Unfortunately, treatment for hypertrophic scars in Afro-Americans is unpredictable atr best. In performing scar revisions, you have to ask yourself what characteristic of scarring you are trying to diminsh. You might want to try lower risk treatment such as silicone sheeting, pressure, even small amounts of steroid injection if you are trying to softenand flatten the scar. Scar revisions put additional skin tension on the wound often leading to repeat hypertrophic scars or spreading of the scars. Revison also usually lengthens the scar. I would suggest non-surgical treatment first and wait at least 1 or even two years for revision.



