Are Scars Permanent?

Scars are a common issue that many people experience. It is a normal part of the body’s healing process after being cut, burned, or injured. Scars form when the skin repairs itself by creating fibrous tissue to close the wound. While some scars may be covered by your clothing, others may be more visible and affect your self-confidence. You may wonder: Are scars permanent? Below, you will find the answer to this question, along with helpful information about treatments to minimize the appearance of scarring.  

Are Scars Permanent?

A scar is a patch of fibrous tissue that replaces normal skin after an injury. Although scarring is a natural process that occurs following an injury, many people are unhappy with the appearance of their scars. This is especially true if the scar is on a visible area of the body, such as the face. Scars can change over time. In many cases, they may flatten or fade, but it is rare for them to entirely disappear. This is because the skin is permanently altered by injuries that cause scarring. Scar treatment is a safe and effective way to reduce the appearance of scarring. Professional treatments can result in thinner, smoother, and less noticeable scars. It is important to work with an oculofacial plastic surgeon who specializes in scar treatment. They can create a customized treatment plan based on your unique needs and aesthetic goals.  

Factors That Impact Scarring

Several factors can cause scars to become permanent or worsen over time. Some of these are within your control. However, others are not as easy for you to work with. This is why it is important to work with a skilled oculofacial plastic surgeon. They are specially trained to treat scars in sensitive areas, such as the face. The following are some of the factors that impact scar progression, particularly in the absence of professional intervention.  

Wound Size, Depth, and Location

One of the most notable factors is likely the size, depth, and location of the original wound. Deep, large wounds generally scar more due to the additional layers of tissue involved. Scar tissue replaces blood vessels and hair follicles. This makes the healed area look noticeably different. Additionally, the location of the injury significantly impacts scarring. Areas that move often can develop thicker scars due to the tension around the wound. This is common around the eyes and mouth.  

Tension During Healing

High tension during the healing process encourages collagen production. However, it often causes an overproduction of collagen, which leads to raised scars. Tension is often caused by skin movement or poor wound closure.  

Genetics and Skin Type

People with melanated skin or a family history of scarring are at a higher risk. A family history of keloids or hypertrophic scars can increase the likelihood of more visible scarring after injury. Genetic factors also influence the operation of collagen during the healing process. It is essential to work with an oculofacial plastic surgeon who is experienced in your specific skin type.  

Age and Health

Younger individuals tend to produce more collagen during the healing process. This can make scarring much more visible. Additionally, those who are in poor health also develop more pronounced scars. Those who smoke, have poor nutrition, are dehydrated, or have a chronic disease experience issues with scarring. Additionally, if the scar becomes infected or the wound is not properly cared for, it can negatively impact the healing process.  

Time of Intervention

Early treatment of scars results in better outcomes. Waiting to get treatment can result in more prominent scars. In many cases, it is difficult to treat scars with non-invasive treatment options. As soon as you experience a wound or injury, consult with an oculofacial plastic surgeon. They can assess the scar and create a customized treatment plan based on your unique needs.  

Sun Exposure

UV rays can affect your skin in various ways. They are especially impactful on new scars as they can cause them to darken. Without sun protection, scars often remain hyperpigmented in color. Consistent sunscreen use can help them fade more evenly and naturally over time. Use at least SPF 30 on a daily basis. If the scar is on your face or neck, wear a wide-brimmed hat and sunglasses for added protection.  

Do I Need Scar Treatment?

Facial scars can impact your appearance and confidence. You will likely benefit from treatment if you experience any of the following.
  • Persistent redness, darkness, or uneven color that does not fade
  • Tightness or pulling that limits movement
  • Discomfort, itching, or sensitivity
  • Raised, thick, or bumpy texture
  • Changes over time, such as growth, thickening, or new symptoms
  • Feelings of self-consciousness about the appearance of a scar
Facial scars can have a major impact on how you feel about yourself. Scars can also impact certain facial functions and movement. Seeking treatment from an oculofacial plastic surgeon can improve the functional and aesthetic issues.  

Scar Treatment

Scar treatment can noticeably improve scarring. There are two primary, highly effective, evidence-based treatment options. In either case, the first step in moving forward with treatment is scheduling a consultation with an oculofacial plastic surgeon. They can assess your scar and create a personalized treatment plan tailored to your specific needs.  

Laser Skin Resurfacing

Laser skin resurfacing gently removes the top layer of the scar. The treatment also stimulates collagen, which can help soften the texture of the scar, reduce its thickness, and improve its overall appearance. Patients notice noticeable improvements after treatment. Depending on the size and type of scar, multiple treatments are often necessary to achieve your desired results.  

RF Microneedling

Some types of scars benefit from RF microneedling. Generally, this includes scars caused by acne, surgery, or injury. The treatment creates micro-injuries that boost the body’s natural healing and collagen production. This results in improved texture without the risk of any changes in pigmentation.  

Top Oculofacial Plastic Surgeon

If you are interested in treatment for your scar, please contact the team at Oculofacial Plastic Surgery of Hawaii today to schedule a consultation.
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