Abnormal Scarring (2024)

What Is Abnormal Scarring?

When skin is cut or injured, the body heals itself by forming scar tissue. If the body makes too much scar tissue, abnormal scarring results.

“Hypertrophic scars” are usually raised, red fibrous lesions, and keloid scars extend beyond the edges of the original cut or wound.

Symptoms

While abnormal scarring is not dangerous and may be asymptomatic, it can be itchy, uncomfortable and unsightly. Other symptoms include:

  • Pain and tenderness — The scar may be painful during normal conditions, such as when clothing rubs against it.
  • Physical deformity — Thickened, tightened scars may pull healthy skin and nearby structures together as they scar. This may cause a deformity or lead to movement or function issues.
  • Psychological disorders — Patients who have disfiguring facial injuries are more likely to experience appearance-related anxiety and depression, as well as post-traumatic stress reactions.

Treatment Options

Scars take up to a full year to mature, and plastic surgeons usually prefer to wait for that period to end before beginning:

  • Medicine — Corticosteroid injections every six weeks may help flatten and soften the scar.
  • Pressure and massage — Bandages or tape to apply pressure, along with regular massage, can weaken the scar tissue and improve the appearance of the scar.
  • Silicone — This noninvasive option may be applied as a sheet, gel, spray or foam to minimize scarring.
  • Laser therapy — Lasers burn and flatten raised scars, targeting their red/pink pigments to make them lighter.
  • Surgery — After a year, an abnormal scar may be surgically removed.

Ready for an Appointment?

If you're experiencing signs or symptoms of abnormal scarring, schedule an appointment or call 800-TEMPLE-MED (800-836-7536) today.

Learn more about our doctors and care team who diagnose and treat abnormal scarring.

Abnormal Scarring (2024)

FAQs

What is considered abnormal scarring? ›

What Is Abnormal Scarring? When skin is cut or injured, the body heals itself by forming scar tissue. If the body makes too much scar tissue, abnormal scarring results. “Hypertrophic scars” are usually raised, red fibrous lesions, and keloid scars extend beyond the edges of the original cut or wound.

What is abnormal scarring ICD 10? ›

ICD-10 code: L90. 5 Scar conditions and fibrosis of skin.

What is the medical term for bad scarring? ›

Hypertrophic scars and keloids often cause irritation, pruritus, and even neuropathic pain. Severe hypertrophic scars or keloids over a large area can cause contractures that may be disabling.

Is surgery a cause of abnormal scarring? ›

A hypertrophic scar is a thick raised scar that's an abnormal response to wound healing. They more commonly occur in taut skin areas following skin trauma, burns or surgical incisions. Treatments include medication, freezing, injections, lasers and surgery.

What are the three stages of scarring? ›

Based on morphological changes seen in the wound tissue during the course of the healing process, these phases are defined as the inflammatory phase, the proliferative phase (with the development of the granulation tissue) and reepithelialization phase, and the remodeling phase which includes maturation and scar ...

What are the early stages of scarring? ›

What it looks like: While you will eventually see a flat scar, when this scar first appears it tends to be pink to reddish in color and slightly raised. It may also be itchy or painful. As your skin continues to heal, the scar will flatten and change color.

How to know if scar tissue? ›

What Are The Signs Of Scar Tissue?
  1. Pain or discomfort at the scar site may be dull, achy, stabbing, or burning.
  2. Itching or tingling sensations in and around the scarred area.
  3. Tenderness or sensitivity to touch.
  4. Decreased range of motion or stiffness, mainly if the scar tissue affects underlying muscles or joints.
May 7, 2024

What is ICD-10 scarring lung? ›

2024 ICD-10-CM Diagnosis Code J84. 10: Pulmonary fibrosis, unspecified.

What is scarring and deformity? ›

What is scarring and disfigurement? Scars form when the dermis (deep, thick layer of skin) is damaged. During the healing process, the body forms new collagen fibers to mend that damage back together, resulting in a scar. When a scar is visible, the wound has completely healed.

Should I be worried about lung scarring? ›

Scarred lung tissues have a hard time getting oxygen to the rest of the body. This strains the right side of the heart. It may lead to high blood pressure in the lungs (called pulmonary hypertension). In severe cases, it can cause heart failure.

What diseases cause scarring? ›

Internal scar tissue can result from surgery (like abdominal adhesions) and some health conditions, such as Asherman's syndrome and Peyronie's disease. An autoimmune disease such as scleroderma creates skin changes resembling scarring from the inflammation in the skin.

Is scarring a bad thing? ›

Scarring is a natural part of the healing process after an injury. The scar's appearance and its treatment depend on multiple factors, including the depth and size of the wound, its location, and the age, sex, ethnicity and genetics of the patient.

What is the most common type of scarring? ›

Fine-line scars are common following a wound or after surgery. They aren't usually painful, but they may be itchy for a few months. On darker skin types, the scar tissue may fade to leave a brown or white mark. A pale scar may be more obvious on tanned skin because scar tissue doesn't tan.

Should you have surgery to remove scar tissue? ›

Scar Removal

In some instances, a surgeon may recommend removing a large hypertrophic scar or keloid. Keloids that far exceed the margins of the original wound, for example, require removal to allow surgeons to reconstruct the surrounding skin and tissue and restore as much of the underlying structure as possible.

Is scarring a permanent impairment? ›

14.2 Disfigurement, scars and skin grafts may be assessed as causing significant permanent impairment when the skin condition causes limitation in the performance of activities of daily living (ADL).

What are the grades of scarring? ›

Scarring may be graded as:
  • Grade 1: Slightly visible inconsistencies in the complexion.
  • Grade 2: Visible mild rolling scars.
  • Grade 3: Visible moderate rolling, boxcar and hypertrophic scars.
  • Grade 4: Visible severe icepick or keloid scarring.

What is considered an unstable scar? ›

An unstable scar is one where, for any reason, there is frequent loss of covering of skin over the scar. See 38 C.F.R. § 4.118, DC 7804, note 1. If one or more scars are both unstable and painful, the Board must add 10 percent to the evaluation that is based on the total number of unstable or painful scars.

When should I be worried about scars? ›

When should I seek medical advice? If your scar is excessively swollen, red or painful or there is a discharge or odour. If your scar becomes red or itchy. If you are concerned about your scar and its changed appearance.

What is significant scarring? ›

There are two types of excessive scar formation: hypertrophic scars are scars that are larger in amount and thickness than is necessary to heal the wound. Keloid scars, on the other hand, are larger and extend beyond the margins of the original wound.

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