Rash and hypertrophic scar - will scar tape help or is laser treatment/injections the only option? (Photos)

Question

My surgeon has since retired and I have had this rash on my vertical scar for 4 months now. I have tried every cream and am now being prescribed a steroid pill. Has anyone seen this before? I also have hypertrophic scars around my areola that itch terribly. Will scar tape fix it and if so what is the best one? Or is laser treatment/ injections my only option

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis.  We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

Hi there,

Thank you for your question. This is a common concern after surgery, especially when healing becomes complicated by persistent inflammation or hypertrophic scarring.

Based on what you described, it sounds like you’re dealing with two separate but possibly related issues: a chronic rash on your vertical scar and hypertrophic scarring around the areola. The persistent rash may indicate a localized dermatitis or irritation (potentially allergic, infectious, or autoimmune in nature), and if steroid creams haven’t worked, a short course of oral steroids might be helpful, as your doctor has prescribed. However, I’d also recommend a closer evaluation to rule out contact dermatitis or even a fungal or bacterial superinfection, especially if the area is red, itchy, or flaking.

As for the hypertrophic scars, scar tape (such as silicone sheets) can be very effective, especially when used consistently over time. They work by flattening and softening raised scars and reducing associated itching and discomfort. Some reputable options include ScarAway, Cica-Care, and Mepiform. However, if you've been using silicone therapy and still see no improvement after a few months, additional treatments like laser therapy, corticosteroid injections, or even microneedling with PRP may be more appropriate.

Itching is a hallmark of active scar tissue remodeling and can sometimes persist for months. For symptomatic relief, consider using topical antihistamines or hydrocortisone sparingly—but always under medical supervision, especially near sensitive areas.

Rash and hypertrophic scar - will scar tape help or is laser treatment/injections the only option? (Photos)

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Rash and hypertrophic scar - will scar tape help or is laser treatment/injections the only option? (Photos)

Answers (2)

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Everything you need to know about Scar Removal

Our mission is to create a world where every investment in modern beauty is Worth It.