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I would treat these hypertrophic and potentially keloid scars on the back and chest with a combination of IIT, laser, and pressure, coupled with topical silicone.
The simple answer to your question is that it is possible for hypertrophic scars to come back after surgically removing them. The area of the body where the scar is located can influence the risk of them returning as well as the way the incision is closed. Sometimes an injection of a steroid (an anti-inflammatory) into the area at the time of excision and/or afterwards can help reduce the chances of the hypertrophic scar returning as well.
Hypertrophic scars which you have can return after excision. It is always best to at least try a time or two with steroid injections to help them settle down. If this is no help them I turn to surgery. The newest treatment for the scars is a laser called Lumenis Encore Ultrapulse with an attachment called ScaarFX. This gives an optimal ablating and smoothing ratio so that it softens the scar. It often takes a few times to minimize the scar as much as possible. Unfortunately it never possible to erase the scars. Good luck!
The longterm results of this treatment depend greatly on whether there is cartilaginous involvement of the keloid. I would perform a careful presurgical examination to determine the extent of keloid within the tissue.
Hello, We need to see and also preferably feel the scar to determine whether or nor scar revision might be helpful. Best Regards, John Di Saia MD
Scar revision procedures can improve scars but typically do not completely eliminate the scar. Leg scars can be difficult to improve. It is probably best if you decide to have a scar revsion to have a limited procedure and then assess whether the scars improve. It should be...
