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  • Why do some wounds scar and others don’t? 🤕

Why do some wounds scar and others don’t? 🤕

PLUS: Bad People, Good Art, Exoplanet Travel Bureau, and Decolonization 🌍

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Here’s a taste of what we’re serving today:

  • Why do some wounds scar and others don’t? 🤕

  • PLUS: Bad People, Good Art, Exoplanet Travel Bureau, and Decolonization 🌍

MEDICINE

Why do some wounds scar and others don’t? 🤕

harry potter scar GIF

That scar might be a bit different…

Scars are part of life. Most people carry them - reminders of childhood falls, surgeries, or accidents. Yet some wounds fade almost invisibly, while others leave raised, obvious marks. What determines whether skin heals seamlessly or carries a permanent record?

Scarring isn’t random. It depends on the depth and type of wound, genetic differences, and the environment in which healing occurs. Understanding these factors may even pave the way for future scar-free healing.

💡 Things to consider

  • Depth and tissue damage: Superficial wounds that only affect the outermost skin layer often heal without scars. But deeper injuries that reach the dermis disrupt collagen fibres. When the body repairs this damage, it lays collagen down rapidly and in a disorganized way, producing visible scars. The type of injury matters too: surgical cuts often heal more cleanly than burns or abrasions, which damage tissue more irregularly.

Sonic The Hedgehog Fml GIF by Mashed

… it might not if it’s just a superficial wound!

  • Genetic predisposition: Some people’s bodies overreact to injury, producing excessive collagen that forms hypertrophic scars or keloids. These raised scars are more common in people with certain genetic backgrounds, particularly among individuals of African, Asian, or Mediterranean descent. Conversely, others have genetic tendencies toward smoother healing, with scars that fade more quickly over time.

Source: Huang, C., Wu, Z., Du, Y., Ogawa, R. (2020). The Epidemiology of Keloids.

  • Healing environment and age: Young skin is better at regenerating, which is why children often scar less. Wounds that are kept moist and protected usually heal with finer scars than those that are allowed to dry out or get infected. Location matters too: wounds over joints, where the skin stretches constantly, are more likely to scar heavily than those in areas with less movement.

    cheeky GIF

    Me when I find out my skin is great at regenerating

🔎 Find out more

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That’s it for this week! We’d like to thank this week’s writer: Rob Folkard.

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