Who is most at risk of developing abnormal scars?

Age1

Elderly people show slower wound closure and slower wound healing rates, therefore reducing the risk of abnormal scarring.

Children and young adults are prone to vigorous scarring.

Skin type, genetic factors1

People with skin types I/II (white, fair, freckles) and V/VI (dark brown, black)2 are more likely to develop abnormal scarring.

Previous pathological scarring or family history may increase the likelihood of abnormal scar formation.

Location

Scars that cross joints, skin creases or large muscle groups are likely to form abnormal scars, for example, after cesarean sections or after chest or breast surgery.3

Hormonal influences4

Scars have a tendency to enlarge during pregnancy and puberty due to the hormonal influence.

Strataderm is effective for scar management in high risk patients.

 

1. Bayat A et al. Br J Hospital Medicine 2006;67(8):634–639
2. Fitzpatrick TB. J Med Esthet 1975;2:33–34
3. English RS et al. Dermatol Surg 1999;25:631–638
4. Brissett AE et al. Facial Plastic Surgery 2001;4:263–271