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Unstable scars can develop when wounds encounter healing complications, leading to delayed closure, recurrent breakdown, or ongoing skin fragility. These issues may arise due to excessive tension, impaired vascular supply, underlying medical conditions, or repeated trauma. Early recognition and specialised intervention are essential to support proper healing and prevent further complications.

Unstable Scars and Wound Breakdown

comprehensive scar management

How they look and feel

Unstable scars and wound breakdown may present as:
+ Delayed healing or poor wound closure,
with persistent non-healing tissue
+ Recurring wounds in the same location,
suggesting persistent mechanical stress or vascular insufficiency
+ Skin separation due to excessive tension,
especially in high-mobility areas
+ Tight, stretched areas,
where scar contracture may be limiting movement or causing discomfort
+ Thin, fragile skin that breaks down easily,
making the area prone to recurrent injury
Scars in high-tension areas, such as around joints, areas with thin skin, or regions subject to frequent movement, are particularly vulnerable to breakdown and functional impairment.
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Before / after

*All medical procedures carry inherent risks and potential complications. A thorough consultation and clinical assessment are required to determine suitability for treatment. Individual outcomes may vary.

Our Treatment Approach

Managing unstable scars and wound breakdown requires a specialised and multidisciplinary approach to promote healing, strengthen the skin, and prevent recurrence. Treatment may involve advanced wound management strategies, including optimised dressing selection, scar protection, and supportive therapies. Lymphatic drainage, phototherapy, and laser-based treatments can be used to improve vascular supply, reduce tension, and enhance tissue regeneration. In cases of persistent open wounds or mechanical stress contributing to scar instability, surgical intervention—such as tension release, scar revision, or surgical wound closure—may be necessary to facilitate proper healing and restore tissue integrity.

Empowering scar recovery

If underlying systemic factors such as diabetes, vascular disease, or other medical conditions are contributing to poor healing, these must be addressed by the appropriate medical specialty for comprehensive care. In some cases, biopsy may be indicated to rule out pathological skin changes or assess for delayed healing causes. Wound swabs, imaging, and antimicrobial therapy may also be required in cases of suspected infection or impaired healing.

Each treatment plan is carefully tailored based on the underlying cause, scar characteristics, and individual healing response to achieve optimal functional and aesthetic outcomes.

*All procedures carry risks, and individual responses to treatment can vary. While we use evidence-based techniques to significantly improve the appearance and texture of scars, it is important to understand that some degree of scarring will always remain, and complete scar removal is not possible.

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