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Why scars are sometimes noticeable after an operation – and what you can do about it

Most patients associate the success of a cosmetic or reconstructive procedure not only with the shape or function of the operated area, but also with the appearance of the scar. Unfortunately, surgical procedures cannot be carried out without leaving any scars at all – but there are many ways to make them less noticeable.


What factors influence the healing process of a scar?


In the first few weeks and months following an operation, scars often appear red, raised and, overall, more noticeable than the surrounding skin. This is completely normal. The scar needs time – in many cases up to two years – to heal completely.


The colour of a scar is influenced by many factors:

  • Genetics & skin type

  • Sun exposure

  • The healing process & aftercare

  • Tension on the scar

  • Type of suture & surgical technique

  • Infections in the wound area

  • Diet & nutrient intake


That is why it is important not only to pay attention to the suturing technique (eversion sutures) during the operation, but also to ensure proper aftercare.


Why might a scar be discoloured?

There are various reasons why scars may appear darker or more noticeable:

1. Excess pigment (hyperpigmentation)

The skin produces too much melanin in the scar – particularly in people with darker skin tones or after exposure to strong sunlight.


What can you do? Lightening creams, exfoliants, sun protection!

Blood components are deposited in the tissue, for example following bruising.


What can be done? Laser therapy, gentle exfoliation.

Certain areas of the body naturally have different skin tones (e.g. under the breasts, the armpits, the genital area). If surgery is carried out in these areas, the difference in colour becomes all the more noticeable.


What can be done? A combination of treatments involving creams, exfoliation, laser therapy or, if necessary, surgical correction.

Fresh scars are often pink to red in colour. If the inflammation persists for too long, it can lead to noticeable scarring (e.g. keloids).


What can be done? Laser treatment, radiotherapy, surgical correction


What can I do myself to help my scar heal well?


There are a few things you can do to help your scar heal:

  • Apply sun cream (SPF 50+) consistently

  • Avoid putting tension on the scar

  • Stop smoking

  • Eat a healthy diet and ensure you get enough vitamins

  • Maintain good hygiene and keep the wound clean

  • Scar massage


Changes in the colour of a scar are common – but in most cases they are harmless and can be treated effectively. With the right surgical technique, targeted aftercare and, where necessary, supportive treatments, the appearance of the scar can be significantly improved. If you are unhappy with your scar once it has fully healed, please feel free to contact me – together we will find a suitable solution.


 
 
 

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