Narben

Narben, or scars, are areas of fibrous tissue that replace normal skin after injury. They form during wound healing as collagen is laid down to repair damaged tissue. The final appearance depends on depth, location, skin type and the body’s healing response.

Common types include hypertrophic scars, which stay within the original wound border; keloids, which extend beyond the border; and atrophic scars, which are sunken or pitted, often from acne or chickenpox. Contracture scars can restrict movement, especially after burns. Scars can also differ in color, texture and elasticity.

Healing and time: Scars typically develop over weeks to months and generally improve in appearance over a year or longer, though they rarely disappear completely. Early symptoms may include itching, tenderness or sensitivity.

Diagnosis and treatment: A clinician can assess scar type and symptoms. Treatments range from noninvasive options such as silicone gel or sheets, moisturizers, sun protection, and scar massage to more active approaches. For noticeable scarring or functional impairment, options include corticosteroid injections, laser therapy, microneedling, dermabrasion, chemical peels, fillers or surgical revision. The choice depends on scar type, age, location and patient goals.

Prevention and prognosis: Good wound care, minimizing tension on the wound, avoiding infection and avoiding smoking can reduce scarring. While most scars persist, they can often be made less visible and more flexible with treatment. Some scars may remain permanently noticeable.