Understanding Collagen Balance in Scar Formation

Collagen is the most abundant protein in the human body, and it plays a critical role in wound healing. When the skin is injured, fibroblasts rapidly produce collagen fibres to close and repair the wound. This is essential for protection, but when collagen production continues unchecked, scars may become raised, thickened, or discoloured.

These scars are known as hypertrophic scars or, in more extreme cases, keloids. Both can have a significant impact on a patient’s physical comfort and emotional well-being. For clinicians, helping patients understand the importance of managing collagen balance is key.

How Collagen Imbalance Affects Scars

Supporting Balanced Healing

Research over the past 30+ years shows that medical grade silicone is one of the most effective non-invasive tools for scar management. Silicone works by:

1. Creating a protective barrier that locks in hydration

2. Regulating the microclimate of the scar environment

3. Helping to regulate collagen production, leading to softer, smoother scars

For healthcare professionals, recommending medical grade silicone strips from around six weeks post-surgery or birth (once the wound is fully closed) provides patients with a clinically supported intervention that improves recovery outcomes.

Conclusion

Clinicians can empower patients to take proactive steps in their scar care journey by emphasising hydration, sun protection, and silicone therapy.

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