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Do stitches leave a scar?

Published in Wound Healing 3 mins read

Yes, stitches can leave a scar, especially traditional ones.

While stitches are necessary for closing wounds and promoting healing, the act of piercing the skin and the subsequent inflammatory response can contribute to scar formation. The type of stitch, the location of the wound, and individual healing factors all play a role in the appearance of the scar.

Here's a breakdown:

  • Traditional Stitches: These stitches, which resemble knots sewing the wound together, are more likely to leave small, white "track marks" or dots of scar tissue. This is particularly true if they are left in place for too long. Adhering to your doctor's instructions regarding stitch removal is essential to minimize scarring.

  • Suturing Technique: The skill and technique of the healthcare professional performing the suturing can significantly impact scar formation. Proper alignment of wound edges and appropriate tension are crucial.

  • Wound Location: Areas of the body that experience more tension or movement (e.g., joints) are more prone to developing wider or more prominent scars.

  • Individual Healing Factors: Genetics, age, skin type, and overall health all influence how your skin heals. Some individuals are more prone to keloid or hypertrophic scarring.

  • Other factors affecting scar formation: Infection, poor nutrition, and smoking can impair healing and increase the risk of noticeable scarring.

Minimizing Scarring:

While scars may be inevitable, several strategies can help minimize their appearance:

  • Follow Doctor's Instructions: Meticulously follow your doctor's instructions regarding wound care, including keeping the area clean and dry.
  • Timely Stitch Removal: Ensure that stitches are removed at the time recommended by your doctor.
  • Scar Treatment Products: Once the wound has fully closed, consider using over-the-counter scar treatment products, such as silicone gels or sheets.
  • Sun Protection: Protect the healing scar from sun exposure, as UV rays can darken the scar and make it more noticeable. Use sunscreen with a high SPF.
  • Massage: Gently massaging the scar can help break down collagen fibers and improve its texture and appearance.
  • Professional Treatments: For more significant scarring, consult with a dermatologist or plastic surgeon about professional treatments like laser therapy, microneedling, or steroid injections.

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