Treating scars in The Hague

Scars form when the skin repairs itself after damage, for example from acne, surgery, an accident, or inflammation. This healing process is complex and does not always proceed evenly, which can cause the skin structure to change and scars to remain visible.

At Medicademis, I look not only at the scar itself, but at the skin as a whole. The shape, depth, and origin of a scar determine how the skin has healed and which approach is appropriate.

Do you want to know what is possible for your skin? Then you can opt for a consultation at the practice or for an accessible video consultation.

Would you like more insight into the various treatment methods and options for scars? View the overview of treating scars in The Hague within EVEN.

What happens in the skin during scar formation?

Scars are the result of the skin's natural wound healing process. This process proceeds in several phases: inflammation, tissue formation, and remodeling. During these phases, collagen is produced, among other things, to repair the damaged skin.

Unlike normal skin, scar tissue is often less organized. Collagen fibers are arranged differently, and elastic fibers are present in reduced numbers. As a result, the skin may feel less supple, less elastic, and less smooth.

The final shape of the scar is determined by factors such as the depth of the damage, inflammatory reactions, tension on the skin, and individual predisposition.

Acne scars

Acne can cause damage to the connective tissue structure in the dermis. Deeper inflammations, in particular, can break down collagen, causing the skin to heal unevenly. This can lead to pitting, unevenness, and an irregular skin texture.

Acne scars often become more visible when acne has been present for a long time or was insufficiently controlled. In addition to the visible changes, scars can also affect self-image and daily functioning.

Different types of scars

Atrophic scars (sunken)

Atrophic scars lie sunken in the skin and are caused by the loss of connective tissue. Insufficient collagen is produced during wound healing, causing the skin to become thinner and sunken. This type of scar is often seen after acne or chickenpox.

Hypertrophic scars (thickened)

Hypertrophic scars are caused by excessive collagen production during the healing process. This results in a thickened, often red scar that lies above the skin level. These scars can be itchy or sensitive and usually develop shortly after the skin damage.

Normal scars

A normal scar forms when the wound healing process proceeds in balance. The skin repairs itself, but the structure remains different than before. Depending on the size and depth of the wound, the scar may remain visible.

Self-harm scars

Scars resulting from self-harm often have personal and emotional significance. Their shape and depth can vary depending on the nature of the damage. In addition to physical characteristics, these scars can also have a psychosocial impact.

In the treatment, this is handled with care and respect. The goal is not only to improve the skin, but also to create a safe and appropriate approach.

Stretch marks

Stretch marks occur when the skin stretches in a short period of time, for example during growth, pregnancy, or weight fluctuations.In this process, collagen and elastin fibers are damaged, causing streaks to become visible on the skin.

In the initial phase, stretch marks are often red or purple; later, they become lighter in color. They are considered a form of dermal damage and share characteristics with scar tissue.

Why scars remain visible

Scars usually do not disappear completely because the skin repairs itself differently from its original structure. Collagen production remains abnormal, and the skin may remain less elastic and less smooth.

Factors such as skin type, location, and the degree of inflammation play a role in this. Pigment changes or redness can also contribute to the visibility of a scar.

What can treatments do for scars?

Treatments for scars focus on improving skin texture and supporting the natural healing process. The goal is to make the skin look more even, supple, and calmer.

Techniques such as microneedling and fractional laser therapy are used to stimulate the skin in a controlled manner. This can contribute to collagen production and better organization of connective tissue.

Chemical peels can help refine the skin surface and reduce superficial irregularities. Additionally, laser and light therapy can be used for redness and pigment changes.

Within the EVEN collection, retinol plays a supporting role in the treatment of scars and uneven skin texture. By stimulating cell renewal, the skin can gradually refine and appear more even. Read more about the retinol treatment in The Hague and how this is tailored to your skin and treatment plan.

Personal advice for your skin

Would you like to know what type of scar you have and what is possible to improve the skin? Then I would be happy to take a look with you. You are welcome for a consultation at the practice or for an accessible video consultation.