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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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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Can ear piercing caused keloids be cured?

After getting ear piercings, some patients may develop keloids, which could be related to individual body reactions. Some cases are due to a person's scar constitution. First, the size of the keloid should be examined. If the keloid is small and does not show obvious growth, it is generally considered appropriate to observe and regularly re-examine the growth. However, if the keloid is large and gradually increasing in size, surgical removal should be considered. After surgery, superficial radiotherapy is recommended to help prevent recurrence. However, it is typically necessary to have regular follow-ups post-surgery, as some patients are prone to recurrence.

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How to remove keloids?

The formation of keloids is largely related to one's inherent scarring constitution. Some patients are not prone to keloids but can still develop them due to particularly deep or large wounds. Additionally, keloids can form on the chest or shoulders after repeated occurrences of folliculitis. Currently, there are not many treatments for keloids. For larger keloids, medication can be used locally to gradually soften and reduce their size. For smaller areas, cosmetic surgical methods can be employed for removal, although this does not guarantee prevention of recurrence. Once keloids appear, they are mostly irreversible. If the keloid grows rapidly, treatment can also be sought at nuclear medicine departments, where nuclear radiation therapy is used.

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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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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.)