Can hypertrophic scars be effectively treated?

Written by Zhang Da Wei
General Surgery
Updated on September 26, 2024
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Hypertrophic scars are related to constitutional issues, generally directly associated with congenital genetic factors. Thus, while it is possible to improve the condition of hypertrophic scars, it is impossible to completely remove them, as altering such constitutional issues entirely is very challenging. When dealing with hypertrophic scars, one can choose various methods to alleviate the condition, such as improving local tissue vitality through massage, which can promote skin regeneration and thus mitigate the effects of hypertrophic scars. Additionally, treatments for hypertrophic scars can include laser surgery or the use of medications that invigorate blood circulation and disperse blood stasis. Importantly, preventing wounds and thus avoiding scar formation is crucial for optimal prevention. (Use medication under the guidance of a doctor, and do not self-medicate).

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Treatment of keloids

The formation of keloids is somewhat related to an individual's scar constitution. Once keloids have formed, there is a lack of a perfectly effective treatment plan. The most commonly used treatments are topical ointments, which can't completely solve the problem. The most frequent treatment involves local application of steroid medications, which can be chosen based on the size of the keloid to be treated 2-3 times, or even four to five times. After treatment, the keloids will gradually shrink, become softer, and smaller, but they will not completely disappear. If the keloid proliferation is not particularly severe, one can also visit a dermatology department at a formal hospital to use fractional laser treatment. Currently, there are many other drug treatments available, but their ultimate effects are not certain, so it is best to prevent such conditions in individuals prone to keloids, avoiding external injuries or scars.

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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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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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What should I do about auricular keloids?

Auricular keloids are a relatively common clinical condition, which may be related to an individual's scar constitution. Firstly, it is necessary to examine the size of the keloid. If the keloid is small, without obvious enlarging, redness, pain, infection, or inflammation, this situation generally can be considered for observation followed by regular ENT (ear, nose, and throat) specialist follow-ups to check for any rapid growth. However, if the keloid is large and progressively growing, surgical removal should be considered. After the surgery, local superficial radiation therapy can be considered to help prevent postoperative recurrence.

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What are hypertrophic scars like?

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.