What are the treatment options for hypertrophic scar?

A hypertrophic scar is a firm, raised area of scar tissue that stays within the boundary of the original wound. It may feel tight, itchy or tender and can gradually become softer or flatter. A clinician distinguishes it from a keloid, which can extend beyond the original injury, because the treatment plan may differ. The scar’s age, thickness, colour, location and effect on movement all matter.

Once the wound has healed, silicone sheets or gel and gentle care may support scar management. A steroid injection into the skin can soften and reduce a raised scar; repeat sessions may be considered, with monitoring for thinning or colour change. Fractional laser treatment may improve texture, firmness or colour in an appropriate scar, often as part of a staged plan. Scar revision surgery removes or reshapes selected scar tissue, but a new scar forms and careful aftercare is needed. Explore [Steroid Injection Into The Skin](/treatments/injectables/intralesional-steroid-injection/), [Fractional Laser Treatment](/treatments/laser-and-energy/fractional-laser-treatment/) and [Scar Revision Surgery](/treatments/surgical-dermatology/scar-revision-surgery/).

Book an assessment if a scar is enlarging, increasingly painful, itchy, ulcerated or restricting movement. Seek prompt advice for warmth, spreading redness, drainage or fever around a healing wound, as these can indicate infection rather than routine scar maturation.

Is this scar hypertrophic or a keloid? Which option matches its thickness and location? What skin changes should I watch for after an injection, laser session or revision?