A hypertrophic scar is a thick raised scar. It's an abnormal response to wound healing in which extra connective tissue forms within the original wound area. The result a raised scar. Normally, a small wound to the top layer of your skin heals nicely.
A keloid scar is when a scar keeps growing and becomes bigger than the original wound. It can happen if you have too much of a substance called collagen in your skin. It can happen after any sort of injury or damage to your skin such as a cut, burn, surgery, acne or a body piercing.
Sometimes scar tissue grows over the boundaries of the original wound, creating a puffy, round protrusion called a keloid. Hypertrophic scars and keloids may be itchy, tender, or painful.
The overgrown scar tissue can get large and may affect movement. Raised (hypertrophic): You can feel a hypertrophic scar when you run your finger over it. These raised scars may get smaller over time, but they never completely flatten out.
Fibroblasts, which form during scar tissue growth, are responsible for fibrosis. If the fibroblasts do not clear over time, they cause prolonged inflammation. Other symptoms associated with scar tissue include itching, swelling, and tenderness or sensitivity.
A hypertrophic scar is a thick raised scar that's an abnormal response to wound healing. They more commonly occur in taut skin areas following skin trauma, burns or surgical incisions. Treatments include medication, freezing, injections, lasers and surgery.
Larger keloids can be flattened by pulsed-dye laser sessions. This method has also been useful in easing itchiness and causing keloids to fade. Pulsed-dye laser therapy is delivered over several sessions with 4 to 8 weeks between sessions. Your doctor might recommend combining laser therapy with cortisone injections.
For best results, you should perform scar massage for at least 10 minutes, twice a day, for six months. You should only stop sooner than that if the scar starts showing signs of infection or you experience intolerable discomfort.
A keloid scar is a thick raised scar. It can occur wherever you have a skin injury but usually forms on earlobes, shoulders, cheeks or the chest. If you're prone to developing keloids, you might get them in more than one place. A keloid scar isn't harmful to your physical health, but it can cause emotional distress.
After a surgery, fluid can collect under the skin near the cut the doctor made (incision). This soft, puffy area is called a seroma. It can be tender to touch. The incision may even have opened up.
Moisture helps new skin cells form and repair the wound. This may also apply to scabs. Keeping a scab moist with petroleum jelly and protected with a bandage may help the wound heal faster than if you leave the scab dry. Whether the scab is dry or moist, it's important to make sure it doesn't peel off prematurely.
Your scar should gradually soften and fade over these six to 18 months, but will look pink initially (photo B). Some scars never fade. If your scar stays pink after 12 to 18 months please call to discuss options. If your scar becomes raised and rubbery instead of flat, this could be an abnormal scar process (photo C).
Keloid scars don't go away on their own. With the help of a healthcare provider like a dermatologist, you can reduce the size and appearance of a keloid scar with treatment.
While collagen cells are necessary to fortify the damaged area, they can also form in random patterns. When they overgrow, they can clump or ball up into tough scar tissue that is resistant to pulling and stretching.
Scar massage is a way of softening and flattening scars. It can stop scar tissue build up and help make scars less noticeable. Your scar or scars will continue to grow and change for about twelve to eighteen months, so the earlier and more regularly you massage your scar, the less the chance of long-term problems.
The timing of silicone scar sheet use can affect its efficacy, but it is generally never too late to start using them. While the best results are often seen when treatment begins shortly after wound closure or the formation of a scar, established scars can also show improvement.
Increased temperature is a common physiological effect that helps to break down scar tissue. Increased temperature involves both superficial and deep tissues increasing in temperature. Increasing temperature of tissues within the body helps to loosen scar tissue.
Hypertrophic scars occur when there is a lot of tension around a healing wound. These scars are thick and raised, and often red in color. They may remain like this for several years. Hypertrophic scars are the result of an imbalance in collagen at the site of the wound.
When a keloid first appears, it's often red, pink, or slightly darker than your natural skin tone. As it grows, it may darken. Some become lighter in the center and darker at the edges.
A scar may appear flat, lumpy, sunken, or colored. It may be painful or itchy. The final look of a scar depends on many factors, including the skin type and location on the body, the direction of the wound, the type of injury, age of the person with the scar, and his or her nutritional status.
Scars seem to get worse before they get better. For about six weeks after surgery the scar becomes red, firm and hard. This is the body's way of making a very strong and solid scar. Over the next four months the scar will soften and lose the redness.
Initially after surgery incisions will often appear to be raised and more red than is desirable. Don't worry, they will eventually flatten and the redness will generally fade. However your incision will not be completely healed for about 1 year after surgery.