Best Hypertrophic Scar Treatment?

You must first distinguish between hypertrophic scars and keloids. The former generally tend to grow for up to two years but then mprove over time after that. Keloids tend to exhibit continuous growth. Hypertrophic scars are commonly associated with wounds that exhibit delayed healing: tissue loss, healing by secondary intention, third degree (full thickness burns), etc. IF your scars are hyperftophic, they will tendi to resolve. However, interventions which have been recommended... more

My approach to hypertrophic scars include: 1. intralesional cortisone +/- 5-Fluorouracil 2. Silicone (either sheeting or liquid paint-on silicone (available as a product called ScarGuard MD)) 3. Manual massage 4. Vascular laser if the scar is not only thickened but pink/red. Good luck.

The treatment of a hypertrphic scar include the following: 1-Silicone sheets. Easier to use on the limbs ,however some are designed for the trunk. 2-Kenolog injection: Dilute steroid injection is an effective treatment for hypertrphic scars.The scar will flaten,become less itchy. It will still be the a scar though. 3-Compression: Works well in limbs and faces.Used more commonly in burn scars. Hope that helps!

Injection of Kenalog and 5-fluorouracil into scar every 2 weeks until improvement seen  - may take up to 6-8 sessions Combine these scar injections with pulsed dye laser treatment (Vbeam) every month You will see reduction in size and thickness of scar, a softening of the scar, a reduction of the redness, improved texture and reduction of itch and pain if present.

After distinguishing the difference between hypertrophic scars and keloids.  I would recommend silicone gel sheets , massaging the scar, Kenalog injections.  in extreme cases of Hypertrophic scars a scar revision can be done followed by the aforementioned methods to minimize scarring.  Best of Luck!

These can be a very difficult problem. I personally use low dose Kenalog injections done carefully and over time to adjust the scar as best as possible and not make the problem worse. I will also use a silicone cream ( ketacote ) on the area or even a silicone sheet if the patient will be compliant with it.  Some people have had success with laser therapy even though I have not.

I have found the PDL-Pulse Dye Laser to be most effective for hypertrophic scars or keloids. I have also used the KTP and Gemini and Tunable Dye laser effectively-especially when the keloid is peristing. This is best combined with Triamcinolone acetonide injection. In tough cases we only add interferon which may give cold symptoms and Cordran tape as well as other modalities. IPL is not risky in my experience.

The best treatment for hypertrophic scars is to avoid them in the first place. Unfortunately, scars cannot always be avoided. However, if you know that you are a poor healer and tend to make excessive scars, you should always notify your surgeon first so that if you sustain another injury somewhere else or have to have surgery, then your surgeon can take further precautions to help maximize the appearance of your scar. If possible always avoid surgery in visible areas. As far as treatment... more