Scar correction
Saarland

Frau mit Narbe am Nacken

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

5,0

Detailed and friendly advice

Detailed and friendly consultation, and above all, very professional care. I felt very well taken care of by Dr. Santos Stahl and her team. The treatment resulted in a beautiful and natural look—exactly what I wanted. I am more than satisfied and would definitely visit this practice again!

5,0

In good hands with Dr. Santos-Stahl

I knew right away that I was in good hands with Dr. Santos-Stahl. She gave me honest and confident advice from the very beginning, and my expectations were exceeded. I am very happy with the results and would go back to Centerplast in a heartbeat. The entire team is very attentive and friendly!

5,0

I’m happy and feel really good

Last November 2023, I had ear correction surgery. I’m very happy with the results and feel really comfortable. Dr. Santos Stahl gave me excellent advice, took plenty of time with me, and performed the procedure with great care.
A big thank you also to the team for their great work. I felt very comfortable at the clinic, and the entire team is very friendly 😊

5,0

Ear Correction with Dr. Santos Stahl

I had ear correction surgery performed by Dr. Santos Stahl at the end of last year.
During our initial consultation, I received detailed information and advice, and in subsequent appointments, the procedure, the course of the surgery, and the healing process were explained to me in detail.
I was cared for very attentively both before and after the surgery, and I am extremely satisfied with the

post-operative care.
Dr. Santos Stahl has an excellent eye for aesthetics and truly understands her craft!
The entire practice team is exceptionally friendly and very pleasant!
The practice is very easy to reach, and appointment requests are always accommodated.
I felt completely at ease and was well taken care of.
I am truly very satisfied with the result!

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5,0

The practice is really great

This practice is truly wonderful. From my first consultation to the final result, I am completely satisfied. They took extra time to address any concerns I had and go over everything in detail. The medical assistants and nurses are also very kind, attentive, and honest. The atmosphere is very pleasant and relaxed—you can feel it the moment you walk in. The result is outstanding. I can

recommend this practice 100% and don’t regret for a second having taken this step. All doubts and fears are put to rest. Should I ever consider cosmetic surgery again, this practice will certainly be my first choice.

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5,0

Abdominoplasty with Dr. Santos Stahl.

Six weeks ago, I had a tummy tuck performed by Dr. Santos Stahl. From the very beginning, I felt completely at ease at the clinic. Communication with the entire team was always very professional, and I felt well taken care of. Dr. Santos Stahl took a lot of time during the consultation, and the post-operative care was excellent as well. The results of the surgery are

already beautiful. I am incredibly satisfied and wholeheartedly recommend the practice.

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5,0

An excellent doctor and team

An excellent doctor and team:
In early 2024, I had a basal cell carcinoma on my upper lip that needed to be removed. Since many practices do not treat patients with public health insurance, I ended up seeing Dr. Stahl on the recommendation of my dermatologist. I felt welcome and at ease there right from the start.
First, the basal cell carcinoma was removed and sent

to the lab, where it turned out that a squamous cell carcinoma had developed right next to it. I am firmly convinced that this malignant skin cancer was detected only thanks to Dr. Stahl’s competent and reliable work. He then provided me with excellent advice once again, took the time to answer my questions, and explained the next steps in a way that was easy for me to understand. You could just tell that he is a true professional who knows exactly what to look out for, both now and in the future. He has a very reassuring manner, which helped me a great deal, especially during the surgery. He was constantly by my side in the operating room, and his medical assistant always had reassuring words for me. Overall, I found the experience at this practice to be very harmonious.
I didn’t experience any pain at any point, and my scars are already very small. All in all, I am 100% satisfied with the result and the warmth, especially from the medical assistants at this practice. I am so incredibly happy with the result. It turned out even more perfect than I

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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.

Dr. Stahl

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Personal advice

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

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Kontakieren Sie uns

CenterPlast GmbH
Bahnhofstraße 36
66111 Saarbrücken

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

Opening hours

Mo | Di
08.00 Clock – 13.00 Clock 00.00 Clock – 00.00 Clock
Mi
08.00 Clock – 12.00 Clock
Do
08.00 Clock – 13.00 Clock 00.00 Clock – 00.00 Clock
Fr
08.00 Clock – 12.00 Clock 13.00 Clock – 16.00 Clock
Centerplast in Saarbrücken
Dr. Santos Stahl bei Lippenbehandlung
Dr. Santos Stahl stellt Patientin verschiedene Brustimplantate vor