What is Hypertrophic Scar?

A hypertrophic scar is a raised, thickened scar that forms at the site of a skin injury due to an excessive amount of collagen being produced during the wound healing process, but which remains confined within the boundaries of the original wound, distinguishing it from a keloid that extends beyond the wound margins. It commonly develops after burns, surgical incisions, piercings, or other significant skin trauma, and tends to be more common in areas of high skin tension such as the chest, shoulders, and joints. While not medically dangerous, hypertrophic scars can cause discomfort, itching, and cosmetic concern.

What are the main symptoms of Hypertrophic Scar?

The most common symptoms include: Raised; thickened area of scar tissue confined to the original wound boundary; red or pink discoloration that may fade over time; itching or tenderness at the scar site. Early recognition is key to prompt diagnosis and effective treatment.

Is Hypertrophic Scar contagious?

No, Hypertrophic Scar is not contagious. It cannot spread through casual contact. However, certain risk factors and genetic predispositions may increase susceptibility.

How is Hypertrophic Scar treated?

Treatment options include: Treatment options include silicone gel sheets or ointments applied consistently to soften and flatten the scar; corticosteroid injections directly into the scar tissue to reduce its size and symptoms; and pressure garments particularly for burn-related scars. Laser therapy can help reduce redness and improve texture. Treatment should always be guided by a qualified Plastic & Reconstructive Surgery specialist. Do not self-medicate.

Can Hypertrophic Scar be prevented?

While Hypertrophic Scar cannot always be fully prevented, several measures can reduce risk: Proper wound care and keeping wounds clean and moist during healing; avoiding tension across healing wounds when possible; early use of silicone sheeting on high-risk wounds.

When should I see a doctor for Hypertrophic Scar?

Consult a Plastic & Reconstructive Surgery specialist if symptoms persist for more than a few days, worsen despite home care, or significantly affect your daily activities. Early diagnosis leads to better outcomes.

All Diseases/Hypertrophic Scar

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DermatologicalMild

Hypertrophic Scar

Plastic & Reconstructive Surgery · Dermatological

Mild

Severity

Common — develops in a meaningful proportion of surgical and burn wounds, particularly in younger patients and darker skin types

Prevalence

Contagious

Plastic & Reconstructive Surgery

Specialist

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