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Doctor’s advice: How scars are formed

The way a scar develops depends as much on how a client’s body heals

Dr Lalitha Badul

Scars are a direct result of our skin’s natural defence system. If the skin is compromised by laceration, burning or picking, the skin’s defences will immediately begin forming new cells.

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Following the occurrence of acne, lacerations or injury, the skin forms new cells. Scars occur when these new cells develop too fast or too slowly.

The speed of proliferation of new cells is affected by many factors:

  • Extent of injury.
  • Person’s age.
  • Person’s health.
  • Genetic and racial factors.
  • Presence of infection.
  • Drug interaction.

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Scars, whether they’re caused by accident, acne or surgery, are unpredictable. The way a scar develops depends as much on how a client’s body heals as it does on the original injury.

Here are the variables that affect the severity of scarring:

  • The size and depth of the wound.
  • The blood supply to the area.
  • The thickness and colour of skin.
  • The direction of the scar on the skin (across or with the grain of the skin).
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