A hypertrophic scar will often regress completely between 6 months and 3 years after it first appears. Around 75 percent of people with hypertrophic scars said their biggest concern was how the scar appeared, rather than how it affected their health.
Unlike keloid scars, hypertrophic scars do not extend beyond the boundary of the original wound. They may continue to thicken for up to 6 months before gradually improving over a few years.
Hypertrophic scars usually start to develop within weeks after the injury to the skin. Hypertrophic scars may improve naturally, although this process may take up to a year or more. In treating hypertrophic scars, steroids may be the first line of therapy with this type of scar, although there is not one simple cure.
Steroid Injections
Dermatologists may inject a corticosteroid solution directly into a hypertrophic scar or keloid, which may help reduce its size. Steroids break the bonds between collagen fibers, which reduces the amount of scar tissue beneath the skin.
A hypertrophic scar will often regress completely between 6 months and 3 years after it first appears. Around 75 percent of people with hypertrophic scars said their biggest concern was how the scar appeared, rather than how it affected their health.
Massaging your scars is important. It keeps the tissue around the incision loose so it doesn't “stick” to the tissue underneath. Wait until after your skin has healed before you start massaging your scar. Your skin will be healed when the edges of the scar are well closed with no gaps, and have no drainage.
Exfoliate. Once your scar is completely healed, you can begin exfoliating the region regularly with at-home tools. My TCA Multi-Acid Body Peel helps increase cell turnover to speed up scar fading. You can also use a microneedling tool to help soften the scar and promote skin healing.
The three phases to healing are the inflammatory stage, the proliferative stage and the remodelling stage.
Keloids and hypertrophic scars are caused by cutaneous injury and irritation, including trauma, insect bite, burn, surgery, vaccination, skin piercing, acne, folliculitis, chicken pox, and herpes zoster infection.
In vitro studies have demonstrated that retinoids can modulate collagen production and the proliferation of normal and keloidal fibroblasts. In vivo applications of 0.05% topical retinoic acid can lead to a reduction of hypertrophic scars in 50-100% of patients and of keloids in less than 20% of patients.
A surgeon may also remove a large hypertrophic scar rather than revise it. Removing a scar enables a surgeon to reclose the incision using specialized cosmetic techniques, resulting in a thinner, less noticeable scar.
Bio-Oil helps to improve the appearance of new or old scars; whether from surgery, accidents, burns, insect bites, scratches or conditions such as acne or chickenpox. Although younger scars will have a greater chance of improvement, studies have shown that older scars also benefit from regular use of Bio-Oil.
It is important to be aware that hypergranulation tissue / hypertrophic scars are NOT something to be popped, and that motion (playing, poking, twisting and turning) is the major cause.
Hypertrophic scars and keloids may be itchy, tender, or painful. These unusual scars may occur as a result of genetics—they sometimes run in families, and typically, if one forms after an injury, it forms after your subsequent injuries, too. But why they form in some people and not others isn't known.
Scars take time to settle. The lumpiness, puckering and thickening in the scar take 2-3 months to diminish, whilst the redness and pigmentation can take up to 9-12 months to fade. Most scars become flat and pale after 12 months.
Silicone scar sheets have been proven effective for various types of scars, including hypertrophic scars, keloid scars, post-surgical scars, burn scars, and acne scars.
One tip for taking care of scars is to use a topical ointment. Cocoa butter cream and Vaseline are most often used to help reduce the appearance of scars. Applying the ointment daily will help heal scars but will not make them invisible.
TO SUM IT UP. It's clear that the role of collagen in scar formation is important and is also the reason why some scars appear different than others. Too little collagen will result in a sunken atrophic scar and too much collagen will result in a raised keloid or hypertrophic scar.
You should carry on massaging your scars for at least three to six months after your surgery or injury.
Factors that increase the risk of hypertrophic scarring include: Burn wounds, especially second- and third-degree burns. Systemic (whole body) inflammation. Poor wound healing due to infection.
Apple Cider Vinegar
It prevents scar-promoting cells from entering the keloid site and also reduces both pigmentation and size of the keloids. It also soothes the irritated skin and reduces any swelling. Dilute the ACV with a little water and dab it on the keloid using a cotton ball.
The use of microneedling in combination with topicals, such as corticosteroids, has been described in multiple studies for acne scars, burn scars, and hypertrophic scars, resulting in a reduction of scar size and repigmentation.