With most wounds, there will be some scarring during the healing process. In hypertrophic scars, this scarring is thicker than what is considered normal. The scar therefore stands out slightly compared to the surrounding skin. Hypertrophic scars, on the other hand, do not extend beyond the wound boundaries, as with keloid. Keloid is thus a more pronounced and unfortunate form of scarring. Hypertrophic scars are more common than keloid.
Both hypertrophic scars and keloid often occur in wound areas with a lot of movement and stretching. This leads to an overstimulation of the scar formation. However, the exact cause is not known. Hypertrophic scars often appear approx. 1-2 months after the wound.
Some hypertrophic scars become pale and flat on their own. This is a slow process and usually takes 2-3 years. The scar itself, however, never completely disappears. Other hypertrophic scars change little and remain thick. However, there are forms of treatment that can increase the chance of more normal and less visible scarring. The most common treatment is plaster and compression treatment which reduces stretch marks in the scar tissue. Many pharmacies sell, among other things, suitable silicone plasters. It is also possible to treat hypertrophic scars with, among other things, cortisone injections and cryotherapy (freezing treatment). Such treatments are often long-term and without a guarantee of improvement. In terms of experience, hypertrophic scars are less aggressive in the treatment than keloid.