How to Achieve a Subtle Scar

Surgery Scars Explained: Keloids vs Hypertrophic Scars & How to Heal Better

Dr. Alain Polynice explains that all surgery creates scars, but visibility varies due to genetics and technique. He distinguishes keloids, which grow beyond the original incision, from hypertrophic scars, which stay within the incision but may become wider or thicker. While genetics can’t be changed, scar outcomes can be improved through meticulous, delicate incisions and closures that minimize tissue damage, using tension-free closure with deeper stitches, and relying on internal sutures to avoid visible external stitch marks. Postoperatively, he emphasizes massage and pressure therapy, including silicone gel or silicone tape, and protecting scars from sun exposure with UV protection for up to a year or more. He also notes that treatments like laser and IPL can further minimize scar appearance even a year after surgery.

00:00 Why Scars Happen

00:54 Keloids vs Hypertrophic

01:24 Surgical Technique Matters

02:01 Tension Free Closure

02:45 Post Op Scar Care

02:58 Silicone and Sun Protection

03:17 Lasers and Long Term Results

03:30 Barely Noticeable Scar