Hypertrophic scar remedies

A hypertrophic scar is raised scar tissue that remains within the original injury. It may feel hard, itchy, sore, or restrictive while it matures. The right approach starts with checking that the area is truly a hypertrophic scar and not a keloid, infection, open wound, or another growth. The scar's age and location affect the choices.

For a closed, stable scar, a clinician may recommend silicone care, protection from sunlight, or measures that reduce rubbing. Steroid injection into the skin can be used for selected raised or symptomatic scars. Fractional laser treatment may address texture, while scar revision surgery or surgical excision may be considered when shape or function remains troublesome. These options require individual assessment and aftercare.

Seek medical review if the scar is rapidly enlarging, increasingly painful, warm, swollen, bleeding, or releasing fluid. Prompt assessment is also needed for fever, spreading redness, or a wound that has opened. Avoid home cutting, piercing, strong acids, or unprescribed injections, which can worsen injury and make diagnosis harder.

Ask which symptom the proposed remedy is meant to improve and when a response should be reviewed. Discuss side effects, skin-colour changes, wound care, activity restrictions, and whether more than one approach could be needed for your scar.