Hypertrophic & Keloid Scars: What you need to know

What are they?

Hypertrophic and Keloid scars are variations to the scars formed in the natural healing process. A hypertrophic scar is red, raised and thicker than a usual scar. Keloid scars are thicker and spread beyond the area of the initial wound.

The variations occur when there is an increase in collagen production and reduced scar breakdown, leading to excess scar formation. The formation of hypertrophic and keloid scars tend to be genetic.  

It is important to monitor your scars, as early intervention and education can minimise their severity.

What may I experience?

  • increased sensitivity
  • raised and tight skin
  • pain
  • redness
  • swelling

What should I do?

Depending upon the initial injury and location of the scar, treatment may involve desensitisation, scar massage, stretches, mobilisation exercises, splinting, coban and the application of silicone products. You will also be taught how to look after your scar at home.

How to care for silicone?

  • clean skin area before application of silicone
  • check scar one hour after application of silicone to ensure there is no reaction
  • keep silicone out of sunlight
  • wash silicone in warm, soapy water


What can I expect?

By employing the recommendations of the hand therapist, you should visibly see a reduction in redness, sensitivity and hardness of the scar. You may need to manage your scar for three months, but it can take one to two years before a scar is fully mature.

For more information and treatments options, get in touch with us.

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