There is no scarless healing : The scar is the end point of wound healing (cicatrisation).

• Bleeding
• Inflammation
• Proliferation
• Remodelling

• Scar Genesis: Bleeding/Inflammation/Proliferation
• Scar Maturation: Remodeling

There a multiple different scar types: They can reach above the skin level (hypertrophic scars) or lies below the skin level (atrophic scars). Scars can have different shapes (linear of flat) and different color compared to the surroundings, i.e. they can be darker or lighter.

• Scars above skin level

• Scars below skin level

• Scars at skin level

Body & Soul: Tissue damage not only leads to an externally more or less visible scar (Body Scar) with functional, medical and/or aesthetic impaiments, but often also to an internal psychological trauma (Soul Scar).

Body (Physical Impairment):

• Functional Impairment
• Medical Impairment
• Aesthetic Impairment

Soul (mental Impairment):

• Psychological Impairment

The core group :

A detailed initial consultation with Dermatology or Plastic Surgery forms the basis for successful individual treatment.

• Patients with stretchmarks and acne scars are primarily seen by dermatology.
• Patient with postoperative scars, hypertrophic scars and Keloid are mainly seen by Plastic surgery
  Very often the patient is seen by dermatology and plastic surgery together in a multidisciplinary context.

The special Teams :

Depending on the findings of the initial examination other specialists are consulted such as:

• Physiotherapy (lymphatic drainage, manual scar treatment…..)
• Radiotherapy (postoperative radiation therapy)
• Internal medicine
• Mental Health
• Make-up artist/Cosmetology
  others ….

Treatments (Scope of Service):

1) Avoidance : The best scar is no scar. Through the development of new (minimally invasive) surgical techniques (e.g. endoscopic surgical techniques), longs scar are no longer needed in many cases. Laproscopic Unit.


2) Prevention/Suppression:
If a scar cannot be avoided, it should be as less noticible as possible: Golden CET rules (“Dermatological Secrets”)
a. Consult before scar (stretch mark consultation at 2 trimester)
b. Evaluation before scar (early systemic acne treatment)
c. Treatment before scar (scar suppression after surgery/injury

• • Treat a scar as early as possible (i.e. after complete wound healing 14 – 21 days)
  • Combined treatment lines are the best
  • Treat a scar long enough (“as long as a scar is red, it can be improved”)

3) Correction :
If a scar is established, there are multiple treatment options to improve it. Very often several treatment option are used in combination. The choice of treatment option(s) is determined by the type of scar.


4) Coverage :
Some scars can no longer be improved by any conservative and surgical measures (e.g. pigment changes). Appropriate scar cover can make these scars appear less noticeable