
Hello.
I’m Dr. Wi Young-jin of Beauty’s Doctor.
Even after a wound has healed, if redness or a firm sensation remains,
You may worry, “Could the scar harden like this?”
Just because the scab has fallen off
does not mean that skin recovery is completely finished.
The scar regeneration process
continues from filling the damaged area with new tissue
to the stage of reorganizing its color and thickness.
Therefore, rather than judging the final scar
based only on how it looks now,
it is important to examine which stage it is currently in.

3-line summary
-
Scar regeneration
goes through the inflammatory, proliferative, and remodeling phases,
and it may take several months or longer
for the color and thickness to settle.
-
Before the wound closes,
protection comes first,
while after it heals, reducing exposure to UV rays and friction
and providing stage-appropriate care are important.
-
If the scar continues to become raised
or remains indented,
it is better to have the scar type checked
rather than continuing with self-care alone.
1) How does the scar regeneration process proceed?

An inflammatory response appears first
immediately after a wound occurs.
Redness, warmth, and discharge may be visible,
and this is the stage in which damaged tissue is cleared
and wound healing begins.
This is followed by the proliferative phase,
when new tissue and blood vessels are formed.
This phase includes the period when
the wound is filled in and the skin surface closes.
During the final remodeling phase,
collagen formed in the early stages is rearranged,
so the scar’s color, firmness,
and thickness may gradually change.
This skin recovery process continues for several months,
and depending on the depth and location of the wound,
changes may continue for more than a year.
That is why redness remaining immediately after healing
does not necessarily mean
that the scar has permanently set in that form.
2) How should care be provided at each stage of wound recovery?

In the early stage, while the wound has not yet closed,
it is better not to forcibly remove the scab
or repeatedly use strong disinfectants.
Rather than touching it arbitrarily,
protecting the wound area
according to the instructions you received
should take priority.
Whether dressings or ointments should be used
may vary depending on the depth and condition of the wound.
Rather than adding products based only on reviews,
it is better to follow the instructions provided during your consultation.
Once the wound has completely closed,
scar care focused on sun protection
and reducing friction becomes important.
Newly formed skin is sensitive to irritation,
so after exposure to sunlight or repeated friction,
the mark may appear darker.
For exposed areas,
use sunscreen,
and if the area is continually rubbed by clothing
or joint movement,
also consider ways to reduce pulling and pressure.
Silicone gels or sheets
are often considered after the wound has completely healed.
If discharge or a scab remains,
check when to begin first
rather than covering it and using the product on your own.
3) When should scar treatment be considered?

Even as scar regeneration progresses,
not all scars
become lighter in the same way.
Keloids that rise beyond the original wound area
or hypertrophic scars
that become thick and firm within the original wound
may require an evaluation appropriate to their current stage.
If itching and pain continue,
or if, over time,
the scar grows in thickness and area,
it is better to have its condition checked
rather than simply waiting longer.
Indented scars, such as acne scars,
require examination of both the surface color
and the structures beneath the skin.
Depending on the scar’s depth and shape,
approaches using devices or injections
may also differ.
Rather than starting scar treatment as soon as possible in every case,
the first step is to determine whether the wound has completely closed,
whether inflammation remains,
and what form the scar is developing into.
In closing
The speed of scar regeneration and the extent to which a scar remains
may vary depending on age, skin characteristics,
and the depth and location of the wound.
Rather than applying someone else’s
scar recovery period directly to your own case,
observe whether the color and thickness are gradually decreasing,
or, conversely, whether the scar is becoming raised
or discomfort is increasing.
If a mark remains for a long time
or the scar appears to be becoming thicker,
have its current stage assessed
and discuss the appropriate care for each stage.
Frequently asked questions
Q1. How long does scar regeneration usually take?
The remodeling phase may continue
for several months to more than a year.
Because the duration varies greatly depending on the depth and location of the wound,
rather than setting a fixed timeframe,
it is better to observe changes in both color and thickness.
Q2. When can silicone products be used?
They are generally considered
after the wound has completely closed
and there is no discharge or scab.
For surgical sites or deep wounds,
it is better to confirm
when to begin before using them.
Q3. Can I apply a brightening product to a red scar?
Redness and brown pigmentation may have different causes.
Rather than using irritating ingredients
while the wound is still sensitive,
it is better to first check the condition of the mark
and then decide on an appropriate care approach.
Q4. When should I start scar massage?
Even after the wound has healed sufficiently,
the appropriate method may vary
depending on the location and type of scar.
Rather than rubbing delicate tissue vigorously,
it is better to start after receiving guidance
on whether massage is needed and what pressure is appropriate.
Thank you for reading this lengthy post today.
This was Dr. Wi Young-jin of Beauty’s Doctor.

