At first, fresh hypertrophic scars can be itchy and painful, but the symptoms subside as the skin heals. Learn about all your hypertrophic scar treatment options. If you have known risk factors for developing keloids, you may want to avoid getting body piercings, unnecessary surgeries, and tattoos.

A hypertrophic scar is a nodule consisting of proliferation of fibroblasts embedded in dense collagen bundles. Often, mild chronic inflammation and focal hemorrhage are present. Vasculature may be prominent and is usually perpendicular to the skin surface. No cytologic atypicality of the fibroblasts is present. Studies have consistently demonstrated that persons of certain races are more susceptible to keloid scar formation.

In the case of very large keloids or an older keloid scar, surgical removal may be recommended. The rate of return for keloid scarring after surgery can be high. However, the benefits of removing a large keloid may outweigh the risk of postsurgery scars.

The decision about when to treat a keloid depends on the symptoms associated with its development and its anatomical location. A chronically itchy and irritated keloid can be quite distracting. Keloids in cosmetically sensitive areas that cause disfigurement or embarrassment are obvious candidates for treatment. What is clear is that larger keloids are more difficult to treat.

Pressure devices include garments made of Dacron spandex bobbinet fabric, shaped Tubigrip support bandages, or zinc oxide adhesive plaster. The patient should start wearing the pressure garment as soon as re-epithelization occurs and continue wearing it until scar maturation is evident. The recommended level of pressure is 25 mm Hg, but good results have been observed with pressures as low as 5-15 mm Hg.

Learn options for getting rid of keloids and other scars that are common on the legs. According to one study, a gene known as the AHNAK gene may play a role in determining who develops keloids and who doesn’t. Researchers found that people who have the AHNAK gene may be more likely to develop keloid scars than those who don’t.

Treatments for keloid scarring can be difficult and not always effective. For this reason, it’s important to try to prevent skin injuries that could lead to keloid scarring. Using pressure pads or silicone gel pads after an injury may also help prevent keloids.

An estimated 10 percent of people experience keloid scarring. Men and women are equally likely to have keloid scars. People with darker skin tones are more prone to keloids.

Before any medical procedures, try considering at-home treatments. Moisturizing oils, which are available online, can help to keep the tissue soft. These might help reduce the size of the scar without making it worse. Keloids tend to shrink and become flatter over time, even without treatment.

Individuals with darker pigmentation, black persons, and Asian persons are more likely to develop keloids. In a random sampling of black individuals, as many as 16% have reported developing keloid scars, with an incidence rate of 4.5-16% in the black and Hispanic populations. Alhady’s 1969 study found that Chinese individuals were more likely to develop keloids than Indian or Malaysian individuals. This includes burns, acne scars, chickenpox scars, ear piercing, scratches, surgical incisions, and vaccination sites.

Keloid scars tend to be larger than the original wound itself. In some instances, a surgeon may recommend removing a large hypertrophic scar or keloid. A doctor diagnoses a keloid on the basis of its appearance and a history of tissue injury, such as surgery, acne or body piercing. In rare cases, the doctor may remove a small piece of the skin to examine under a microscope.