How can scar tissue form if your skin is cut deeply?

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Discussion Overview

The discussion centers around the formation of scar tissue following deep cuts to the skin, particularly focusing on the relationship between the dermis and epidermis during the healing process. Participants explore the biological mechanisms involved in scar formation and the visibility of scars despite the epidermis healing normally.

Discussion Character

  • Exploratory
  • Technical explanation
  • Conceptual clarification
  • Debate/contested

Main Points Raised

  • Some participants question how the epidermis can heal normally while scar tissue forms in the dermis, suggesting a potential visibility issue of the scar tissue.
  • There is a suggestion that fibroblasts play a crucial role in the healing process, with one participant noting their activation and contraction to pull the edges of the cut together.
  • One participant describes the healing process as starting from the bottom up, involving blood clotting and the formation of a network of fibers that facilitate healing.
  • Concerns are raised about the formation of keloids, which can lead to excessive scar tissue, and the potential treatments for such conditions, including silicone pressure dressings.
  • Another participant emphasizes the role of the epidermis as a barrier to infection, while also noting that it may not significantly contribute to healing in full-thickness cuts.
  • There is an acknowledgment that newer understandings of the healing process may exist, leaving room for uncertainty regarding the accuracy of shared information.

Areas of Agreement / Disagreement

Participants express various viewpoints on the healing process and the role of different skin layers, indicating that multiple competing views remain without a clear consensus on the mechanisms of scar formation and the healing process.

Contextual Notes

Participants mention the complexity of the healing process and the potential for evolving understandings, suggesting that some claims may depend on current research or definitions that are not universally accepted.

sameeralord
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http://www.elastoplast.com.au/media/11/12276804863360/schnittwunde_03.jpg

If your skin is cut deeply, meaning a cut to dermis why is that we can see scar tissue. I mean if the cut region in the dermis would be replace by scar tissue, but the epidermis region above that would have normal epithelial cell because they can divide easily. So if the epidermis grows back normally how can we see scar tissue? Thanks :smile:
 
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sameeralord said:
http://www.elastoplast.com.au/media/11/12276804863360/schnittwunde_03.jpg

If your skin is cut deeply, meaning a cut to dermis why is that we can see scar tissue. I mean if the cut region in the dermis would be replace by scar tissue, but the epidermis region above that would have normal epithelial cell because they can divide easily. So if the epidermis grows back normally how can we see scar tissue? Thanks :smile:
Is your question asking why if we get a injury down to the dermis does the epidermis not grow over the scar tissue preventing it from being visible?
 
sameeralord said:
http://www.elastoplast.com.au/media/11/12276804863360/schnittwunde_03.jpg

If your skin is cut deeply, meaning a cut to dermis why is that we can see scar tissue. I mean if the cut region in the dermis would be replace by scar tissue, but the epidermis region above that would have normal epithelial cell because they can divide easily. So if the epidermis grows back normally how can we see scar tissue? Thanks :smile:

Fibroblasts are everywhere.
 
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zomgwtf said:
Is your question asking why if we get a injury down to the dermis does the epidermis not grow over the scar tissue preventing it from being visible?

Yes I'm thinking that no matter what the injury is the epidermis would heal normally. If there is a deep cut is the epidermis also covered with fibroblasts as the post above says. :smile:
 
sameeralord said:
Yes I'm thinking that no matter what the injury is the epidermis would heal normally. If there is a deep cut is the epidermis also covered with fibroblasts as the post above says. :smile:

Cuts such as shown heal from the bottom up .. First, there's blood, then blood clotting, forming a 'network' of bridging fibers/fibrils, and in this 'scaffolding' fibroblasts will be 'activated'. They will arrange themselves to be perpendicular to the planes of the cut surfaces.
Fibroblasts, as the gather and are activated will then do a thing much like a muscle cell: it will begin to contract its length, pulling the opposite sides of the incision/cut together, from the bottom up.

It is the fibroblasts and collagen that make up the resulting scar; but
it doesn't stop there: Over time, the fibroblasts will continue to pull more and more, being at least one force that tends to make scars become thinner and thinner. Enzymes are also at work, removing tissue. Whiteblood cells are very active inititallly there, fighting infection, which will *always* happen, at least to some insignificant degree, if the person's immune system is functioning well.

Scars sometimes do the opposite: such a person who has that contrary sort of growth of the scan (ie, a 'keloid' former) sometimes can have huge scar formations requiring surgery (which of course might make more scar!) or the application of a kind of 'pressure dressing' over the scar , the dressing being made of a silicone material. These can reduce the size of a scar over time. Such dressings are available in just about any pharmacy (eg, CVS, etc).

The epidermis consists of several laybers of cells, the outermost being dead cells. These are exfoliated , just as is their normal behaviour. I don't thing the epidermis has much of a relative role in healing of full-thickness cuts. At the same time, the layers of the epidermis form the primary barrier to infection. The scar will actually represent an 'interruption' in the continuity of of the epidermal barrier: each side separated from the other by the final scar.

It might be that newer understandings of the healing process have appeared .. in which case you might want to ignore everything I've said (end of obligatory statement of irresponsibility ) ;)))
 

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