What are hypertrophic scars like?

Written by Zhang Da Wei
General Surgery
Updated on September 29, 2024
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Hypertrophic scars are actually directly related to a scar-prone constitution, and generally, when such scars occur, they are divided into several types. The first type is caused by regressive changes, and the outcomes in this situation are generally quite ideal. However, improvement in these cases usually needs to be tailored to the specific circumstances. If the issue with hypertrophic scars is more pronounced, it can be addressed with laser surgery to achieve effective treatment. Of course, it requires specific analysis; not every issue in this regard necessitates intervention, but it should be addressed promptly. Moreover, if a scar-prone constitution persists, it might have some direct impacts. Decisions on improvement can be made based on the specific size of the scar area.

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Written by Liu Gang
Dermatology
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What does "scar constitution" mean?

Scar constitution is a type of special genetic constitution, typically leading to larger scars from minor injuries, especially in areas such as the chest and back where skin and muscles are tense. People with scar constitution should avoid injuries or bumps, particularly avoiding scratching or squeezing folliculitis on the chest, as scars formed are difficult to completely remove. Common anti-scar medications often do not work well. If scar proliferation is significant, treatment with medical injections in a standardized hospital's dermatology department may be required. Regular exercise, boosting the immune system, avoiding spicy or irritating food, and avoiding staying up late can help reduce the frequency of this condition.

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Written by Cao Jin Jun
Aesthetic Medicine
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What should I do if a keloid is itchy?

Keloids can be very itchy when at home. You can use some cryotherapy such as applying ice for treatment. However, if the results are unsatisfactory, it might be necessary to visit a hospital for a comprehensive treatment, including medication. Treatment based on the condition can control these symptoms. The itching occurs because the skin's metabolic system is damaged, causing metabolic products to accumulate in the scar.

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Written by Zhang Da Wei
General Surgery
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What should not be eaten with hypertrophic scars?

Hypertrophic scars, in themselves, result from constitutional issues, meaning they are tied to an individual's physical condition and have certain hereditary elements. This condition significantly affects appearance, and certain dietary items can further irritate hypertrophic scars. Thus, it is recommended to avoid certain stimulating foods such as bamboo shoots, beef, crucian carp, and seafood, as these can impede the healing of hypertrophic scars. Moreover, if symptoms are pronounced, or if irritation is prominent, it is also advisable to avoid spicy foods, alcohol, and smoking. Such irritants can notably aggravate the skin, potentially leading to localized scar sensitivity.

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Written by Liu Gang
Dermatology
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Can scars soften and flatten?

Scars are related to the size and depth of one’s own trauma, and some patients have a scar constitution, where even a small wound can leave a relatively large scar. Once a scar forms, it cannot be completely eradicated, but topical medications or local injections can be used to gradually soften and flatten or shrink the scar. However, this condition also has a certain recurrence rate, such as often consuming spicy and stimulating food, drinking alcohol, or when the body is inflamed, which can lead to the scar proliferating again. Therefore, this condition cannot be completely cured. After treatment, it is essential to avoid spicy and stimulating food for a long time, not to irritate or scratch the area, and to strengthen exercise according to one's immunity, and take some medications to enhance the immune system.

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Written by Zhang Da Wei
General Surgery
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What should I do about hypertrophic scars?

Hypertrophic scar keloids are actually quite common in everyday life. Generally, this type of scarring can be divided into three stages: the proliferative phase, the stable phase, and the recovery phase. If care is not taken, the likelihood of developing such keloids increases. Moreover, the occurrence of hypertrophic scar keloids also relates to an individual's constitution. For instance, those with a scar-prone constitution are more likely to encounter this issue. When such issues arise, it is advisable to use some reparative ointments appropriately to help improve the condition. Additionally, combining massage techniques or localized stimulation methods can also assist in improvement, enabling better recovery. Over time, the scars should gradually fade. Of course, in such cases, methods like laser surgery or dermabrasion can also be used to help eliminate these scar-like keloids, potentially speeding up the recovery. (Please follow a doctor’s guidance for specific medication usage and avoid self-medicating.)