Effective Treatments for Hypertrophic Scars: Expert Insights

Scar management

Hello Dr.
Wu,
When I was in the second year of junior high, I fell and scraped my knee, which resulted in a hypertrophic scar.
Now that I am in my second year of college, the scar has not changed at all.
Will it fade on its own, or is there something else that can be done? Additionally, during my senior year of high school, I was in a car accident and sustained a scrape near my right elbow.
Once the wound healed, it also developed into a hypertrophic scar that sometimes itches and stings.
I would like to ask Dr.
Wu if there are any methods to flatten the scar.
Thank you.

Jie, 10~19 year old female. Ask Date: 2015/07/13

Dr. Wu Yuxin reply Dermatology

The chances of self-resolution are likely low.
It is advisable to consult a dermatologist for treatment.
Typically, injections are administered every 2 to 4 weeks depending on the condition, but this only improves the situation rather than completely eliminating it.

Reply Date: 2015/07/13

More Info

Hypertrophic scars, such as the ones you described from your knee and elbow injuries, can be a frustrating and often distressing condition. These scars are characterized by their raised appearance and can sometimes cause discomfort or itching. While they may not completely disappear on their own, there are several effective treatments available that can help flatten and improve their appearance.

Understanding Hypertrophic Scars
Hypertrophic scars occur when the body produces too much collagen during the healing process. This excess collagen leads to a thickened, raised scar that can be red or darker than the surrounding skin. Unlike keloids, hypertrophic scars do not extend beyond the original injury site and may improve over time, but they often require intervention for significant improvement.

Treatment Options
1. Silicone Gel Sheets and Silicone Gel: One of the most effective treatments for hypertrophic scars is the use of silicone gel sheets or silicone gel. These products create a protective barrier over the scar, helping to hydrate the tissue and reduce collagen production. They are typically applied for several hours a day and can be used for several months to see optimal results.

2. Steroid Injections: Corticosteroid injections can help flatten hypertrophic scars by reducing inflammation and collagen production. This treatment is often administered by a dermatologist and may require multiple sessions for the best results.

3. Pressure Therapy: For more severe cases, especially after burns or surgical scars, pressure garments may be used. These garments apply consistent pressure to the scar, which can help flatten it over time.

4. Laser Therapy: Laser treatments can improve the color and texture of hypertrophic scars. Different types of lasers can target blood vessels in the scar or help resurface the skin. This treatment is usually performed by a dermatologist or plastic surgeon.

5. Cryotherapy: This involves freezing the scar tissue with liquid nitrogen, which can help reduce its size and improve its appearance. This method is often used in conjunction with other treatments.

6. Microneedling: This technique involves using fine needles to create tiny punctures in the skin, which can stimulate collagen remodeling and improve the texture of the scar.

7. Surgical Revision: In some cases, surgical intervention may be necessary to remove the hypertrophic scar. This is usually considered when other treatments have not provided satisfactory results.

Self-Care and Home Remedies
In addition to professional treatments, there are several self-care measures you can take to help manage hypertrophic scars:
- Moisturization: Keeping the scar moisturized can help improve its appearance. Use a fragrance-free moisturizer or silicone-based products.

- Sun Protection: Protecting the scar from sun exposure is crucial, as UV rays can darken scars. Use sunscreen with a high SPF when exposed to sunlight.

- Avoid Irritation: Try to avoid any activities that may irritate the scar, such as tight clothing or excessive friction.

Conclusion
While hypertrophic scars may not resolve completely on their own, there are numerous effective treatments available to help flatten and improve their appearance. It is essential to consult with a dermatologist or a healthcare professional who specializes in scar management to determine the best course of action for your specific situation. They can provide personalized recommendations based on the characteristics of your scars and your overall skin type. With the right treatment plan, you can significantly improve the appearance of your hypertrophic scars and alleviate any discomfort they may cause.

Similar Q&A

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