I was burned about 3 months ago. Is this a Keloid or Hypertrophic scar? (photo)
Doctor Answers (4)
Treatment for a thick scar on the arm
I would also use Melarase cream for the pigmentation. This would include Melarase AM and Melarase PM.
Keloid vs. Hypertrophic Scarring Following Burn Injury
That looks like a hypertrophic scar – it does not exceed the boundaries of the initial injury. A keloid scar would exceed the boundaries of the injured area. Hypertrophic scars are common in second and third degree burns that are allowed to heal by secondary intention, and not treated with skin grafting. I suspect that the area of hypertrophic scarring was the slowest area to complete healing.
Corticosteroid injections may help to soften and flatten the scar. They are also effective in improving any pain or itching that may be present. Pressure/massage can also be beneficial but I doubt you will see significant changes with this degree of hypertrophy. If the area is still healing and the scar is still maturing then the above treatments may be more effective. In the end, you may achieve a better result with scar excision and grafting or scar excise and suture closure.
Seek the advice of a plastic surgeon that can follow the healing process along over the next 6-12 months. If the results are not satisfactory then you can decide if surgery is an option.
Best wishes, Ken Dembny
Treating hypertrophic scarring
Your scar looks hypertrophic to me. Silicone gel sheeting and corticosteroid injections are both effective ways to flatten a raised scar. Another option that you may wish to discuss with a plastic surgeon is to have the scar excised (cut out) and the skin edges stitched together, followed by careful scar management in the post operative period.