Why do scars sometimes look worse?

Scars seem to get worse before they get better. For about six weeks after surgery the scar becomes red, firm and hard. This is the body's way of making a very strong and solid scar. Over the next four months the scar will soften and lose the redness.


Why do my scars look worse some days?

Wound infection

The longer it takes for a wound to heal, the worse a scar will look down the road. When a wound gets infected, specialized skin cells known as fibroblasts won't work as efficiently because they are competing with the microorganisms causing the infection.

Why are my scars becoming more noticeable?

Depressed scar

Sunken scars can become more noticeable as you age. This happens when the skin relaxes and sags, causing the depressions to become more noticeable. You're more likely to develop depressed scars after chickenpox or severe acne clears.


What causes scars to get worse?

Collagen builds up where the tissue is damaged, helping to heal and strengthen the wound. New collagen continues forming for several months and the blood supply increases, causing the scar to become raised and lumpy. In time, some collagen breaks down at the site of the wound and the blood supply reduces.

Why do scars sometimes flare up?

Fibroblasts, which are cells that form during scar tissue growth, are responsible for fibrosis. If the fibroblasts do not clear over time, they cause prolonged inflammation. Other symptoms associated with scar tissue include itching, swelling, and tenderness or sensitivity.


How do scars form? - Sarthak Sinha



Can massaging a scar make it worse?

Scar massage is an effective way to decrease scar tissue build up and help make scars less noticeable. Massage will not help soften a scar more than two years old.

Why do scars get worse before they get better?

The body brings in natural building blocks such as collagen to the area of the wound to allow the area of scar to be bridged and sealed. The scar will appear to become more lumpy and redder at first. This process will take between two and six weeks.

Can scars worsen over time?

A scar may fade so much that you can barely see it, but it never completely goes away. Some scars cause problems months or years later. As nerve endings grow back, the scar may become painful or itchy. Skin cancer can develop in scars, especially in burn scars.


Does rubbing scars help?

Massaging your scars is important. It keeps the tissue around the incision loose so it doesn't “stick” to the tissue underneath. Wait until after your skin has healed before you start massaging your scar. Your skin will be healed when the edges of the scar are well closed with no gaps, and have no drainage.

What reduces the appearance of scars?

Wound care and how to minimize scars
  1. Keep it clean. First of all, treatment of the wound must begin soon after it occurs. ...
  2. Keep it moist. Apply ointment or hydrogel to keep the skin around the injury hydrated and protected, so it does not look or feel dry. ...
  3. Keep it covered. ...
  4. Change the dressing daily.


Is it normal for a scar to get bigger?

Scars tend to fade over time, but some people may have scars that grow larger. These types of scars are known as keloids.


Do scars get wider as they heal?

Widened scars result from excess tension perpendicular to the wound edges during the healing process. Scar widening usually occurs within the first 6 months of injury.

Why do scars look different than normal skin?

When you have scar tissue, you don't have those layers of skin that have those dermal appendages, those different physiological structures, any longer. Scars are different than the normal tissue. They're made up of kind of a collagen that bridges the gap and fills the space in, but it is not a like for like.”

What should a scar look like after 6 months?

During the scar healing process, the color of the scar will fade and its volume will decrease. This stage lasts for an average of 3 to 6 months. The scar then enters its final phase when it begins to become paler and softer (remodeling).


Why do some scars fade and some don t?

After a scar is first formed, the body continues to touch up its work where it can - which is why scars fade slightly over the years when left alone. But scar tissue does not get replaced by this process2, which means that most scars, when left to heal naturally, will never fully disappear.

How soon can you put Mederma on a scar?

Gel Format

For best results, start using Mederma® Advanced Scar Gel as soon as your wound has closed and continue using daily for at least 8 weeks on new scars and 3-6 months on existing scars. Make sure the scab has come off naturally. Don't use Mederma on stitches – wait until any stitches have been removed.

Can you massage a scar too much?

If the patient is finding massage helpful, continuing to massage for longer than six months is not harmful for the scars and can be encouraged. Remember to let patients know that they should stop massaging if the skin feels warmer than the skin around it, they experience bleeding or more pain than usual.


What gets rid of scars the best?

If you want to try an over-the-counter product, silicone gel or silicone sheets have the best evidence they can help reduce the appearance of scars. For more serious scars like keloids, other treatments like cryotherapy, laser resurfacing, or scar removal surgery may be an option.

What cream is good for scars?

Healthline's picks for the best scar creams
  • Mederma Advanced Scar Gel.
  • SkinCeuticals Phyto +
  • Cica-Care Gel Sheet.
  • Cimeosil Scar and Laser Gel.
  • ScarAway Silicone Scar Gel.
  • Tosowoong Green Tea Natural Pure Essence.
  • Honeydew Blemish Cream.
  • Mederma for Kids.


Do scars heal slower as you age?

Now that you're older, wounds can take much longer to heal — sometimes many months. "The body's capacity to repair the skin diminishes as we get older. There aren't as many growth factors and stem cells in the skin.


Can silicone gel make scars worse?

[8,9] Silicon gel exerts several actions which may explain this benefit in scars: It increases hydration of stratum corneum and thereby facilitates regulation of fibroblast production and reduction in collagen production. It results into softer and flatter scar.

Do scars get less noticeable over time?

Scars shrink and become less noticeable as they age. You may be able to wait to have surgery until the scar lightens in color. This can be several months or even a year after the wound has healed. For some scars, it is best to have revision surgery 60 to 90 days after the scar matures or longer.

How long does it take for scars to settle?

“Usually the scars will heal rather quickly - within the course of a few weeks to one or two months - but you may not see final results for up to a year. Individual factors also influence how quickly your body is able to recover from a wound.” In older patients, or where the skin is more lax, scars settle more rapidly.


What color do scars turn when healing?

Scar tissue is usually red at first, then pink for 3-6 months and then fades to a slightly lighter than normal skin color. Exposure to heavy sunlight may cause a scar to heal darker.

What are the stages of scar healing?

Here's how the process breaks down:
  • Stage one: Haemostasis. Blood rushes to the site of the wound and clotting occurs, stopping the bleed. ...
  • Stage two: Inflammation. Once haemostasis is achieved (usually within a few minutes) cells are sent to repair the wound. ...
  • Stage three: Proliferation. ...
  • Stage four: Remodelling.