What determines if a cut will leave a scar?

  • What determines if a cut will leave a scar?

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    Every cut leaves a scar. Your body’s response to an injury is to lay down collagen and form a scar to heal. So the simplest answer to your question is that the cut determines that it will leave a scar.

    How large the scar, and how noticeable it is depends on several things.

    1. The blood supply has a huge effect. I am a surgeon that works only on the face and neck, and am blessed to be working in such a blood-rich area. Scars, especially elective surgical scars, heal very well on the face and neck as long as they are placed correctly.
    2. The orientation of the scar matters a lot. The skin has natural “Wrinkles” to it. Check it out for yourself. Pinch your neck below your Adam’s apple in the middle. It naturally creases in the horizontal direction. Cuts that are parallel to these natural creases in the skin heal very well, while those perpendicular to them do not.
    3. The “step-off” of the skin, that is, the height difference between different sides of the cut, determine the scarring. A larger step-off gives your scar more thickness. If you have a cut that needs stitches, get it stitched well and early.
    4. The mobility of the scar matters a lot. Scars on the elbows and knees are always in motion, and they tend to form larger scars than if they are on immobile parts of the body.
    5. The scar’s exposure to the sun matters a lot. Exposing an immature scar to the sun can affect its pigmentation in the long run, and make it darker (or even lighter) than the surrounding skin. Don’t allow this to happen. Protect your scar from the elements, but especially from the sun.
    6. Hormones matter a lot. There are times of our lives where testosterone runs high. These times can be complicated by hypertrophic scarring or keloid formation.
    7. The scar’s environment matters a lot. There are a lot of “scar gels” out there, but the only medically studied and proven treatment is non-medicated silicone gel with a silicone sheet on top of it. It goes a long ways and is widely available.

    This is by no means an exhaustive list, but it covers a lot of what I think about when a patient discussion turns to “scars”, which is quite often in my world.

    When I cut myself I tended to make very shallow cuts. Some of them were so shallow they only left a slight discoloration once they’d had a few months to heal. The deeper they get the more visible the scar. Even some of the very small ones left shiny bits of scar tissue behind. If you think being extra careful will guarantee no scaring you are wrong. Skin is a delicate organ, it won’t reseal the same way it was before it was cut especially if self harm becomes a habit. I’ve heard this has to do with how collagen is rebuilt after an injury occurs. Either way, it’s best to keep in mind that self harm leaves scars/discoloration and it’s not the best coping mechanism.

    if a cut leaves a scar or not, depends on how deep the cut went into the skin.

    The skin on the human body is constituted from 3 layers.

    1. Epidermis – top layer
    2. dermis – the middle layer
    3. Subcutaneous tissues – Deep layer

    If the wound doesn’t reach the dermis, you will not get a scar. After a few weeks, there will be no trace left of the injury.

    However, if the cut goes through the dermis, you will get a scar. The deeper the cuts go in skin layers, the bigger the mark will be.

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    All cuts leave scars. However, the difference is knowing which one will fade completely. Usually light ones on the arms turn brown. That fades away in a few months. If they’re deeper, arms thighs or legs, they will be a red to purple color. And be raised ridge. Those will only fade to white, but will flatten out And it will take 2–3 years depending. Anything done across the stomach will stay white but not go flat. They will always be small ridges. Please stop cutting while you can. Because it’s a trap that just pulls you in deeper into it seems there’s no way out. thereishelpandhope.wordpress.com

    Everything you can think of, but mostly the severity and type of the injury. Your age, the part of the body (actually, the depth of the dermis, or deep skin layer), what kind of scar you naturally form (some people form large raised scars called hypertrophic or keloid scars), and your ethnicity and darkness of your skin.

    A scar is the product of the body’s repair mechanism after tissue injury. If a wound heals quickly within two weeks with new formation of skin, minimal collagen will be deposited and no scar will form.[17] Generally, if a wound takes longer than three to four weeks to become covered, a scar will form.[17] Small full thickness wounds under 2mm reepithilize fast and heal scar free.[18][19] Deep second-degree burns heal with scarring and hair loss.[2] Sweat glands do not form in scar tissue, which impairs the regulation of body temperature.[20] Elastic fibers are generally not detected in scar tissue younger than 3 months old.[21] In scars rete pegs are lost;[22] through a lack of rete pegs scars tend to shear easier than normal tissue.[22]

    Prolonged inflammation, as well as the fibroblast proliferation[24] can occur. Redness that often follows an injury to the skin is not a scar, and is generally not permanent (see wound healing). The time it takes for this redness to dissipate may, however, range from a few days to, in some serious and rare cases, a few years.

    Scars form differently based on the location of the injury on the body and the age of the person who was injured.

    The worse the initial damage is, the worse the scar will generally be.

    Skin scars occur when the dermis (the deep, thick layer of skin) is damaged. Most skin scars are flat and leave a trace of the original injury that caused them.

    Wounds allowed to heal secondarily tend to scar worse than wounds from primary closure. Scar – Wikipedia

    If it was a really deep cut then it’s likely to scar, if you want the scar to fade or be less apparent make sure you treat it with ointment and take care of yourself.

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    I’m so sorry that you are going through a hard time and cutting is how you are coping with that but please go get some help and try to limit your self harm you are so strong you can do it!!

    im not a nurse or doctor just someone who has a little experience but yes I’m sorry I think they will scar but they will grow faint over time don’t worry it might take a little bit but as a ruff guide most cuts will leave a scar some will be more prominent and others will fade really quickly. I’ve found using Celestone has helped mine but I think it is a prescription so you might have to go to your GP to get it but while your there try and get some help if your not already receiving some!

    stay strong xx

    message me if you need

    Any cut that you can see yellow-orange fat at the bottom will leave a noticeable scar. It is called a full-thickness skin laceration. It will require stitches to heal properly.

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    They will. You’re making abnormal holes in your body, and it will scar. Please talk to somebody about why you feel the need to do this, because if you can beat this, you won’t have to worry about scars and you can concentrate on other happier things.

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    Always leaves a scar. The direction and depth of the cut can determine how noticeable the scar may be. There are directions that a facial plastic surgeon understands that will minimize the appearance of the scar. Different regions are more prone to scarring. The wound closure technique and the amount of time the sutures remain can minimize or increase scarring. Some medications, such as steroids, can minimize inflammation and scarring. Some people are more prone to scarring (keloids).

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    Very superficial cuts will not usually leave a scar. Deep cuts will leave a scar of variable extent. There are few factors that will affect the scar size and shape. Sharp instrument cut that was properly sutured will leave minimal scarring. Skin type, smoking, anemia plus Vitamin deficiencies will delay healing and may worsen the scar shape. Infection causing disruption of wound healing leaving a bad scar.

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    If you cut into the dermis (bleeding part of the skin), you will get a scar. Some (many) scars are practically invisible, fortunately. How much of a scar one gets depends on many things. The direction and angle of the cut, the tension and stress on the wound as it heals, individual propensity to hypertrophy and hyperpignentation, complications like infection, etc.

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    All cuts leave a scar – the degree of scarring varies enormously.

    Anecdotally, the advent of HD TV caused many stars anxiety becauseers can see the joins!

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