Will My Skin Heal Back to Normal After Scar Treatment?

Post-scar treatment

Hello, doctor.
Over ten years ago, I had an illness that caused a viral outbreak in my body, resulting in a depression on one side of my nostril.
I later sought treatment from a plastic surgeon, and it has improved.
However, recently, I accidentally picked off a part of the outer skin in that area (which appeared somewhat white).
It later turned red without bleeding.
Now, nearly a week has passed, and some skin has started to cover the area (but it is thinner and not like it was before).
Compared to the adjacent lighter skin, this area appears as a small, red patch.
Will the skin return to its original condition? Thank you.

Wuming Shi, 30~39 year old female. Ask Date: 2016/10/02

Dr. Lu Daokuan reply Plastic Surgery

The wound is initially red due to the presence of type III collagen, and this redness is expected to fade in about 2-3 months.
It is recommended to apply sunscreen during the day on wounds located on the nose.

Reply Date: 2016/10/02

More Info

When it comes to skin healing after scar treatment, it's important to understand the natural processes of skin regeneration and the factors that influence healing. Based on your description, it seems that you have experienced a minor injury to an area of previously treated skin, which is now showing signs of healing. The redness and the thinness of the new skin are common occurrences during the healing process.

Initially, after an injury, the body responds by forming a protective barrier and initiating the healing process. This involves several stages, including hemostasis (stopping the bleeding), inflammation, proliferation (where new tissue forms), and remodeling. The redness you observe is likely due to increased blood flow to the area, which is part of the inflammatory response. This phase typically lasts for a few days to a couple of weeks, depending on the severity of the injury and individual healing factors.

As for the thinness of the new skin, it is also a normal part of the healing process. Newly formed skin may appear thinner and more fragile compared to the surrounding skin. Over time, as the skin continues to heal, it should gradually thicken and regain its normal appearance. This process can take several weeks to months, and the final result may not be identical to the original skin but should improve significantly.

It is also important to note that the skin's pigmentation may take longer to normalize. The area may remain red for a while, but this should fade as the healing progresses. Typically, the redness can last anywhere from a few weeks to a few months, depending on various factors, including your skin type, age, and overall health.

To support the healing process, consider the following recommendations:
1. Sun Protection: Protect the healing skin from sun exposure. UV rays can cause hyperpigmentation in healing skin, leading to darker spots. Use a broad-spectrum sunscreen with an SPF of at least 30 when going outdoors.

2. Moisturization: Keep the area moisturized to prevent dryness and promote healing. Use a gentle, fragrance-free moisturizer or a silicone gel, which can help in scar management.

3. Avoid Picking: It’s crucial to avoid picking at the healing skin, as this can lead to further injury and potential scarring.

4. Consult a Dermatologist: If you notice any signs of infection (increased redness, warmth, swelling, or discharge), or if the area does not improve over time, it’s advisable to consult a dermatologist. They can provide specific treatments or interventions to enhance healing.

5. Patience: Healing takes time, and while it’s natural to want immediate results, it’s important to allow your body the time it needs to heal properly.

In summary, while the area may not return to its exact original state, with proper care and time, it should improve significantly. If you have concerns about the healing process or the appearance of the scar, do not hesitate to reach out to your healthcare provider for personalized advice and treatment options.

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