Hypertrophic Scar on Dark Skin

A hypertrophic scar is a firm, raised response to skin injury that stays within the original wound. On deeper skin tones, the scar may be easier to notice because of contrast, but colour can vary widely between people and body sites. It may itch, feel tender, or pull with movement. Darkening after inflammation or treatment is called post-inflammatory hyperpigmentation; lighter areas can also occur.

A clinician should examine the scar’s height, activity, colour, and texture before selecting treatment. Sun protection and gentle care help reduce additional colour contrast. Possible approaches include silicone or pressure care, injections into the scar, fractional laser, or carefully planned scar surgery. Laser settings and aftercare may need particular attention when pigment changes are a concern, and a test area may be discussed.

Explore [Steroid Injection Into The Skin](/treatments/injectables/intralesional-steroid-injection/), [Fractional Laser Treatment](/treatments/laser-and-energy/fractional-laser-treatment/), [Surgical Excision](/treatments/surgical-dermatology/excisional-surgery/), and [Scar Revision Surgery](/treatments/surgical-dermatology/scar-revision-surgery/).

Arrange a review if the scar is becoming thicker, itchy, painful, or tight, or if it is changing beyond the original injury. Prompt care is needed for spreading redness, warmth, pus, fever, rapid swelling, or an open area. A new dark or raised mark should be assessed if it does not clearly follow an injury or inflamed spot.

Ask how your skin tone affects the choice and settings of treatment, whether pigment change is a known possibility, and what prevention and aftercare will be used. Discuss whether the mark is hypertrophic or keloid, how progress will be judged, and when colour should be reassessed.