What is it?

Hypertrophic scar is a raised, thickened and wide scar that occurs as a result of skin injury. Hypertrophic scar is an abnormal wound healing following injury or trauma. It is caused due to excessive production of collagen, either because of skin tendencies or because of wound infection, inflammation or tension of motion. Hypertrophic scars typically don’t grow beyond the boundaries of the original skin injury. Keloid scars are smooth, benign, and hard growths. Keloid scars, as opposed to hypertrophic scars, grow beyond the boundaries of the original incision or wound. Both of these disorders are more common in people with dark skin. Skin atrophies diseases are conditions in which there is a depletion of the dermis, and sometimes the epidermis, of the skin. Sometimes, the adipose tissue is thickened. It is usually a manifestation of aging, and is most noticeable in the face, arms, and hands. UV exposure, smoking, alcohol consumption, lack of exercise,and medications such as corticosteroids can also cause skin atrophy.

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Additional names

This group contains additional names:
- Acquired Acanthosis Nigricans
- Circumscribed Scleroderma
- Coup de sabre scleroderma
- En coup de sabre lesion
- Lichen sclerosus et atrophicus
- Linear scleroderma
- Localized morphea
- Sclerodactyly
- Keloid Scar
- Hypertrophic scar
- Abnormal Granulation

Signs & symptoms

Symptoms of hypertrophic scars may include itching, pain. Usually, it disturbs the patients because of its appearance. Keloid symptoms may include a raised pink, purple or red scar, slowly growing, pain, itching, tenderness, fixed in place, becoming darker in color with time. Skin atrophy symptoms may include skin growth, wrinkles on skin, abnormal appearing skin, skin lesion, skin moles, and skin swelling.

Diagnosis

Diagnosis of hypertrophic scars, keloids and skin thinning is based on findings in the dermatological exam.A skin biopsy may be performed to rule out other conditions.

Treatment

Treatment of hypertrophic scar and keloids may include corticosteroids, laser therapy, bleomycin injection, cryotherapy and surgery. Silicone sheets, pressure, massage and bio oil may also help. Treatment for skin atrophy may include microneedling for skin rejuvenations, injectibe skin, dermal filler, laser resurfacing treatments, intense pulsed light and photodynamic therapy

☝️ This is not a substitute for professional medical advice. Please consult with your physician before making any medical decision.

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