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Scar Treatments   *  

I scar incredibly easy. The last time I visited friends on their horse farm, I scratched my arm on some barbed wire. It really wasn't more than a small scratch. It stopped bleeding immediately, scabbed over and healed in a few days, but it left a scar that looks as bad as anything I've done to myself. I have scars from paper cuts. So, speaking as someone who scars at the drop of a hat, here's what I know about scars.

When I get asked about my scars, I usually say something along the lines of, "I don't handle stress well," which is true without being too explicit. But then the next question is almost always, "You did that to yourself?" and then I have to explain. Sometimes I don't mind explaining. Sometimes explaining is scary. I've lost friends once they found out about my self injury. So sometimes I chicken out and just say, "Car accident. There was a lot of glass," which works surprisingly well.

However you decide to explain your scars, here's some info on how to minimize the scars that you have.

What is a scar?
Scar tissue is produced by the body when the skin has been cut or broken open. It's the bodys way of replacing the damaged tissue with stronger healthier tissue. Scar tissue is tougher than regular tissue, however it is also less flexible.

A scar can occur for a variety of reasons. The first is simply genetics. Normal scar tissue is paler then the surrounding skin, flush with the surface of the skin, and typically is less sensative to touch or pain. Certain skin types (olive, dark, mediterranean, african, for example) scar easier than others. These skin types also tend to be prone to keloids and hypertrophic scars. Both keloids and hypertrophic scars are conditions in which the body produces an excess of scar tissue. Both are characterized by a scar thats raised above the surface of the skin, a scar thats darker than the surrounding skin, and a scar that may be sensative or painful to touch. The difference between the two is that a keloid spreads beyond the border of the cut while a hypertrophic scar remains within the border of the cut. This is not to say that all persons with dark skin get keloids or hypertrophic scars, nor is it to say that light skinned people never get them. However, skin type can be a contributing factor to the amount and type of scarring that a person experiences. Unfortunately, theres not much that can be done about this, except that if you know you have this skin type, you can treat your wounds extra carefully.

Scars may fade until they are almost unnoticable, but they never disappear completely. Scars are permanent. For that reason, its best to prevent scarring as a cut heals as much as possible.

Preventing Scarring
Plain and simply, the faster a cut heals, the less scarring there will be. So, it follows that the smaller the cut, the less scarring there will be. A large cut can be made smaller if the edges are somehow held together so that the cut takes up less surface area. This is ideally done with sutures, although in some cases steri strips are enough. Closing the cut once its been disinfected will also prevent infectious substances from getting in. Infection prolongs healing and causes more damage to the tissue, so preventing infection will reduce the chance of excessive scarring. Products such as Neosporin and Bacitracin also help to speed healing and prevent infection and can be very effective in reducing scarring as the cut heals. You can also lessen tissue damage by cleaning cuts with a mild antibacterial soap instead of harsh cleansers like peroxide, iodine, or betadine. Those products kill germs, but they also damage healthy tissue which can lead to increased scarring.

Reducing Scarring (Normal Scar Tissue)
If the cut develops normal scar tissue (flat, light, painless), then there's not much that can be done to make it less obvious. Makeup can be used to cover it. It's been theorized that if you have skin color that stays pretty uniform year round, you could tattoo the scar tissue the same color as your natural skin. That would only work on scars that are paler than the rest of the skin, because a tattoo can make something darker, but it can't make something lighter. I've yet to try this, or hear from anyone else who has tried it, but according to several respected tattoo artists, it's very definitely possible. There are also various surgeries which effectively reduce or remove scar tissue, however these are expensive and have variable results. In addition, a doctor will typically insist that a person be recovered from their self injury for a certain amount of time before they will perform surgery to eliminate or reduce self inflicted scarring.

Reducing Scarring (Hypertrophic and Keloid Scars)
If a scar is hypertrophic or keloidal (raised, dark, sensative), then there are a few other options which will reduce the appearance of the scar, effectively turning it into normal scar tissue. I'm prone to hypertrophic scars, and I've been seeing good results with silicone sheets. These are just thin flat pieces of silicone which you tape on top of the scar with special water based adhesive tape. You can leave the sheet on all day, or just at night, or for a few hours per day, as long as you take it off at least once a day to wash it with a mild soap. Of course the longer you leave it on, the faster you'll see results. The sheets can be washed and reused indefinitely.

It's not known exactly how or why silicone sheets work to reduce scarring, but the scars that I've used this treatment on because noticable lighter and flatter in a fairly short period of time. Its not a miracle cure, and it doesn't work for everyone, but in my opinion, its definitely worth trying if you have this type of scarring. The price of the products range from approximately $25 to $60 for similar sized sheets. I'm not sure, but I don't think that there's any difference in quality or effectiveness between the more expensive and the less expensive brands. The tape can be ordered from any of the companies linked below, or you can buy it at places like Wal Mart in the first aid section. Any paper tape with a water soluble adhesive will work, but the recommended kind is called Micropore.

Please see these links for more information about various silicone scar treatment products.

* I am not a doctor or a medical professional of any kind. The information found here consists of knowledge gained from a variety of sources, including research and personal experiences. I believe it to be good and accurate advice, but please follow it at your own discretion. If in doubt, play it safe and go to a doctor.

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"Plain and simple, the faster a cut heals, the less scarring there will be."

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