What Is A Hypertrophic Scar?
Every surgery is followed by scars as the natural healing process of the body. One type of scar that can cause discomfort or self-consciousness is a hypertrophic scar. This raised, thickened scar often forms after injuries or surgeries, particularly if the wound has endured tension, infection, or other challenges during healing. In this blog, we’ll dive into what hypertrophic scars are, how they form, and what treatment options are available.
Understanding Hypertrophic Scars
A hypertrophic scar is a type of scar that is raised a bit on the skin but does not spread around the nearby area of the wound. It results from overproduction of collagen during the healing process. Unlike normal scars that fade and flatten over time, hypertrophic scars remain elevated and can even become thicker as they mature. These scars are often red or pink and can sometimes appear firm and itchy.
Causes of Hypertrophic Scars
Hypertrophic scars form when the body produces excess collagen at the wound site as part of the natural healing process. This overproduction can occur due to several factors:
- Injury or Trauma - Hypertrophic scars are more likely to form in response to cuts, burns, surgical incisions, or other injuries. When wounds are deep or under high tension (such as areas with frequent movement), the risk of hypertrophic scarring increases.
- Location on the Body - Certain areas, like the shoulders, upper back, and chest, are more prone to hypertrophic scarring due to the tension and movement in these regions.
- Infection or Delayed Healing - Wounds that are slow to heal or become infected can increase the risk of hypertrophic scarring. An infection can disrupt the body’s normal healing cycle, leading to excessive collagen buildup.
- Genetics and Skin Type - People with a family history of hypertrophic scarring may be more prone to developing these types of scars. Additionally, individuals with darker skin tones may be more susceptible.
Characteristics of Hypertrophic Scars
What makes hypertrophic scars different from other types of scars? Following are some characteristics of hypertrophic scars:
- Raised Texture: Hypertrophic scars are visibly elevated above the skin’s surface and feel firm to the touch.
- Redness or Pink Hue: These scars often appear red, pink, or even purple, especially in the early stages.
- Itching or sensitivity: Some people may experience itchiness, discomfort, or sensitivity in the area of the hypertrophic scar.
- Confined to Injury Area: Hypertrophic scars remain within the original wound’s borders and do not spread into nearby skin.
Preventing Hypertrophic Scars
While not all hypertrophic scars can be prevented, certain measures can reduce the appearance, such as:
- Proper Wound Care: Keeping a wound clean and covered during the initial healing phase can help prevent infection and minimize scarring.
- Avoid Sun Exposure: Exposure to sunlight can darken scars, making them more visible. Using sunscreen on healing wounds can help reduce discoloration.
- Minimize Tension: If the wound is in an area with a lot of movement, try to limit stretching to reduce tension on the scar.
Final Thoughts
Hypertrophic scars are a common type of scarring that can impact both appearance and comfort. With various treatment options available, from silicone sheets to laser therapy, people with hypertrophic scars have ways to manage or reduce their appearance over time. Consulting with a dermatologist or plastic surgeon can help you find the best treatment plan for your needs. Remember, each scar is unique, and with the right approach, you can find a solution that fits your lifestyle and goals.
