A scar is a permanent patch of skin that grows over a wound. It forms when the body heals itself after a cut, scrape, burn, ore sore. Scars also appear after surgery that cuts through the skin, infections such as chicken pox, or skin conditions like acne. Scars may be depressed (atrophic) or raised (hypertrophic and keloids.)
A total of 100 million patients develop scars in the developed world alone each year as a result of 55 million elective operations and 25 million operations after trauma.
Atrophic: Atrophic scars may be flat and pale. Some atrophic scars can have a sunken or pitted appearance. This kind of scarring occurs when underlying structures supporting the skin (for example, fat or muscle) are lost. Some surgical scars have this appearance, as do some scars from acne. Some atrophic scars also can appear as stretched skin. Such scars result when the skin stretches rapidly (for example, as in growth spurts or during pregnancy). In addition, this type of scar can occur when the skin is under tension (near a joint, for example) during the healing process.
Hypertrophic Scars. Hypertrophic scars are thick, red, and raised, however, unlike keloids the scar remains within the boundaries of the original incision or wound.
Keloid. Keloids are thick, protrusive mounds of scar tissue and are often red or darker in color than the surrounding skin. See table 1 for differences between hypertrophic scars and keloids.
Contractures. Burns or other major injuries may form a scar that pulls the edges of the skin together, a process called contraction. The resulting contracture may affect the adjacent muscles and tendons, restricting normal movement.
Atrophic Scars: There is no topical treatment that can prevent or remove atrophic scars. Retinoic acid
Hypertrophic scars and Keloids: The best treatment to prevent the formation and to reduce some signs and symptoms associates to this type of scars is 100% topical silicone. It comes in gel or spray. The most effective is the one that dries itself in seconds, allowing the use of other cosmetics like sunscreens, moisturizers and make-up, on top of it.
Atrophic scars: These lesions can be treated with a procedure called microneedling and some types of laser to stimulate collagen. A procedure called subcision is used to remove the fibrous tissue of scars attached to deeper tissues. Sometimes derma fillers can be used to fill in depressed scars. The best results are obtained with the combination of procedures.
Hypertrophic scars and Keloids: Intralesional corticosteroids and cryotherapy with liquid nitrogen are the most common for the treatment of this type of scars. Some other procedures including scar revision, radiotherapy, intralesional 5-fluoruracilo, lasers have been used with variable results.
Photos should be in .jpg format, and up to 2MB in size. In general, higher resolution leads to a better analysis.
Good lighting is important! We recommend taking your photo indoors in a well lit space. Try to avoid lighting which creates shadows in the photo. Also, try to be consistent; take your photos in the same place with the same lighting each time.
It's important that after cropping your condition is well represented in the photo. Please try to zoom in as much as possible. For a long scar, it's better to zoom in on one part of the scar than to try to fit the whole scar in the frame.
You can upload as often as you would like. There are no set guidelines for the frequency of uploading new photos. Just remember that it may take several weeks or longer to see results.
Your scar is scored on 3 dimensions: redness, pigmentation, and elevation. Each of these dimensions has an index score ranging from 0 to 100, with 0 indicating least severe and 100 indicating most severe.
The index scores were created as an easy-to-use scale to help quantify your scar. It helps make it easy for you to track whether your scores are improving, and by how much.
This index scores should not be used in place of direction by your physician or healthcare provider.
You could easily be right! Accurate results require accurate photos. Please be sure to closely follow the instructions in the FAQ section titled taking good photos.