What should I do about hypertrophic scars?

Written by Zhang Da Wei
General Surgery
Updated on September 01, 2024
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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.)

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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 Liu Gang
Dermatology
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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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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 Cao Jin Jun
Aesthetic Medicine
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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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Written by Zhang Da Wei
General Surgery
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How to repair hypertrophic scars?

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.