How to eliminate hypertrophic scars?

Written by Tang Da Wei
General Surgery
Updated on September 28, 2024
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For the elimination of hypertrophic scars, one can apply anti-scarring ointment to the surface early after surgery. If the patient indeed has a scarring constitution, at the end of the surgery, it is advisable to inject medications into the subcutaneous area or within the wound tissue to prevent excessive or abnormal scar proliferation. If necessary, radiotherapy can be applied; under the effect of X-rays, it can effectively prevent the abnormal proliferation of scar tissue and the abnormal and excessive growth of fibroblasts. If there is already hypertrophic scarring, one might consider excising the hypertrophied scar tissue and re-suturing the wound.

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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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Can keloids be cured?

Once keloids appear, they are essentially irreversible, meaning that they cannot be completely cured clinically. The formation of keloids is mostly related to one's own constitution, such as a keloid-prone skin type. Some keloids are also due to trauma occurring in areas of the skin where muscular tension is relatively high, or where the wound is indeed large and deep, which might lead to the formation of keloids. In such cases, localized drug injections can be used to reduce and soften the keloids. One can also use ointments that soften scars, such as keloid soothing and softening cream, but these require long-term application to be effective. If the keloid is relatively small, cosmetic surgery to remove and re-sew the area can also be an option for treatment. In summary, once keloids have developed, they are not easy to completely cure.

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Written by Tang Da Wei
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How to eliminate hypertrophic scars?

For the elimination of hypertrophic scars, one can apply anti-scarring ointment to the surface early after surgery. If the patient indeed has a scarring constitution, at the end of the surgery, it is advisable to inject medications into the subcutaneous area or within the wound tissue to prevent excessive or abnormal scar proliferation. If necessary, radiotherapy can be applied; under the effect of X-rays, it can effectively prevent the abnormal proliferation of scar tissue and the abnormal and excessive growth of fibroblasts. If there is already hypertrophic scarring, one might consider excising the hypertrophied scar tissue and re-suturing the wound.

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Written by Zhang Da Wei
General Surgery
57sec home-news-image

Can hypertrophic scars be effectively treated?

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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Written by Zhang Da Wei
General Surgery
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What should I do if I have pain from hypertrophic scars?

Once an injury occurs, it is very likely to develop hypertrophic scars, and the appearance of such scars is related to the individual's constitution, often accompanied by symptoms such as pain. When this condition occurs, specific treatments are definitely needed for improvement, typically using laser surgery as the main treatment, or it can be removed at once through surgical operation, which helps improve the condition. Of course, hypertrophic scars can also be improved through some physical therapy methods, such as by adjusting in different degrees, like acupuncture, which can fade the scars by improving local blood circulation. However, physical therapy is just one aspect; consistent improvement in lifestyle habits to avoid recurrent stimulation of hypertrophic scars is also crucial for recovery.