It is important to realize that the total wound healing process can take up to a year. In the beginning scars are often red, thickened and sensitive. As the wound healing progresses in the weeks and months to come, they become lighter in color, flatter, softer and less sensitive. For normal wound healing patience is often the best treatment. It is important that fresh scars are protected from sun exposure.
Massage can soften and flatten scar quicker. Continuous pressure also has a positive effect on the outcome of scars, as is achieved with pressure garments on severe burn scars. Silicone also is beneficial for thick hypertrophic scars. In keloid scars the scar formation grows beyond the original area of trauma and form very ugly, thick, aggressive, painful and itchy scars. Cortisteroid injections are often effective to stop their growth and to soften and flatten them. They will not become thinner. In some instances, radiotherapy may be useful to control the growth of persistent scars, but this is not a first choice.
Certain lasers may have a positive effect on scars. Color differences of scars in relations to the surrounding skin are best camouflaged with make-up or in some instance tattooing may be beneficial.