Hypertrophic Scars vs. Keloids: Causes, Types & Treatment Options
Skin is the body’s largest organ and a protective barrier against external damage. When injured, it goes through a structured healing process. However, in some individuals, the wound healing process results in raised, abnormal scars known as hypertrophic scars or keloids. These scar formations can be distressing, both cosmetically and functionally.
At Cuticure Skin Clinic, Vadodara, Dr. Parth Radhani offers comprehensive consultation and evidence-based treatment for hypertrophic scars and keloids. Understanding the differences, causes, and solutions for these scars is the first step toward informed skin care.
What Are Hypertrophic Scars and Keloids?
Hypertrophic scars are thick, raised scars that stay within the boundary of the original wound. They are often the result of trauma, surgical incisions, or burns and commonly appear on high-tension areas like the shoulders, chest, elbows, or knees.
Keloids, on the other hand, are more aggressive. They extend beyond the original wound edges and may continue to grow over time. Unlike hypertrophic scars, keloids can form even from minor skin injuries like acne, piercings, or insect bites.
Though both types involve excessive collagen deposition, their clinical behavior, appearance, and treatment approach differ significantly.
Symptoms of Hypertrophic Scars and Keloids
Recognizing the signs early helps in timely management. Both types present as raised lesions, but several distinct characteristics can help differentiate them.
Common symptoms include:
- Firm, raised texture over the injury site
- Discoloration ranging from pink to red or purple
- Itchiness or discomfort
- Pain or tenderness on touch
- Movement restriction (especially if located near joints)
- In keloids, progressive expansion beyond wound borders
If you experience these signs after a skin injury or procedure, consulting a qualified skin specialist in Vadodara like Dr. Parth Radhani, is advisable.
What Causes Hypertrophic Scars and Keloids?
The formation of abnormal scars is linked to the body’s overactive healing response. Instead of tapering collagen production after tissue repair, the body continues generating excess connective tissue, resulting in a raised scar.
Common causes include:
- Surgical wounds
- Burns
- Acne
- Piercings or tattoos
- Cuts or abrasions
- Inflammatory skin conditions
Genetics also play a major role. Individuals with a family history of keloids are at a higher risk. Additionally, darker skin types are more prone to developing these scars.
Types of Abnormal Scars
Understanding the type of scar is essential before planning treatment. The two main types discussed here are:
1. Hypertrophic Scars
- Stay within the wound boundary
- Often appears a few weeks after injury
- May reduce in size over time
- Common on shoulders, elbows, back, and knees
2. Keloid Scars
- Extend beyond the original wound
- Can develop months after the initial injury
- Tend to grow progressively
- Often seen on the chest, ears, jawline, and upper arms
At Cuticure Skin Clinic in Vadodara, accurate differentiation between the two types is made using clinical evaluation and patient history, followed by appropriate intervention.
Risk Factors for Hypertrophic Scars and Keloids
Several internal and external factors increase the likelihood of developing abnormal scars.
Risk factors include:
- Deep dermal injuries
- Delayed wound healing or infections
- Poor wound hygiene
- Genetic predisposition
- Darker skin tones (more melanin)
- Hormonal fluctuations
- Excessive skin tension during wound closure
Early intervention and proper wound care are essential in high-risk individuals.
Diagnosis at Cuticure Skin Clinic
Diagnosis is primarily clinical. Dr. Parth Radhani performs a thorough skin examination and assesses the scar’s history, duration, and behavior.
In rare cases where the scar appears suspicious or continues evolving, a biopsy may be advised to rule out other skin conditions.
Treatment Options for Hypertrophic Scars and Keloids
Treatment is personalized based on the scar’s type, size, location, and duration. A multi-modal approach often delivers the best results.
1. Topical Treatments
- Silicone gel sheets or ointments to reduce scar height and redness
- Corticosteroid creams for inflammation
- Onion extract-based products
These are useful for early-stage scars or as post-procedural maintenance.
2. Intralesional Injections
- Corticosteroids: Most commonly used. Reduce inflammation and collagen production.
- 5-Fluorouracil (5-FU): Often combined with steroids for better results.
- Bleomycin: An alternative when steroid resistance occurs.
Injections are administered over multiple sessions at Cuticure Skin Clinic under expert supervision.
3. Cryotherapy
- Involves freezing the scar tissue with liquid nitrogen
- Especially effective for smaller keloids
- May be combined with intralesional injections for enhanced results
4. Laser Therapy
- Pulsed dye laser (PDL) or Fractional CO2 laser
- Reduces redness, flattens scar, and improves skin texture
- Also helps with associated symptoms like itching and pain
5. Radiation Therapy
- Reserved for aggressive or recurrent keloids
- Administered post-surgical removal to reduce regrowth
- Not typically used in young patients due to long-term risks
6. Surgical Excision
- Surgical removal of hypertrophic or keloid tissue
- Combined with preventive treatments like steroid injections or radiation to prevent recurrence
- The risk of regrowth is high if not followed by adjuvant therapy
7. Pressure Therapy and Silicone Compression Garments
- Useful for large areas like post-burn scars
- Applied consistently for several hours a day
Dr. Parth Radhani develops treatment plans that combine therapy types for optimal aesthetic and functional improvement.
