Scar treatment: This is how scars become invisible

Optimum Care and Tips for the Invisible Scar

scars are perceived by most people to be an unattractive reminder of past injury or surgery, and adverse health conditions can also be caused by severe scarring of the tissue. Dr. Timo Spanholtz, Specialist in Plastic and Aesthetic Surgery, explains which care measures can lead to a perfect scar pattern, which is often forgotten and which products are available on the market.


Table of Contents

  • Optimum Care and Tips for the Invisible Scar
  • Scar Care Cream, Scar Remedies, Sunscreen - What's Right?
  • What else can you do to help the scar care?
  • How long should a scar be cared for?
  • What you must not forget!

Even today scars on the face are considered chic in some circles! If you can not believe this, think of "beating student connections" that used saber-slash to add status symbols to the face and even sew horsehair into the wounds to make the scar more visible. However, most patients have exactly the opposite inter


By proper care or aftercare, scarring can be positively influenced and unsightly, sometimes even disfiguring scars can be avoided( Image: Artem Furman / The proper care or aftercare can positively affect the formation of scarring and unsightly, sometimes even disabling scars can be avoided.(Image: Artem Furman /

Following surgery in plastic surgery such as facelifts, breast augmentations, breast lifts or abdominoplasty, our patient's desire is the exact opposite: an invisible scar. And not just because red scars or bulging scars disturb the aesthetics - scars can also cause pain, itch unbearably or restrict the mobility of the body. Scar healing takes a long time, as the wound initially heals, but the scar itself rather "matures", so slowly in a long process to the "normal" surrounding tissue adapts again. Scar healing is influenced by innumerable factors, which can often lead to disturbed scarring.

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Scar types: Physicians classify fibrous, sclerotic, atrophic, hypertrophic and keloid scars

scar type synonym appearance treatment
fibrous scar "normal" scars usually slightly different appearance to the surrounding skin, otherwise inconspicuous none
Sclerotic scar Shrink scar Scar with very hard, contracted tissue;often functionally disabling Early stage: scar management Late stage: surgical removal, new suture and immediate scar management
atrophic scar incarcerated scar, indented scar scar buried in the deep with surrounding crater, possibly not displaceable above ground Early stage: scar management
Late stage: surgicalRemoval, new suture and immediate scar management
Hypertrophic scar Scleral color, asperity
( in the "normal" setting)
"too much" Scar tissue formation limited to the margins of the scar, may occur during maturation and then regress Intensive scar care may be necessaryin combination with adjunctive therapy( cortisone injection, mesotherapy etc)
keloid scar broad scar, bulge scar
( no longer in the "normal" setting)
This particular form of scar growth involvesthe scar itself AND the adjacent "healthy" tissue Complex therapies conceivable;Discontinue with plastic surgeon or dermatologist

You yourself can influence the maturation of the scar by a few simple measures. In the following, we have put together some tips based on our years of clinical experience.

scar care cream, scar plaster, sunscreen - what's the right one?

Many surgeons unfortunately do not recommend scars after surgery, because they see the scar as a "fateful sequel of surgery," or are more interested in the results of the actual surgery than in the quality of the scar. For many years, there have been various scar care products such as Bepanthen®( which offers a practical massage stick), Scarsil®, Contractubex® or Kelofibrase® on the market. Many products use more conventional ingredients such as onion extract, allantoin or heparin. Also required products such as scar plaster are unfortunately so far from a few suppliers from the same hand. Even innovative or even patented active ingredients that specifically affect scar maturation are the exception.

Only one of the products offers an integrated sunscreen, which is especially important for scars on unclothed skin. The exception here is Scarcare®, a new scars care with three ingredients that should allow the combination of an optimal scar maturation. The patented "active ingredient of the year 2015" Spiralin®( awarded, among others, by the journal "Aesthetic Dermatology") is derived from a million-year-old micro-algae organism and is said to have a positive effect on the surface of the scar via its bactericidal effects. In addition, the regenerative power via which Spiralin® supports scarring is proven. The second ingredient, emu oil( known from the treatment of burn scars) and integrated UV protection complete Scarcare® products. Also scar care sets can be ordered, which contain in addition to the required products detailed instructions for scar care.

What else can you do to help the scar care?

No matter which product you choose: it is important to massage the scar regularly. Optimal way, the scar cream is massaged directly into the young scar. It is best to start scarring as early as possible and perform it in a disciplined and regular manner. Of course, that can sometimes be "annoying", but the result will last for the rest of your life.

We recommend the following procedure to our patients: After showering, the scar is massaged intensively for 8 to 10 minutes using the scar cream with circular and powerful movements. Afterwards, cream remnants are removed and the scar is covered with a scar plaster( as an alternative to the plaster, the Scarcare® scar pin can be used well on unclothed skin areas).In the evening, the patch is removed, the scar again massaged with scar cream and covered with the same patch( this can sometimes be used for up to 3 to 4 weeks).

Daily routine of optimal scar care( Source: Daily Routine of Optimal Scar Care( Source:

How long should a scar be cared for?

From our experience, scars mature at different speeds. In a few cases, the final result is seen after 8 to 10 weeks, but often care must be taken for up to six months. As long as the scar is hard and reddish, care should be continued to further optimize the training. Only when a skin color( or a slightly whiter shade) is reached, the care should be completed.

The results after three months of optimal scar management are well recognized on the before-and-after pictures.(Source: The results after 3 months of optimal scar management are well recognized on the before-and-after pictures.(Source:

What you must not forget!

An important detail that is often forgotten and which we would like to refer to here: If you are exposed to sunlight while training the mature scar, you must protect the scar with a UV blocker. Otherwise it can lead to an ugly and permanent pigmentation. If the product you have chosen does not offer a built-in UV filter, it is advisable to bring a separate sunscreen( SPF> 25).Only when the scar is completely pale and soft can be dispensed with the UV protection.

Finally, we summarized common scar care products for you and sorted them according to a few criteria.

scar care products alphabetical order, not exhaustive

name price / milligrams or milliliters
patented ingredients other ingredients UV protection Special more products in the scar care
Bepanthen the scar 0.70 € dexpanthenol, silicone cream tubewith integrated massage roller
Contractubex 0,26 € Heparin, allantoin, onion extract Intensive patch for the night
Dermatix Gel 2,10 € Silicone, Vitamin C
Kelo Cote Gel 1,00 € Silica, polysiloxane Silicone spray, Kelo-cote UV( SPF 30)
Kelofibrase 0,20 € Heparin, Camphor, Urea only available in pharmacies
Scarcare Scar Care 1,40 € Spiralin Emuoil, Dimethicone, Silicone yes developed by surgeons, UV protection in all products Intensive patch and care stick on the go
Scarsoft 1,20 € Silicone, onion extract, Vitamin E, Sodium hyaluronad


med. Timo A. Spanholtz, Specialist in Plastic and Aesthetic Surgery, Head of the Praxisklinik am Rosengarten

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