How to repair hypertrophic scars?

Written by Zhang Da Wei
General Surgery
Updated on September 13, 2024
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In cases of trauma or injury, it is very easy to develop hypertrophic scars. Generally, the size and depth of the wound are related factors. Scars often present with symptoms like redness, itching, and raised hard areas. There are mainly two approaches to treat this type of scar. The first method involves improvement through medications, using topical drugs or local injections to help eliminate hypertrophic scars. The second method involves surgical approaches, such as laser surgery, which is a common method of repair. Generally, local burning from the procedure can achieve certain effects. Of course, after using laser surgery, a specific recovery period is required. During this period, it is necessary to avoid infections to aid in the repair of hypertrophic scars.

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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 Liu Huan Huan
General Surgery
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Can hypertrophic scars be massaged?

Hypertrophic scars are relatively common in clinical practice. For instance, a patient who has undergone surgery may develop hypertrophic scars at the incision site, or a patient who has suffered a trauma may develop hypertrophic scars at the site of the injury. Once hypertrophic scars have formed, they can be massaged without any issues. Massage does not lead to a worsening of hypertrophic scars, nor does it cause inflammation, carcinogenesis, or other related conditions. However, it is important to remember to massage gently and not use excessive force.

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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 Zhang Da Wei
General Surgery
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What will happen if hypertrophic scars are not treated?

Hypertrophic scars are actually related to individual constitution. This condition mainly occurs due to scarring following an injury, which leads to excessive growth of scar tissue. As long as there are no inflammatory changes, generally, hypertrophic scars do not cause any problems. However, some hypertrophic scars may develop into malignant lesions, particularly in areas that are easily stimulated, such as the soles of the feet or the armpits. If a hypertrophic scar persists and the area is continually stimulated, it may lead to changes in the scar, which, in severe cases, could even become malignant. In such situations, it is crucial to manage the condition promptly based on the specific circumstances. Safe treatment measures usually involve techniques such as laser surgery.

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Written by Zhang Da Wei
General Surgery
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What to do if hypertrophic scars itch?

Itchy symptoms appearing in hypertrophic scars are a type of reaction of the scar, indicating that such a reaction occurs in the body during the tissue repair process following tissue damage. It is a natural process of the human body. Typically, this itchy symptom does not require special treatment. However, if the symptoms are significant, appropriate use of antipruritic medication can help relieve and improve the condition. Alternatively, gently washing the scar area with saline can effectively help alleviate the itchiness. Additionally, the occurrence of excessive hypertrophic manifestations in this process is also normal, as the entire process requires a period of repair, so such manifestations are acceptable. Most importantly, it is crucial to avoid infections in hypertrophic scars, as such conditions can also cause itching. When this problem arises, specific anti-inflammatory treatment is necessary.