Challenges in Treatment
While many treatments exist, hypertrophic scars and keloids can be stubborn. They often require long-term management, and recurrence is possible. Each patient responds differently, so it’s essential to set realistic expectations.
Possible complications of treatment include:
- Hyperpigmentation or hypopigmentation
- Skin thinning (with prolonged steroid use)
- Recurrence of the scar
- Pain or blistering (post-laser or cryotherapy)
Consulting an experienced skin specialist in Vadodara like Dr. Radhani ensures safe and effective management of such complications.
Prognosis and Recovery
With timely diagnosis and consistent treatment, hypertrophic scars and keloids can be significantly reduced. The goal is not just cosmetic enhancement but also symptom relief and improved quality of life.
Some patients may require periodic maintenance therapy to prevent recurrence. Regular follow-ups at Cuticure Skin Clinic ensure continued improvement and monitor healing progress.
Can Hypertrophic Scars or Keloids Be Prevented?
Not all abnormal scars can be prevented, especially in genetically predisposed individuals. However, certain preventive steps can reduce the risk.
Preventive measures:
- Avoid unnecessary skin trauma
- Manage acne, infections, and skin conditions early
- Use silicone gel sheets post-surgery or injury
- Follow proper wound care protocol
- Inform your doctor about a history of abnormal scarring before undergoing procedures
In high-risk cases, preventive injections or pressure dressings can be started early.
Home Care and Lifestyle Tips
Even after professional treatment, home care plays a crucial role in managing hypertrophic scars and keloids.
Tips:
- Keep scars moisturized and sun-protected
- Apply SPF 30+ sunscreen daily on exposed areas
- Avoid scratching or picking scars
- Wear soft, breathable fabrics over the scarred area
- Maintain nutritional balance – vitamin C and zinc are vital for wound healing
Patients under treatment at Cuticure Skin Clinic receive complete post-care guidance to support healing and prevent recurrence.
Why Choose Cuticure Skin Clinic, Vadodara?
Dr. Parth Radhani brings deep expertise in scar management and skin health. At Cuticure Skin Clinic, patient safety, ethical practices, and evidence-based care guide every treatment decision. Whether you are dealing with recent hypertrophic scars or long-standing keloids, you receive compassionate care backed by clinical precision.
Highlights:
- Experienced skin specialist in Vadodara
- Personalized treatment plans
- FDA-approved technologies
- Transparent diagnosis and counseling
- Long-term follow-up care
Your skin deserves professional attention, especially when scar complications affect confidence or mobility.
Final Thoughts
Hypertrophic scars and keloids can be more than just cosmetic issues. With timely intervention, consistent care, and expert treatment at Cuticure Skin Clinic by Dr. Parth Radhani, you can manage these scars effectively.
Whether you’re recovering from surgery, struggling with acne scars, or dealing with old trauma marks, there are reliable solutions available. Don’t ignore persistent, raised scars — seek early consultation and take control of your skin health.
1. What is the best treatment for hypertrophic scars?
The best treatment depends on the scar’s size and location. Commonly used options include corticosteroid injections, silicone sheets, cryotherapy, and laser therapy. At Cuticure Skin Clinic, a combination approach is used for optimal results.
2. Can keloids go away without treatment?
No, keloids do not go away on their own. In fact, they may continue to grow over time. Early medical intervention is recommended to control their size and symptoms.
3. Are hypertrophic scars and keloids painful?
Yes, both can cause discomfort. Patients often report itching, tenderness, or pain. Treatment helps reduce these symptoms along with improving appearance.
4. How do I know if my scar is hypertrophic or a keloid?
Hypertrophic scars stay within the wound boundary, while keloids extend beyond it. A dermatologist like Dr. Parth Radhani can diagnose the type based on clinical examination.
5. Are keloids cancerous?
No, keloids are benign (non-cancerous). However, it’s important to have any abnormal skin growth examined to rule out other conditions.
6. Can laser treatment completely remove a keloid or hypertrophic scar?
Laser treatment can reduce the height, discoloration, and discomfort of raised scars, but complete removal is not guaranteed. Multiple sessions may be required for visible improvement.
7. Can keloids come back after treatment?
Yes, keloids can recur, especially after surgical removal. To reduce recurrence, post-surgery treatments like steroid injections or radiation are often recommended.
8. Are there any home remedies for hypertrophic scars or keloids?
While some home remedies like aloe vera or onion extract may offer mild relief, medical treatments are more effective for raised or painful scars. Professional evaluation is important.
9. Can I prevent hypertrophic scars after surgery?
Yes. Using silicone gel sheets, avoiding sun exposure, and following your doctor’s wound care instructions can help prevent the formation of hypertrophic scars.
10. Which doctor should I consult for keloid or hypertrophic scar treatment in Vadodara?
You should consult an experienced dermatologist or skin specialist. At Cuticure Skin Clinic, Dr.Parth Randhani offers expert evaluation and advanced treatment options for both hypertrophic scars and keloids.