raised, hardened and itchy. After nine to twelve months, the scar eventually becomes pale, flat and soft. After one year, a scar has reached its maximum tensile strength. However, a scar does not reach the tensile strength of the original tissue.

    Wound and scar healing

    Wound and scar healing takes place in four different stages. The first step is to activate blood clotting in the wound. The second phase involves the migration of white blood cells, which protect the body from the invasion of germs. In the third phase, the formation of collagen by connective tissue cells predominates. In the final stage of the fool’s healing process, the collagen is remodeled and aligned according to the skin’s tension forces. The last phase lasts about a year for young people.

    1) Blood coagulation (day 1)

    2) Inflammatory reaction (day 2-3)

    3) Cell proliferation (day 3-7)

    4) Conversion phase (from day 8)

    What can I contribute to scar healing?

    • UV rays (sun or solarium) can lead to a permanent dark discoloration of the scar. You should therefore protect your scar with sun protection factor 50 or UV-impermeable clothing, especially in the first year.
    • The healing of wounds and scars is negatively influenced by the following factors: smoking, excessive exercise or bacterial colonization.
    • In the third postoperative week, scar healing can be supported by multiple daily massages. How? It is best to apply for a few minutes in a circular motion, along and across the course of the scar and with greasy creams such as Bepanthen® Ointment / Linola® Fat.
    • Silicone plasters prevent the formation of bulges and soften the scar (e.g. Cica-Care from Smith and Nephew or Medipatch Gel Z® from asclepios Medizintechnik e.K.). The silicone plaster should be worn continuously for a year for this purpose.
    • Compression treatment with special compression garments also supports favorable scar healing. The compression garment must also be worn continuously for the entire duration of scar healing, i.e. one year.

    Your experts for scar correction

    Dr. Adelana Santos Stahl
    Dr. Adelana Santos Stahl
    Dr. Stephane Stahl
    PD. Dr. Stéphane Stahl

    What are the differences between a hypertrophic scar and a proliferative scar?

    Bulging scar (hypertrophic scar)
    Proliferating scar (keloid)
    Bulging scar (hypertrophic scar)
    Sublime, limited to the wound
    Proliferating scar (keloid)
    Proliferating beyond the edges of the wound
    Bulging scar (hypertrophic scar)
    Regresses
    Proliferating scar (keloid)
    No tendency to regress
    Bulging scar (hypertrophic scar)
    No predilection sites
    Proliferating scar (keloid)
    Especially on the ears, sternum
    Bulging scar (hypertrophic scar)
    Spontaneous regression
    Proliferating scar (keloid)
    No regression
    Bulging scar (hypertrophic scar)
    No risk of recurrence
    Proliferating scar (keloid)
    High risk of recurrence
    Bulging scar (hypertrophic scar)
    Possible contracture

    .

    Proliferating scar (keloid)

    Contracture

    Bulging scar (hypertrophic scar)
    Excision, cortisone infiltration, pressure, silicone
    Proliferating scar (keloid)
    Excision, cortisone infiltration, pressure, silicone, radiation, 5-fluorouracil

    Scar correction

    As the scars spontaneously become paler, flatter and softer up to one year after wound closure and the pain is reduced, surgical scar corrections should not be performed earlier. In the case of medical indications, such as functional limitations, the treatment costs are generally covered by health insurance.

    FAQ – Frequently asked questions

    Growing, itchy, reddish or dark scars are referred to as scar growths. Scar growths are technically known as keloids. The main characteristic of a keloid is that it grows beyond the boundaries of the injured tissue after the wound has already closed. Keloids occur preferentially on the ears, shoulders and upper chest area.

    Hypertrophic scars are thick raised scars that do not grow beyond the scar line. However, the healing phase takes up to a year.

    Injuries to the skin that lead to tissue loss, such as burns, can produce a firm and contracted scar. This is known as contracture. For surgical treatment, the contracture must be removed and the defect covered with a skin flap or graft.

    • Surgical scar correction
    • Z-sculptures
    • W-plastics
    • Injecting scars with autologous fat
    • Microneedling against scars
    • The injection of scars with cortisone

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

    Choosing the right treatment together with you is the decisive step to success. We carry out the following treatments frequently and with good experience:

    • Removal of the keloid
    • Injection of the keloid with cortisone
    • Injection of the keloid with 5-fluorouracil

    Because keloids recur repeatedly, combined procedures such as surgical removal with injections or radiotherapy are very beneficial. Pressure bandages with silicone films delay recurrence.

    You might also be interested in

    Wrinkle injection with autologous fatCenterplast Slider Bild
    Wrinkle injection with autologous fat
    MicroneedlingCenterplast Slider Bild
    Microneedling
    Thread liftingCenterplast Slider Bild
    Thread lifting

    Personal advice

    We take time for you and offer you customized advice and treatment for your individual result.

    Follow us on Instagram

    Follow us on

    Kontakieren Sie uns

    CenterPlast GmbH
    Bahnhofstraße 36
    66111Saarbrücken

    Telefon +49 681 30140055
    E-Mail info@centerplast.de

    Opening hours

    Mo | Di
    08.00 Uhr – 12.00 Uhr13.00 Uhr – 16.00 Uhr
    Mi
    08.00 Uhr – 13.00 Uhr
    Do
    08.00 Uhr – 12.00 Uhr13.00 Uhr – 16.00 Uhr
    Fr
    09.00 Uhr – 12.00 Uhr13.00 Uhr – 18.00 Uhr
    Centerplast in Saarbrücken