Sunday , October 24 2021

What should be done if scars cause problems?


WHe has a scar, mostly saying: When a big jump from the skateboard crashed, one strokes the short straw, dancing wildly at the last party: It's not just about degrees or bruises. "Scars are created after damage that goes so deep that the restoration of the skin is not possible with the normal structure of the individual layers, but a connective tissue with different characteristics than normal skin," says Alexander Nast from the Department of Dermatology, Venereology and Allergy at Berlin Charité. "The other structure of this tissue leads to the visibility of the wound."

Healing the scar takes time

Originally an scar is usually swollen and slightly red. It may take three years for her to mature and achieve her final appearance. At best she is hardly noticeable afterwards. However, some wounds remain somewhat red, bulged and sublime. So-called hypertrophic scars sometimes rub. Regular massage with creams or gels can help make the tissue softer, more elastic and so narrower. A painful variant of scars is keloids. Particularly younger skin often tends to produce so-called excessive scarring, where scar tissue continues to grow after wound healing and does not regret spontaneously. Particularly affected are darker areas of the skin on the ears, shoulders and chest area. Although keloids can still be treated afterwards. "But creams are not usually enough for this," says Nast. Instead, the doctor usually uses cortisone in proliferated scars, which are injected into the scar. In addition, the scar can be boiled with liquid nitrogen.


Why some scars, for example after Caesarean section or other operations, still cause problems years later, are hardly explored. "When the weather changes, many parameters change, which we more or less consciously perceive," says Alexander Nast. Temperature, air pressure and moisture affect the body. "These factors are also reflected in the perception of scars." For severe painful scars sufferers can resort to analgesics. "Otherwise, treatment options are limited."

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