Home
 »  News
Scars1 Headlines

Facial Scarring: Opinions and Options

Printer Friendly Version     Email this Article     Links/Reprints

facial scars

Facial Scarring: Opinions and Options

April 14, 2010

By Hillary Hoffman for Scars1

Some people wear their scars proudly as “badges of honor” or reminders of past experiences.  But scars in highly visible areas like the face and neck can be emotionally and socially burdensome.   Studies have shown that acne and acne scars are correlated with lowered confidence and self-esteem, social withdrawal, depression, and poor body image.  The same psychological issues can result from facial scarring that is the result of an accident, burn, skin disease, or surgical procedure. 

Just as no two scars are identical, the reactions of different people to facial scarring vary widely.  Some, perhaps most notably the celebrity singer Seal, grow to accept their scars.  Seal, whose scarred face is the result of childhood lupus, has remarked to journalists that he “really likes [his scars]” and that they serve as a kind of insignia.  Though he could surely afford it, he chooses not to investigate scar removal options.

Many people with facial scarring don’t share Seal’s viewpoint, however.  For them, visible scars are a source of embarrassment or shame.  One biomedical executive was horrified at the prospect of permanent scarring after a basketball accident left him with a forehead gash and split lip.  At the hospital, he refused to have a nurse stitch him up and insisted that a surgeon do the job.  The nurse teased him about his vanity, but in the end a plastic surgeon performed the procedure.  Today, the executive is scar-free, for which credits his insistence on getting a cosmetic professional to give him immediate treatment.

In many cases, facial scarring cannot be avoided, and some people are left with scars they’d rather not have.  Fortunately, a range of both invasive and non-invasive techniques exists to lessen the appearance of scars.   Topical creams and gels offer a low-cost and easy way to reduce the appearance of scars.  Ointments that contain vitamin A (retinoic acid) have been shown to render scars less irritated, less elevated, and softer.  Vitamin E-containing ointments, though popular in the past, have been shown in several scientific studies to have little to no effect on improving scar appearance. 

Other non-surgical means of intervention include injection, dermabrasion, and laser therapy.  Protruding scars (such as keloid or hypertrophic scars) can often be reduced by injection of corticosteroids, which act as an anti-inflammatory.  Pitted scars such as acne scars can be “filled-in” with collagen injections.  However, injections don’t offer a permanent solution and must be repeated several times a year to maintain results. 

Dermabrasion can be a useful technique for reducing the appearance of slightly raised scars.  The surrounding skin is frozen and then “sanded” with a special tool in order to make the scar less noticeable.  People considering dermabrasion should be sure to select a trusted physician to carry out the procedure, since improperly performed dermabrasion can lead to infection or greater scarring.   The field of laser therapy has advanced a great deal over the past decade, and laser treatment can be an effective way to make long-term changes to the appearance of scars.

For those interested in making lasting, dramatic changes to their scars, surgery is often the best option.  Since surgery should not be undertaken lightly, it’s important to consult with a surgeon to gain a realistic perspective on the types of surgeries that exist and which physical changes can be expected to occur as a result of the surgery.  More detailed information about the various invasive and non-invasive scar reduction options can be found in the Scars1 Education Center.

When deciding on a treatment, keep in mind that even surgical remedies usually minimize, but do not completely eliminate, scars.   Seek out emotional support and do not let unrealistic expectations weigh you down.  A 2008 study offers some good news for men with facial scars – many women associate male facial scarring with health and bravery.

Take Action
If you have a facial scar...

  • Seek out emotional support
  • Try over-the-counter topical ointments (especially those containing vitamin A)
  • Consult with a doctor or surgeon
  • Consider non-invasive treatment options like injections, laser therapy, and dermabrasion
  • Maintain realistic expectations - a scar may never completely disppear, even after surgery

  • Discuss scar treatment and acceptance in the forums.

    Sources:

    Personal interview
    eMedicine
    Seal’s biography
    WebMD
    Scars1 Education Center

    photo credit: Jonf728

     

     

    Previous Stories

    Garnet BioTherapeutics Announces First Patient Treated In Trial Of New Therapy For Improvement In Scar Appearance

    Examining Scars to Pinpoint Healing Problems in Obese Patients after Surgery

    Annual AAD Meeting Discusses Best Skin Care for Acne & Rosacea

    more Feature Stories


    RSS
     
    This locator will help you to find specialists for scars in your area
     
    Postal or Zip Code
     
    Vitiligo Treatment
    By Sivakanth

    Posted: May 30, 2018
     Hi Vitiligo is a long lasting skin problem which can start at any age. JRK Research offer two solutions for Vitiligo Treatment. Dual Drug therapy Tolenorm oil Tolenorm Ointment Verdura Mela Pro ...

    more more Forums
     
    Dr. Ronald Moy

    Dr. Ronald L. Moy:

    Protecting Skin from Sun
      more
      more Heroes
      nominate a Hero
      Hero policy
    Home | About Us | Press | Make a Suggestion | Content Syndication | Terms of Service | Editorial Policy | Privacy Policy
    Last updated: Sep 16, 2019  © 2019 Body1 All rights reserved.