ScarAway and hypertrophic scars: what to know

These scars form when the body produces extra collagen during wound healing. They can look red, pink, brown, or darker than nearby skin, depending on skin tone. Unlike a keloid, a hypertrophic scar generally remains inside the wound’s boundaries. It may itch, feel tight, or be tender, especially while it is still active. A photograph or examination helps distinguish it from a persistent infection, a keloid, or another skin lump.

Once the wound has closed, silicone products, moisturising, and protection from friction can make daily scar care more comfortable. Do not peel, scratch, or repeatedly rub the area. Sun protection helps reduce lingering colour contrast. If the scar is thick, itchy, painful, or limiting movement, treatment can be tailored to its thickness and location. Options may include steroid injection into the skin, fractional laser treatment, or scar revision surgery. Surgical excision is not automatically suitable; the chance of another raised scar must be considered.

Book a dermatology review if the scar keeps enlarging, extends beyond the original wound, becomes increasingly painful, or interferes with movement. Prompt care is needed for warmth, spreading redness, pus, fever, or wound separation. A changing raised area that was not clearly caused by an injury should be examined rather than treated as a routine scar.

Does this stay within the original wound? Is silicone suitable for its current stage? Would an injection or laser help its thickness or colour? What are the trade-offs of excision at this location?