Understanding the Causes of Scars

Scars form when the dermis—the deep, thick layer of skin—is damaged. The body responds by producing collagen fibers to repair the damage, which leads to the development of scar tissue. Common causes of scars include:

• Surgical procedures and trauma wounds
• Animal or human bites and deep scratches
• Burns and scalds from hot objects or liquids
• Self-harm or injuries involving sharp instruments

Types of Scars Treated at Bollin Clinic

At Bollin Clinic in Altrincham, we assess and tailor treatment according to the type of scar, ensuring optimal outcomes for each patient. Types of scars we manage include:

• Cicatrix: Flat or slightly raised with pink, reddish, paler, or darker coloration than the surrounding skin
• Hypertrophic: Raised and firm, potentially painful or restricting movement
• Keloid: Raised, extending beyond the original injury site; may appear up to a year after trauma and can be itchy or painful
• Contracture: Tight, thick scar tissue that can limit movement, especially near joints such as the knees or elbows

Personalized Scar Management Plans

Every patient at Bollin Clinic receives a customized scar management plan based on the type, size, location, and age of the scar. Treatments may include topical applications, silicone sheets, laser therapy, microneedling, steroid injections, or surgical scar revision. Our goal is to reduce discomfort, improve appearance, and restore mobility if the scar restricts function.

Do Scar Wounds Heal Better When Exposed to Air?

It’s a common misconception that wounds heal faster when left open to air. In reality, most scars benefit from a moist, protected environment. At Bollin Clinic in Altrincham, we recommend keeping healing wounds covered to support faster recovery and reduce discomfort. Exposing a wound can cause the tissue to dry out, which may delay healing and increase sensitivity. Using a clean, breathable dressing not only helps maintain the necessary moisture but also protects against infection and external irritation.

How to Reduce Scarring After Surgery?

While some level of scarring is a natural part of the healing process, there are effective ways to minimise its appearance after surgery. At Bollin Clinic in Altrincham, we focus on proactive scar care strategies that start immediately post-procedure. One of the most important steps is to keep the incision site clean and gently covered to prevent infection and irritation.

Avoid touching or scratching the area as it heals, even if it becomes itchy—this can disrupt the delicate skin formation. It's also advisable to protect the healing skin from sun exposure, as UV rays can darken scars and make them more visible. Applying silicone gel or vitamin E, as directed by your clinician, can help soften scar tissue and improve skin texture. Regularly massaging the area with approved scar care products can further enhance recovery. Most importantly, follow all post-operative instructions from your surgeon, including limiting physical strain and refraining from gym activity until fully cleared.