Wound healing – scars and white hair on horses


Why do some horse wounds heal differently? Some wounds disappear, some wounds scar, and some grow back with white hair instead of your horse’s “regular” color.  There’s a bit of science and anatomy that determines scars and white hair on horses because of wounds!


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The stages of wound healing in horses:


  • Wounds heal in a few stages. Inflammation, then debridement, then granulation, then maturation.


During the inflammation stage of wound healing, all of these things happen:


  • When a wound first occurs, the area swells as blood and platelets rush to the area to start the healing process.


  • There’s heat, swelling, and sometimes pain.


Then it’s the debridement stage of wound healing:


  • White blood cells start to enter the area to clean out any bacterial invaders. Sometimes this process gets out of hand and leads to infection, the resulting dead bacteria and white blood cells make pus. (GAG)


  • The debridement stage also starts epithelialization, which is when new skin cells start to cover the wound. This happens about four times faster on your horse’s legs than his body.


healing granulation tissue on a horse fetlock

This is a nicely healing wound, showing some granulation tissue! Thanks to Mickensey for the photo!


Next, it’s the repair stage of wound healing:


  • During this time, cells called fibroblasts fill the wound. Their congregation in the wound leads to the formation of granulation tissue, which allows the skin cells to form over it.


  • Ever heard of proud flesh? That’s granulation tissue that’s gotten out of hand. Like REALLY out of hand. The granulation tissues goes bonkers and starts to jut out away from your horse. There’s no way that skin can cover that hot mess!

The maturation phase of wound healing is next, and can sometimes take the longest:


  • This is a long phase (usually) and is when the skin starts to return to normal.


How are scars formed?


  • Scars are formed after the healing process. If the dermis layer of skin is damaged, a scar will form. The dermis is the deepest layer of skin, and the collagen that your body forms in a wound becomes the scar tissue. It will not have the same texture as the surrounding tissue, and it won’t be as strong as the original tissue.


  • The size of a wound and the length of healing time influence scarring. Big wounds with longer healing times are more likely to scar. On a horse, the location of the wound also contributes to scarring. Wounds on a horse’s legs often scar much more than a wound on a horse’s torso.

for more on the stages of wound healing, this article has you covered

Are all scars hairless?


  • Nope! Some horse wounds will scar and grow some hair back. Some scars remain hairless. It boils down to how much damage happened to the hair follicles in the skin. Lots of damage means the hair is probably not coming back.


  • Hair follicles occur at different layers in the skin, so it depends on what’s damaged. You may have a scar where some of the hair grows back, but it might be thinner or have a different texture.


What causes white hairs to form over horse wounds?


  • Cells in your horse’s skin produce pigment as your horse’s hair grows. These production cells, as they are called, are responsible for the color of your horse’s coat. They are also delicate and love to get damaged. After damage, you might have a wound where the hair grows back, but the pigment doesn’t, which gives your horse a white patch.  Scars and white hairs on horses are linked to what type of cells are damaged. 


  • Fun fact about your horse’s white hair- you might never see an open wound. Pressure from ill-fitting saddles commonly creates permanent white patches of hair.


  • This phenomenon can also be seen in a freeze brand. These brands only target the pigment-producing cells, and the hair changes color.


What can you do to minimize scarring on your horse?


  • If a wound needs stitches, and gets stitches, the scarring will be less than a similar wound without stitches. It’s always a good idea to have your vet look at any wound to determine the need for stitches.


scar on horse pastern

This scar is from a surgical procedure and is quite minimal.


  • A wound that is stitched closed will still have a scar, but it’s usually much smaller and sometimes only at the microscopic level.


  • Not all wounds can be sutured, there may not be enough flesh to bring together, or the wound is deep and needs to drain, or the wound needs to be surgically debrided. In cases like this, suturing the wound might happen at a later stage, or not at all. It really depends on the individual wound.


What factors go into the formation of scar tissue?


  • A few things, besides the wound location and if it’s sutured or not.


