Hello, I have a few recent scars of about three weeks now. I know that I must give it a lot more time, but I am concerned more about the scar tissue preventing healing. It's red, hard,lumpy,and I am trying to massage it daily, along with kelo-cote and hot/warm compresses. The scar is above the left eye, near the eyebrow. Will the body break down the scar tissue completely or does it need revision? Thank you kindly for your time and advice.
December 25, 2010
Answer: Scars take time to mature
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December 25, 2010
Answer: Scars take time to mature
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March 4, 2016
Answer: Upper eyelid scarring When the skin is injured it recovers in a series of phases. Initially there is an inflammatory phase which involves immediate local cellular responses (first few days). This is followed by the proliferative phase which involves continued tissue healing, collagen synthesis, wound contracture, etc. Finally, at around three weeks, the wound enters the maturation and remodeling phase. This is where collagen formation and other reparative responses subside. Please note that any of these phases can be prolonged in events of infection, smoking, diabetes or other wound impairing processes. At this time your wound appears to be in the proliferative phase of healing where it is not uncommon to feel some level of scar production. Your wound will most likely become more violacious over the next 1-2 weeks and aesthetically appear at its worst. After this point the remodeling phase will become the dominant phase and the site will then begin to improve in appearance. You may need to follow with your doctor for dermabrasion or scar revision, but as you keenly stated more time will need to pass before additional interventions are undertaken.Be healthy and be well, James M. Ridgway, MD, FACS
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March 4, 2016
Answer: Upper eyelid scarring When the skin is injured it recovers in a series of phases. Initially there is an inflammatory phase which involves immediate local cellular responses (first few days). This is followed by the proliferative phase which involves continued tissue healing, collagen synthesis, wound contracture, etc. Finally, at around three weeks, the wound enters the maturation and remodeling phase. This is where collagen formation and other reparative responses subside. Please note that any of these phases can be prolonged in events of infection, smoking, diabetes or other wound impairing processes. At this time your wound appears to be in the proliferative phase of healing where it is not uncommon to feel some level of scar production. Your wound will most likely become more violacious over the next 1-2 weeks and aesthetically appear at its worst. After this point the remodeling phase will become the dominant phase and the site will then begin to improve in appearance. You may need to follow with your doctor for dermabrasion or scar revision, but as you keenly stated more time will need to pass before additional interventions are undertaken.Be healthy and be well, James M. Ridgway, MD, FACS
Helpful 1 person found this helpful
