How to remove a hypertrophic scar

This type of scar is a firm, raised area formed by extra collagen during healing. It remains inside the edges of the original injury, unlike a keloid, which can grow beyond them. It may feel itchy, tender or tight, and its colour can change as it matures. A photograph alone cannot confirm the diagnosis, especially when a wound is still active.

Protect a healed scar from sun exposure and avoid picking, rubbing or reopening it. A clinician may recommend silicone gel or sheets once the surface has closed. Steroid injections can calm excess scar activity and reduce thickness; see Steroid Injection Into The Skin. Fractional laser treatment may improve texture or colour in selected scars; see Fractional Laser Treatment. If the scar is limiting movement or remains troublesome, Surgical Excision or Scar Revision Surgery may be discussed. Treatment can involve more than one approach and follow-up is useful to watch for renewed thickening.

Arrange a dermatology review if a scar keeps enlarging, becomes painful, cracks, bleeds, drains or interferes with movement. Seek prompt medical attention for spreading redness, warmth, pus, fever or rapidly worsening swelling, because these signs can indicate infection rather than ordinary scar maturation.

Ask whether the raised area is a hypertrophic scar or keloid, whether silicone care is suitable for its current stage, and which treatment matches its thickness and location. Discuss expected skin changes, aftercare, the possibility of recurrence and when the next review should occur.