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Icepick scars are narrow, deep scars in the skin that form a hole or V-shape. Boxcar scars are square-shaped depressions with sharply defined edges. Rolling scars have sloping edges.
It can be superficial involving only the epidermis to deep, involving the deep dermis. Abrasions usually involve minimal bleeding. [ 2 ] Mild abrasions, also known as grazes or scrapes , do not scar or bleed because the dermis is left intact, but deep abrasions that disrupt the normal dermal structures may lead to the formation of scar tissue.
Scars form differently based on the location of the injury on the body and the age of the person who was injured. [citation needed] The worse the initial damage is, the worse the scar will generally be. [citation needed] Skin scars occur when the dermis (the deep, thick layer of skin) is damaged.
Timing is important to wound healing. Critically, the timing of wound re-epithelialization can decide the outcome of the healing. [11] If the epithelization of tissue over a denuded area is slow, a scar will form over many weeks, or months; [12] [13] If the epithelization of a wounded area is fast, the healing will result in regeneration.
The exact mechanism of action of silicone gel sheeting has not been fully studied. Currently, many proposed mechanisms explain the efficacy of such treatment, including the occlusion and hydration effect, increased body surface temperature, polarized electric charge, immunological effects, etc. [9] The occlusion and hydration effect is the most studied mechanism of action.
The dermis contains two vascular networks that run parallel to the skin surface—one superficial and one deep plexus—which are connected by vertical communicating vessels. [8] [11] The function of blood vessels within the dermis is fourfold: to supply nutrition, to regulate temperature, to modulate inflammation, and to participate in wound ...