Scar tissue is naturally less organized and similar in appearance to the original skin before injury. For this reason, treating a scar can be difficult, particularly if the scar is older, as the tissue tends to be harder and more pronounced. While it may not always be possible to completely eliminate a scar, it is possible to reduce or soften the scar.
Significance
Scarring is the body's natural response to damage, such as a wound from a surgical incision or large cut. Scar tissue can vary in color--ranging from pink, brown to a silvery-white--and the amount of tissue generated, both of which are based on the person's genetic history. For example, some people are genetically predisposed to develop keloids, which are highly raised scars that occur due to the overdevelopment of scar tissue.
Types
Scars can be treated, and most often treatment is determined based on the severity and location of the scar. Options range from items that can be purchased over the counter, such as silicone gel sheets or scar cream, such as Mederma. Laser treatments and dermabrasion also have been shown to reduce the appearance of scar tissue, and in extreme cases, surgery to remove scars can be performed.
Considerations
If a scar is newly formed or small to medium in size, begin with over-the-counter treatments. One initial treatment may be to apply a topical corticosteroid or antihistamine cream, which helps to reduce itching, redness and tenderness. Other scar treatment creams, such as Neosporin Scar Solution, Scar Zone or Mederma contain active ingredients such as onion extract, which can slow collagen production, helping to make the scar's appearance less pronounced. Silicone gel sheeting, which closely resembles a bandage, can also help heal scars.
Expert Insight
Surgical treatments may be recommended if over-the-counter treatments do not work of if the scar is too large or is older, which could make treatment more difficult. A physician can inject collagen or a steroid into the scar, which can encourage normal cell growth. Treatments to abrade the scar, particularly one that is raised, such as dermabrasion, also may prove helpful in reducing the scar's overall appearance. A laser can be applied to the scar, which has been shown to reduce the scar's appearance anywhere from 50 to 80 percent, according to Consumer Guide to Plastic Surgery.
Warning
While in most instances, it is possible to reduce a scar's overall appearance, scars cannot always be completely eradicated, according to the Mayo Clinic. It's important to establish realistic expectations for your scar treatment plan. Consult a physician if you are concerned your scar is not responding at all to treatment options.
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