All About Scars

scarUnsightly scarring is composed of the same collagen as the tissue it has replaced, but the scar tissue, compared to the normal tissue, can contain excessive stiff collagen which is  over-expressed. This bundled growth can over-extend the tissue, blocking off regeneration of tissues.

Another form is atrophic scarring (sunken scarring), which also has an over-expression of collagen blocking regeneration. Scars can be raised, which is caused by over extension of collagen in the area or sunken. Sunken scars happen because the collagen bundles do not overextend the tissue. Stretch marks (striae) are regarded as scars by some.

Wherever there has been a wound there will be some scarring. However, some scars heal well and are not visible or barely visible once healed. Other scars may be very obvious, unsightly and embarrassing. Scars may be darker than the surrounding area but sometimes older scars go much lighter than the surrounding area as the melanin cells in the area have been damaged by the wound.


Guide to scars

Hypertrophic Scars

Hypertrophic scars occur when the body produces too much collagen. This causes the scar to be raised above the surrounding skin. Hypertrophic scars take the form red raised lumps on the skin. They usually occur around four to eight weeks following trauma such as wound closure with excess tension, infection in the wound and/or other traumatic skin injuries. Some skin types are more sensitive to forming hypotrophic scars than others. We offer treatment for hypertrophic scars in the form of medical skin needling, PRP and Silicone gel which softens the scars and encourages normal tissue to replace the scar tissue treated.

Keloid Scars

Keloid scars are a more serious type of hypertrophic scarring which extends outside the original wound area. Thus, keloid scars are all hypertrophic, but “only a small percentage of hypertrophic scars” are keloid. Keloid scars can form on anyone, but they are more common in darker skins. They can be caused by surgery, accident, acne or body piercings. Keloid scars are only inert masses of collagen and therefore completely harmless and not cancerous. However, they can be itchy or painful and may also be of cosmetic concern. We offer treatment for keloid scars in the form of Silicone gel which softens the scars and encourages normal tissue to replace the scar tissue treated. Using such treatment keloids will appear less red and angry looking but they are unlikely to reduce in size substantially.


An atrophic scar takes the form of a sunken recess in the skin, which may have a pitted appearance. Atrophic scars are caused when underlying structures supporting the skin, the fat, muscle, or lower dermal layers are lost. This type of scarring is often associated with acne, chickenpox,  Staphylococcus (or MRSA) infection, poorly closed surgical incisions or accidents. We offer treatment for atrophic scars in the form of Silicone gel, medical skin needling, dermal fillers and PRP.

Stretch marks (striae)

Stretch marks also called striae are also a form of scarring. Stretch marks are caused when the skin is stretched rapidly (for instance during pregnancy,significant weight gain, or growth spurts such as occur during adolescence. They may occasionally happen near joints, when skin is put under tension during the healing process. We offer treatment for stretch marks in the form of medical skin needling, PRP and clinically proven stretch mark treatment products for home application to prevent them forming or to minimise them and encourage normal tissue production when they have formed.

Scar advice and scar treatment in Winchester at Evolutions Clinic.

Many scars can be minimised using medical skin needling, PRP and topical products. Click here to find out more about scar reduction treatments>> .We can also assist with scar prevention treatment, so if you have a medical procedure planned which may scar then come and talk to us in advance. Click here to find out more about scar prevention>>. For scar treatments to prevent or minimise scarring then please call us on 01962 809937 to get more information on scars and scar treatment in Winchester at Evolutions. 


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