  • How much movement happens around the wound? Wounds over joints and legs often take longer to heal and might break open as the skin stretches when the joints move.


  • How clean is the wound? Horse wounds that end up contaminated with bacteria, dirt, shavings, etc. will take longer to heal and increase the chance of infection and scarring.


  • Proud flesh. When some wounds go nuts with the granulation tissue, proud flesh develops. This really vascular tissue gets out of hand, and the new skin can’t connect to the other side to fully heal. Proud flesh is a huge problem in and of itself and needs to get under control with the help of your vet long before you deal with scarring.


horse with one yellow standing wrap

Keep things clean and covered. Or keep things clean and uncovered. Depends on the stage of healing.


How to prevent some scars and white hair on horses


  • There is no magic formula to prevent scars, but you can do a few things to help your horse heal with minimal scarring.


  • Your vet can tell you if something needs sutures, a prescription ointment, or specialized bandaging.


  • Keep things clean! You don’t want to clean a wound so much that it gets irritated, but you need to keep contaminants out of it.


  • Flushing with saline is a good idea, using alcohol, peroxide or bleach is most definitely not a good idea. These substances, along with petroleum-based ointments and copper sulfates, worsen wounds and can increase proud flesh.


  • Keep a wound moist! It will crack when it becomes dry and scabby. The easiest way to do this is to use a vet-approved ointment once or twice or more a day.


A guide to wound care and first aid for equine emergenices can is right here!


  • Wounds may do better if they are covered. This is key for most leg wounds, as they fill with footing, dirt, shavings, etc. easily. Standing wraps, cotton bandages, Vet Wrap, Elastikon, and even bandages taped on can help with this.


  • Also, wounds may do better if they are uncovered. It really depends on the stage of wound healing. Fresh wounds or even wounds a few days old are usually better when they can be covered. After that, some fresh air might be better. When in doubt – just ask your vet!



show touch ups on white sock

Spray pigments are safe and cover blemishes. If you like.


What you can do to cover scars and white patches:


  • Scars and white patches can be just part of your horse’s jewelry collection, but you might have a need to cover them up. Many show horses can be touched up with pigments so that scars are hidden for competitions.


  • Check with your governing body to double-check if scars can be covered. The rules vary from one organization to another.


first aid tips for leg wounds 


Fun facts about horse hair and how it grows



go shopping button for horse products


If you want to pick up some scar covering spray for scars and white hair on horses, I like the Show Touch Up below. As an Amazon Associate, I earn from qualifying purchases, but no worries – you aren’t charged extra. I truly appreciate your support! Thanks!


horse wearing sox for horses on mat


Sox for Horses – for any skin funk, fly problems, summer sores, stomping, and protection from UV light. 

This genius Show Touch Up comes in tons of colors and uses pure pigments to blend all scars and blemishes away.

Perri’s Standing Bandages, Pack of 4 – so many colors to choose from



One style of leg quilts, from Intrepid International



Yet another style of quilt


 Fun colors of generic vetrap

The best Elastikon tape – so sticky!


My favorite all-purpose first aid ointment to have around

                            ADC Veterinary Thermometer, Dual Scale, Adtemp 422 


3M Littmann Classic III Monitoring Stethoscope, Black Edition Chestpiece, Black Tube, 27 inch, 5803 – For finding heart rate and gut sounds

Durvet Chlorhexidine 2% Solution, 16 fl. oz.

                                               Betadine is a useful wound cleaner



60cc syringes are handy for the barn, for meds and cleaning wounds.


This is a fairly small pill crusher, it would be good for small doses.


For grinding up your horse’s pills

Uptite Poultice



Ice Horse Pair of Tendon Leg Wraps for Equine Therapy – Comes with 4 Ice Packs


These ice packs make for easy cooling of your horse’s legs and hooves. They last for hours.

This tall boot can be filled with ice or ice packs to help the horse with laminitis.


These affordable boots can be filled with ice to help your horse.



Thank you!


scars and white hair on horses