Lacerations (Cuts) and Stitching
The best chance for a neat scar starts right from the beginning. When a laceration (cut) happens, it must be carefully cleaned and any dirt or debris completely removed before stitching the skin back together.
Stitches should be placed in layers and with just the right amount of tension. If stitches are pulled too tightly, they can leave behind a scar that looks like “railroad tracks” — with little horizontal marks on both sides of the main scar line.
Example of suturing that was too tight and had to be released to avoid formation of “railroad scar”
Thorough cleaning and careful stitching technique gives the skin the best chance to heal with a smoother, least noticeable scar. In some cases, when the chance of forming thick scars (keloid and hypertrophic scars) is high, laser therapy will be recommended early after stitching. Timely review and intervention by a specialist can make a significant difference in how the cut heals and the eventual appearance of the scar.