Self injury can result in scarring. Scars may fade within the first
two years, but scars are permanent.
Scar Biology
The skin is made up of two layers, the upper (epidermis) and the lower
(dermis) on top of the subcutaneous [under-skin] fat. When we damage
the dermis, scar tissue is formed from collagen. Depending on the severity
/ depth etc. of the damage, and the subsequent treatment received in
the critical 3 week healing window, the scar will be minor or hypertrophic.
It has been observed that deep cuts often cause raised, hard, itchy
hypertrophic scars; often as wide as the cut was deep.
Scar Treatments
If you do have a fresh wound, do consider hygiene; an infected wound
has a higher chance of greater scarring.
Clean the wound as First Aid information suggests, and bandage or use
a plaster.
For wounds that you do not expect to 'close' on their own, we highly
recommend 'skin closure' plasters, such as can be purchased from chemists
such as Boots in the highstreet, or from their website. See this Skin
Closure page for details.
For fresh scars or even older scars you may find that Elastoplast Scar
Reduction Patches help reduce the scar. They can be expensive and may
require a month of treatment, please see the Scar
Reduction Patch page at Boots.
A deep cut causes collagen to be used in the healing process, and
this causes a raised, hard and shiny scar tissue to be formed.
Keloid Scars
These scars are almost identical to hypertrophic scars but are
less treatable. They tend to grow at the edges of scars and continue
to grow beyond the scar edges.
Collagen
All scar tissue is made up of collagen, a fibrous tough connective
protein based cell type. There are many types of collagen.