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The Mechanical Science of Restructuring Thick Scars

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When the human body sustains a deep dermal injury, its biological priority is absolute speed, not aesthetic perfection. To quickly seal a wound and prevent dangerous infection, the local fibroblasts aggressively rapidly pump out massive amounts of collagen. However, in this emergency state, the body does not carefully weave these new fibres into the neat, highly organised basket-weave pattern found in healthy skin. Instead, it unloads thick, highly rigid bundles of collagen that lay completely parallel to each other. This rushed, disorganised biological response creates thick, raised, completely inflexible scar tissue that looks and feels drastically different from the surrounding smooth skin. For decades, the medical consensus was that once this thick, white scar tissue fully matured, it was completely permanent. Patients were told they simply had to accept the raised, highly uneven texture. However, modern clinical aesthetics has completely dismantled this passive approach. We now un...

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