Doctor insights on:
What Is The Difference Between Hypertrophic Scarring And A Keloid
The area affected: Hypertrophic scars are raised scars that do not spread beyond the boundry of the original scar. A keloid is a scar that continues to grow, extending well outside the boundary of the original scar site. That is, it spreads into areas of previously normal non-scarred skin. ...Read more
Hypertrophy is an increase in size of an organ or tissue, or a particular part of the body. Examples include muscle hypertrophy due to lifting weights, ventricular hypertrophy (enlargement of a ventricle of the heart) due to high blood pressure or other heart disorders, or prostatic hypertrophy (enlargement of ...Read more
Hypertrophic scar: A hypertrophic scar appears as a raised, red scar. A keloid is similar but extends beyond the boundary of the scar. There are treatments available to improve either. ...Read more
More common in the: Black race; occasionally helped by steroid injections, but I see the ones that have failed, and those that have many. Removing the scar by a plastic/cosmetic surgeon followed by radiotherapy. Get the XRT consult and surgeon to discuss...Needs to happen same day as surgery. ...Read more
Depends upon growth: Both keloid and hypertrophic scars look the same under the microscope. They differ by their growth characteristics. A hypertrophic scar is a scar that is contained within the area of "injury" whereas a keloid scar grows beyond the original area of injury. Both are treated similarly. ...Read more
Scars: The simple difference is hypertrophic scar is thickened raised scar within the boundary of the scar. Keloid by definition is thickened raised scar grown beyond the boundary of the scar. ...Read more
I have a very small keloid or hypertrophic scar around my earring. If I go to take my earring out and then get the scar cut off will it be gone foreve?
Steroid injection: You can see a dermatologist to inject steroid and a low level chemo 5-FU into the scar this may shrink it. Other measures are resurfacing with lasers. ...Read more
Kojic acid soap for lightening a keloid/hypertrophic scar on face. Using ScarGuard now. How long until lightening results appear if used daily?
It Depends.: The results of ScarGard can be seen within 2-3weeks depending on the age and severity of the scar. ...Read more
Had surgery on the side of my forehead 8 months ago. Have a growing raised scar- NOT TYPICAL HYPERTROPHIC/KELOID. Gotten injections/lasers-no results?
Post-op scar: You have to see a really fine plastic surgeon. ...Read more
Keloid or hypertrophic scar? On knee, raised, wrinkly, slightly darker than skin, grew without noticing and stayed same size many years. No part hangs
Easy to tell: A true keloid has little serrations on its edge, like the "crab claw" for which it is named. These tend to get bigger over time. If it doesn't bother you, making the distinction is moot. If you want it off, the distinction might actually be important, and the outcome's uncertain in either case. ...Read more
Keloid or hypertrophic scar? On upper ear cartilage, kinda lighter than skin, raised but not a ball supported by gravity, appeared fast then no change
Ear lesion: I feel that a plastic surgeon is best qualified to evaluate this lesion and, if necessary, treat you. ...Read more
No: These two are different healing reactions, with different appearances and different treatment. A plastic surgeon can help make the diagnosis and guide your treatment. ...Read more
What's the difference between scar tissue and keloid? Can ultrasound be used to reduce both? Are there any other ways to get rid of it? What can I do?
Scars/ keloids: A keloid is a raised scar that grows beyond the original cut. The most common places for it are the earlobes and chest. Scar tissue is a normal part of the healing process. Keloids can be treated with steroid injections, silicone dressings, pressure earrings, and surgical excision with radiation to reduce the risk of recurrence. See your dermatologist or plastic surgeon to decide which treatment. ...Read more
Can be hard to treat: Some people are prone to keloids, probably genetically determined. The problem is that if a doctor cuts out one keloid, another usually forms. Steroids are usually tried, such as an injection of kenalog (triamcinolone) into a keloid. Sometimes, steroids are injected into the site when a surgeon removes an existing keloid. Dermatologists and plastic surgeons with experience in keloids are the specialists to see. ...Read more
Keloids: Flat keloids, refer to those keloids that are not rising significantly above the skin level and do not forms keloid tumors or nodules in the skin. Cases of flat keloids are seen mostly among asians, light colored individuals and europeans. Individuals with dark color skin, africans and african americans can also have flat keloids. ...Read more
No simple answer: There is no simple answer to your question. Some may benefit from cortisone injections whereas others may require excision. Sometimes excision is followed by a short course of radiation. Unfortunately some of them have a high rate of recurrence. I would recommend seeing a plastic surgeon in your area. ...Read more
Keloids.: Two options here. One would be steroid injections into the keloids, hoping they shrink over the long term. This is not always effective. Second, they can be cut out, but the problem would be that the healing from the resection of a keloid can, of course, produce another keloid. Discuss with Dermatologist, but may be wise to just leave them be. ...Read more
Can't be removed: Keloid scars can perhaps be reduced and improved but not totally removed. These may need to be removed surgically and then you likely will need a series of cortisone injections to try and keep it from regrowing. There are other treatments for those which regrow but some cannot be completely controlled. You should see a surgeon experienced in keloid management. ...Read more
Not much: Topical silicone is about the only thing available. Coupled with a compression garment you might see some changes. Intralesional ( (injected into the scar) is is usually very good. Steroids, calcium channel blockers and some anti-cancer drugs will get a good response. See a plastic surgeon in your area for an evaluation ...Read more
Location & Size: Depends on how much it is bothering you, pain, size, location (interfering with vision or hearing). Generally, it is a simple procedure to excise a keloid. The main risk is recurrence of the keloid. Compression therapy and/or steroid injections can help minimize the keloid. If the keloid is large I generally advise removing it and starting fresh. Good luck ...Read more
Keloids: When a keloid forms the collagen is abnormally layed down causing the lesion to grow outside of the scar. Siilicone is good for fresh scars and hypertrophic scras however kenalog (triamcinolone) injections into the keloid is a good first round treatment option. This is routinely performed by plastic surgeons and dermatologist. ...Read more