Read on to learn more about psoriasis scars. This article explains why psoriasis scars form, the types, and how to manage them.
Psoriasis is a chronic condition in which extra skin cells build up quickly on the skin. This causes scaly, discolored patches to form. Psoriasis can affect any area of the body. However, it
Psoriasis itself does not cause scar tissue to form. The symptoms of psoriasis include dry, cracked, or intensely itchy skin. This can lead to frequent scratching or rubbing. Scars may form as a result.
Scar formation depends on several factors:
- size and location of the lesions
- your general health and age
- how likely you are to scar
Many people living with psoriasis experience flare-ups, when symptoms worsen, followed by periods of remission.
People with psoriasis may develop two types of scars:
- Hypertrophic: These scars are discolored, raised, and
usually form Trusted Source PubMed Central Highly respected database from the National Institutes of Health Go to source directly over a wound. - Keloid: These scars stick out from the surface of the skin,
extending beyond Trusted Source PubMed Central Highly respected database from the National Institutes of Health Go to source the original wound site.
Scars are a natural part of the healing process, but they can cause embarrassment or discomfort. This may be especially true for psoriasis on the hands or face. Scars may be tender, painful, or itchy. They may cause you to become anxious about their appearance.
If psoriasis scars are impacting your quality of life, talk with your dermatologist about possible treatment options.
Learn more about preventing keloid scars.
For many people, scars fade over time but never entirely go away. However, medical and surgical treatments exist to help reduce the appearance of scars, including those caused by scratching.
Less severe scar treatments
Your dermatologist may recommend these treatments if scarring is less severe:
- Topical medications: You apply these medications directly to your skin. They can include corticosteroids or other antihistamines to help reduce itching and prevent inflammation.
- Injectable medications: Certain injectable medications, such as corticosteroids,
may help Trusted Source PubMed Central Highly respected database from the National Institutes of Health Go to source reduce the size of larger hypertrophic or keloid scars. Your doctor may decide to use this treatment alone or in combination with other therapies.
In addition, the American Academy of Dermatology Association (AAD) recommends using sunscreen with a sun protection factor (SPF) of 30 or higher on scars. This can reduce discoloration and help scars fade.
More severe scar treatments
If your scars are more severe, your doctor may recommend certain procedures to help improve their appearance. These procedures include:
- Dermabrasion: Your doctor removes the upper layers of skin with a special tool. New skin grows to cover the area. Following dermabrasion, your skin may look and feel smoother.
- Laser surgery: Your doctor may use a type of laser to lighten the scar color or help flatten it. This treatment may also improve range of motion if scar tissue is making movement difficult.
- Cryosurgery: Your doctor uses a cold substance to freeze a scar while sparing the skin underneath. This may only be effective for small scars. Cryosurgery also
may be Trusted Source PubMed Central Highly respected database from the National Institutes of Health Go to source associated with lightening in skin pigmentation in people with darker skin tones. - Other surgical options: If necessary, your doctor may elect to perform surgery to remove scar tissue. Following the procedure, your doctor will carefully close the new wound to ensure that minimal new scar tissue forms. Scar revision, or surgery to reduce scars, can help restore range of motion and improve the appearance of scar tissue.
Learn more about scar revision surgery.
Managing psoriasis may help to prevent scar tissue from forming. Follow your doctor’s treatment plan as closely as possible.
In addition, the
- identifying and avoiding triggers, including cold weather or infections
- maintaining a moderate weight
- not smoking
- limiting alcohol intake
- protecting skin from the sun
- keeping skin well moisturized
- joining a support group
- visiting a mental health professional if you experience anxiety or depression
Learn more about at-home and medical treatments for psoriasis.
Psoriasis scars can be frustrating to live with, but a variety of treatment options can reduce the appearance of scars.
Treatment depends on the size, location, and severity of the scars. Your dermatologist may recommend topical treatment, injectable medications, or surgical procedures.
If psoriasis scars are impacting your quality of life, talk with your doctor about treatment options.