Healing is the physiological process by which the skin heals from injuries (trauma, surgery, etc.)

The healing process includes 3 stages:

• inflammatory phase (first 5 days)

• fibroproliferative phase (up to 3 weeks)

• the remodeling / maturation phase of the scar that can last several years

• does not exceed the margins of the initial lesion

• Clinically characterized by minimal pruritus and pain

• has a high surface area

• may occur in the following areas: sternum, neck, palms and joints

Keloid scar

• exceeds the progress of the initial lesion

• grows beyond the edges of the wound

• The common areas where it occurs are: shoulders, chest region, ear lobe

• clinically presents with itching and pain

• does not regress spontaneously

• the area where the wound is (there are areas in the body that tend to develop an abnormal scar)

• spilling the edges of the wound

• how a scar is placed (parallel or not to the lines of minimum tension)

• existing tension at the wound

• the appearance of postoperative infection can cause an unsightly scar

• type of suture

• the type of suture material used

• vascularization at the level of the wound (absence of vascularization can lead to poor quality healing)

• certain vitamin deficiencies

• use of silicone gels

• use of silicone patches

• pressure therapy

• intralesional injection of corticosteroids

Z-plastics in the case of retractable flanges or scars for redistribution of tension lines at the wound

• intralesional injection of enzymes