How can I prevent a permanent scar after an abrasion?

Doctor's Answers 2

Sorry to hear you have had a fall and a subsequent abrasion. I would suggest you see a dermatologist regarding your raw red patch to ensure optimal healing.

Firstly it is important to ensure no infection develops by using an antiseptic solution to clean and an antibiotic ointment to apply for good wound healing. It is important to allow the scab to form and fall off naturally instead of picking it off.

Once the wound has scabbed over and the crusted area has fallen off, you can start using a scar gel to encourage optimal wound healing.

The red patch will often turn into a brown patch in Asians due to the the melanin release in our skin after injury. During the healing process I will strongly encourage you to keep the area out of the sun so as to reduce the degree of this darkening.

During this time, medical grade potent lightening creams can be used to help lighten it further.

If the abrasion is very shallow and heals well, the skin has a very good chance of a full recovery with no subsequent scarring. If the abrasion is deep, there is a chance of permanent scarring. In some areas such as the knees or elbows, raised hypertrophic scars may even develop.

Fortunately we are able to improve these scars with a combination of laser and steroid injections and often treat these with excellent results at our clinic.

Good luck and hope your abrasion heals very soon!

Warmest regards

Dr Stephanie Ho

Dermatologist

Hope that you are recovering well! The most important step to prevent a raw wound from scarring is to prevent infection. This is because infections will worsen the inflammation which will cause further damage to your skin. Please apply antiseptic/antibiotic creams to prevent infection!

Once your wound has healed and scabbed, it is important to apply moisturiser and sunblock to prevent post-inflammatory hyper-pigmentation (darkening of skin).

If possible, it is best to avoid the sun until your scar has fully faded. Hope that this helps!

Warmest regards,

Dr Justin Boey

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