Scar Healing: Is Your Recovery Normal After an Accident? - Dermatology

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Scar issues


After a car accident, the wound has formed a scab that has fallen off on its own, leaving the wound appearing pink.
The deepest part of the wound shows a dark red color with a hint of black.
Is this normal? Additionally, after the scab fell off, there was some peeling of the skin! However, there is no pain when touched, and occasionally the area around the wound feels itchy.
Is this a normal phenomenon?

Chun, 20~29 year old female. Ask Date: 2019/08/28

Dr. Wu Yuxin reply Dermatology


Normal phenomenon of scars.

Reply Date: 2019/08/28

More Info


After a car accident, it is common to have concerns about wound healing, especially when it comes to the appearance and sensations of the healing skin. Based on your description, it seems that your wound is in the process of healing, which can involve several stages and changes in appearance.

When a wound heals, it typically goes through a series of phases: hemostasis, inflammation, proliferation, and remodeling. Initially, after an injury, the body works to stop the bleeding (hemostasis). Following this, the inflammatory phase occurs, where the body sends white blood cells to the area to fight infection and begin the healing process. This phase can last several days and is characterized by redness, swelling, and warmth around the wound.

As the wound progresses into the proliferation phase, new tissue forms, and the wound begins to close. This is when you might notice a pinkish color to the wound, which indicates new blood vessels and tissue are forming. The dark red area you mentioned could be a part of this healing process, as it may represent deeper tissue healing. The presence of black spots could be concerning, as it might indicate necrosis (tissue death), but if it is not painful and is surrounded by healthy tissue, it may simply be a part of the healing process.

The peeling or flaking skin you are experiencing is also quite normal. As the new skin forms, the old, damaged skin may slough off. This can lead to a temporary appearance of dryness or peeling, which is usually not a cause for concern unless accompanied by significant pain, increased redness, or discharge.

The itching sensation you described is a common part of the healing process. It often occurs as nerve endings regenerate and the skin begins to stretch as it heals. However, if the itching becomes severe or is accompanied by other symptoms such as swelling or discharge, it would be wise to consult a healthcare professional.

In terms of the color changes, a pink wound is generally a good sign, indicating that healing is taking place. However, if the wound does not improve, becomes increasingly painful, or shows signs of infection (such as increased redness, warmth, swelling, or pus), you should seek medical attention.
It's also important to keep the wound clean and protected. Depending on the depth and nature of the wound, your healthcare provider may recommend specific wound care practices, such as keeping it covered with a sterile bandage, applying antibiotic ointment, or avoiding certain activities that could stress the area.

In conclusion, based on your description, the healing process you are experiencing seems to be within the normal range. However, always listen to your body and consult a healthcare professional if you have any concerns about your recovery. They can provide personalized advice and ensure that your healing is progressing as it should.

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