White Scars: Causes, Treatments, and Prevention Tips - Dermatology

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White scars


Hello Dr.
Wu,
I had a car accident on August 26th last month.
The abrasion on my lower jaw has healed, and there are no open wounds, with the surface appearing smooth.
The outer area of the injured site is white, while it becomes red towards the center.
Does this count as a scar? I feel a tingling sensation when I accidentally touch it.
What can I use to protect it from further contact? Thank you for your response.

eva, 20~29 year old female. Ask Date: 2016/09/26

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is difficult to make a definitive assessment.
If it is causing significant distress, please seek medical attention as soon as possible.
It may be possible to apply artificial skin or scar dressings.

Reply Date: 2016/09/26

More Info


Understanding white scars, particularly in the context of your recent injury, involves recognizing the nature of scar formation and the healing process of the skin. Based on your description, it sounds like you may be experiencing a form of scarring known as hypopigmented scarring, which can occur after an injury.
1. What are White Scars?
White scars, or hypopigmented scars, are areas of skin that have lost melanin, the pigment that gives skin its color. This can happen after an injury, especially if the skin was damaged deeply or if the healing process was disrupted. The redness you observe in the center of the scar may indicate that the area is still healing, as it can take time for the skin to fully recover and for pigmentation to normalize.

2. Causes of White Scars:
The primary cause of white scars is trauma to the skin, which can include cuts, abrasions, or burns. When the skin heals, it may not produce enough melanin in the affected area, leading to a lighter appearance compared to the surrounding skin. Factors such as skin type, the depth of the injury, and individual healing responses can all influence scar formation.

3. Prevention and Treatment:
To prevent further irritation and promote healing, it’s essential to protect the area. Here are some strategies:
- Avoiding Irritation: You can use silicone gel sheets or silicone ointments, which are often recommended for scar management. They create a protective barrier over the scar, helping to keep it hydrated and reducing sensitivity.

- Moisturization: Keeping the scar moisturized can help improve its appearance. Use a gentle, fragrance-free moisturizer to avoid irritation.

- Sun Protection: Protecting the scar from sun exposure is crucial, as UV rays can darken surrounding skin and make the scar more noticeable. Use a broad-spectrum sunscreen with an SPF of at least 30 when exposed to sunlight.

- Consultation with a Dermatologist: If the scar continues to be painful or does not improve, consider consulting a dermatologist. They may recommend treatments such as laser therapy, chemical peels, or corticosteroid injections to improve the appearance of the scar.

4. Can White Scars Improve?
Yes, white scars can improve over time. The skin has a remarkable ability to heal and regenerate, and with proper care, the appearance of the scar may become less pronounced. However, it’s important to manage expectations, as some scars may never return to the original skin tone.

5. What to Avoid:
Avoid picking at the scar or exposing it to harsh chemicals, as this can lead to further irritation and potentially worsen the scar. Additionally, refrain from using products that may cause allergic reactions or irritation in the area.

In summary, while your injury has resulted in a white scar, there are effective methods to manage and potentially improve its appearance. Protecting the area, keeping it moisturized, and consulting with a healthcare professional if necessary are key steps in your recovery process. If you have further concerns or if the scar does not improve, seeking advice from a dermatologist would be beneficial.

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