Diseases

Hypertrophic Scar

January 1, 2023
By Fernando Amato

What is a hypertrophic scar? How is it different from a keloid? How is it treated? Medications? Surgery?

A hypertrophic scar develops when the skin tries to heal after an injury or surgery. It rises above the surrounding skin and may be dark, red, or purple.

Is a hypertrophic scar the same as a keloid?

Hypertrophic scars are different from keloid scars, which are even more elevated and can grow beyond the boundaries of the original wound.

How is a hypertrophic scar diagnosed?

First, to make a diagnosis, the doctor usually examines the scar and asks about the person’s history of injuries or surgeries. Then, in some cases, the doctor may perform a touch test to assess the scar's elasticity.

How is it treated?

There are several treatment options for hypertrophic scars, including:

Corticosteroids: medications that can be applied directly to the scar to help reduce swelling and redness.
Light therapy. Special lights are used to help diminish the appearance.
Surgery: in some cases, surgery may be necessary to remove excess scar tissue.
Compression: wearing a bandage or other type of compression over the scar can help reduce its size and thickness. This is done with a silicone sheet.
Silicone gel: applying a silicone gel directly to the scar can help diminish its appearance.

In short, consult a doctor for appropriate treatment for hypertrophic scars. They will be able to recommend the most suitable treatment for your specific case.