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Miami, Florida, 33173 USA
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Dr. Waibel was given the honor of being named “Person of the Week” on ABC World News Tonight with David Muir.


Scar formation is a natural part of the skin’s healing process. After a significant injury or surgery that penetrates through the epidermis to the dermis, your skin heals by producing fibrous tissue called a scar. Such injuries can include cuts, scrapes, sores, burns, infections (such as chickenpox) or skin problems (such as acne).

Scars may bother us because they don’t look or feel like normal tissue. They’re often pink, elevated, depressed, red or shiny. They can cause itching, tenderness, pain, decrease ability to move (range of motion).

Furthermore, scar tissue doesn’t function like the healthy tissue it replaces – it’s often thicker and less flexible. Scars are composed of collagen, the same material present in healthy skin. But in scars, these fibers usually align in one direction rather than the random basket-weave pattern that gives normal skin its suppleness and strength. Scar tissue also does not regrow sweat glands and hair follicles, and it’s less resistant to stresses such as UV radiation.

No one understands all the factors that affect scarring. But we know several factors that do influence how your skin scars. For example, broader, deeper wounds produce larger, thicker scars than small, superficial wounds. The location of your injury also plays a role – places where the skin must stretch (such as the shoulder or chest) have a harder time healing. Many other factors, including your age, gender, genes, ethnicity and skin type, also affect how your skin heals after an injury.

Although some scars may improve over time, they never disappear completely. And even the smallest scar can affect the way you feel about yourself. Scars can be aesthetically unappealing, disfiguring, and in some cases emotionally devastating.

By properly identifying your scar, your dermatologist can treat the scar appropriately and provide proper counseling. People prone to scarring may want to discuss invasive cosmetic procedures and elective surgeries, and have strategies for scar prevention.

Dermatologic surgeons often must take special precautions when treating people who are more prone to scarring to deliver the best aesthetic as well as medical outcomes. At MIAMI DERMATOLOGY AND LASER INSTITUTE (MDLI), our board certified dermatologists are experts at treating all types of scars.

To find out which treatments are right for you, schedule a consultation with one of our expert board-certified dermatologists at

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IN THE NEWS - Dr. Jill Waibel

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