What to do if hypertrophic scars itch?

Written by Zhang Da Wei
General Surgery
Updated on September 08, 2024
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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.

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Written by Zhang Da Wei
General Surgery
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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 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 Liu Gang
Dermatology
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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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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 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.