How does a scar mature? Immediately following wound healing, a scar is usually red in appearance and is referred to as an 'immature' scar. Between 3 months and 2 years the scar should become paler, flatter and softer and can then be referred to as a 'mature' scar.
Scar Process
It will take six to 18 months for the scar to have its final appearance. Your scar should gradually soften and fade over these six to 18 months, but will look pink initially (photo B). Some scars never fade. If your scar stays pink after 12 to 18 months please call to discuss options.
At the end of this process, which varies in duration and can take up to 2 years, the scar will take on its final appearance: paler, softer and insensitive.
A scar is a mark on the skin after a wound or injury has healed. You cannot get rid of a scar, but most will fade over time. This can take up to 2 years or more, but there are some things you can do to help it heal or improve how it looks.
The fourth and final stage of the wound healing process is maturation, otherwise known as remodeling. This phase can last as long as two years after the wound has fully sealed off. Collagen production continues throughout the maturation phase, working toward reinstilling durability and elasticity in the skin.
For the purposes of scar management I like to think about scars as either new scars (less than 1 year old) or mature scars (anything older than 1 year). For new scars, I recommend a regimen that includes topical silicone treatment.
Scars take time to settle. The lumpiness, puckering and thickening in the scar take 2-3 months to diminish, whilst the redness and pigmentation can take up to 9-12 months to fade. Most scars become flat and pale after 12 months.
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.
For best results, you should perform scar massage for at least 10 minutes, twice a day, for six months. You should only stop sooner than that if the scar starts showing signs of infection or you experience intolerable discomfort.
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.
When a scar first develops on lighter skin, it's usually pink or red. Over time, the pinkish color fades, and the scar becomes slightly darker or lighter than the color of the skin. In people with dark skin, scars often appear as dark spots. Sometimes scars itch, and they may be painful or tender.
You then want to move adjacent to the scar and move the skin in all directions, up and down and left and right. It is recommended to perform scar massage on a daily basis to have the greatest affect on scar development, pain reduction, and scar mobility.
Cocoa butter cream and Vaseline are most often used to help reduce the appearance of scars. Applying the ointment daily will help heal scars but will not make them invisible. Another tip for caring for your scars includes surgery. Surgery will not eliminate the scar but can change its shape or make it less noticeable.
This is the reason that mature scars are smooth, often shiny, and are always lighter in color than the surrounding skin. The inflammation that is necessary to bring in blood flow and healing cells and tissue can result in the darkening of the normal skin surrounding a scar (post-inflammatory hyperpigmentation).
Scars can be more sensitive to ultraviolet light for more than a year. An inability to respond to 'photodamage' may lead to worsening inflammation and altered pigmentation. The latter phenomenon may make a scar more conspicuous relative to its surroundings.
Vitamin E may be hailed as a new miracle regarding scar reduction and fading. However, the lack of clinical evidence suggests that using vitamin E for scars is ineffective and, thus, not necessary.
The timing of silicone scar sheet use can affect its efficacy, but it is generally never too late to start using them. While the best results are often seen when treatment begins shortly after wound closure or the formation of a scar, established scars can also show improvement.
You should carry on massaging your scars for at least three to six months after your surgery or injury. What happens if I do not do anything? Your scar could become hard and inflexible or adhesions may form. Scars that cross a joint could stop you being able to bend or straighten the joint (a contracture).
Hypertrophic scars that result from burn wounds are more difficult to treat. Superficial burn wounds usually heal without forming hypertrophic scars. Deep burn wounds are harder to treat. Many dermatologic and plastic surgeons treat these by removing the burned area and then using a skin graft.
The scar will tend to remain red for 1-6 months afterwards. After that as the collagen, fibers and scar organizes and matures, the scar tends to contract down and flatten out. The color becomes less red and begins to take on the color and appearance of the surrounding tissue.
The body sends oxygen-rich blood cells and collagen to the wound, which helps the body to form new skin. It may look red and raised at this stage. Maturation- Maturation is the stage of healing when a scar softens, flattens and fades. You'll notice your wound looking more like the skin that was once there.
How does a scar mature? Immediately following wound healing, a scar is usually red in appearance and is referred to as an 'immature' scar. Between 3 months and 2 years the scar should become paler, flatter and softer and can then be referred to as a 'mature' scar.
Atrophic scars are the opposite of hypertrophic scars. They are depressed, sunken and often have a pitted appearance.
There are many types of therapies for scar tissue, but the standard treatment commonly involves exercise and massage — specifically, stretching and pulling the scar tissue to soften, align and elongate it.