Have you ever noticed how sometimes, when you injure your skin, it can heal differently than you expect? Sometimes, after a cut or burn, you might end up with a raised, thick, red scar that doesn’t seem to fade over time. This type of scar is called a hypertrophic scar, and it can be a frustrating and uncomfortable experience.
Hypertrophic scars are the result of an overproduction of collagen during the healing process. They are often caused by burns, cuts, or other injuries to the skin, and are commonly found on the chest, back, and shoulders. These scars can feel raised, itchy, and sometimes even painful, and they can last for months or even years if left untreated.
If you’re dealing with a hypertrophic scar, it can be difficult to know what to do to help it heal. Some scars may eventually fade on their own, while others may require specialized treatment like steroid injections, laser therapy, or surgical removal. No matter what approach you choose, it’s important to get the help you need to lessen the discomfort and appearance of your scar so you can feel more comfortable in your own skin.
Symptoms of Hypertrophic Scars
When it comes to hypertrophic scars, there are several symptoms that can indicate their presence. Here are some of the most common symptoms to look out for:
- Elevated appearance: Hypertrophic scars are raised and can appear slightly red or pink in color. They typically stay within the boundaries of the original wound or incision and do not spread beyond it.
- Firm or hard texture: The scar tissue of hypertrophic scars is thicker and denser than normal skin tissue, giving it a firm or hard texture.
- Itching or discomfort: Many people with hypertrophic scars report experiencing itching or discomfort in the affected area. This can be due to the tension that the scar tissue places on the surrounding skin and nerves.
It’s important to note that not everyone with a hypertrophic scar will experience all of these symptoms. Some people may only notice one or two, while others may not experience any discomfort at all. However, if you notice any of these symptoms, it’s best to consult a healthcare professional to determine the best course of treatment.
How Hypertrophic Scars Differ from Keloid Scars
Hypertrophic and keloid scars are often mistaken for the same thing. While they share similar characteristics, they are two distinct types of scarring. Hypertrophic scars are raised and red in color but generally do not exceed the boundaries of the original wound. In contrast, keloid scars extend beyond the original wound and can be much larger than hypertrophic scars. Additionally, keloids have a tendency to continue growing beyond the initial wound.
- Size: Keloid scars can be very large and can exceed the boundaries of the initial wound. Hypertrophic scars generally do not exceed the boundaries of the wound.
- Shape: Keloid scars tend to have irregular shapes and can extend beyond the edges of the original wound. Hypertrophic scars have a more defined shape and usually stay within the boundaries of the initial wound.
- Texture: Keloid scars are thick and ropey to the touch. Hypertrophic scars have a raised texture but are generally not as thick as keloid scars.
Another key difference between hypertrophic and keloid scars is how they form. Hypertrophic scars form when the body produces an excess amount of collagen at the site of the wound. This excess collagen causes the scar tissue to become raised and more noticeable. Keloid scars, on the other hand, form when the body produces too much collagen and continues producing it long after the wound has healed. This overproduction of collagen causes the keloid scar to grow beyond the boundaries of the wound.
Understanding the differences between hypertrophic and keloid scars is important in determining the appropriate treatment. Hypertrophic scars can often be treated with over-the-counter remedies, such as silicone gel or sheets, while keloid scars may require more extensive treatments, such as corticosteroid injections or surgery.
| Characteristic | Hypertrophic scars | Keloid scars |
|---|---|---|
| Size | Does not exceed the boundaries of the initial wound. | Can be much larger than the initial wound. |
| Shape | Defined shape, stays within the boundaries of the wound. | Irregular shape, extends beyond the edges of the wound. |
| Texture | Raised but not as thick as keloid scars. | Thick and ropey. |
Overall, distinguishing between hypertrophic and keloid scars is important in determining the appropriate treatment method. While both types of scars can be bothersome and sometimes painful, hypertrophic scars generally tend to be less severe than keloid scars.
Causes of hypertrophic scarring
Hypertrophic scars occur when there is an overproduction of collagen during the wound healing process. While the specific cause of hypertrophic scarring is not clear, there are several factors that can increase the likelihood of developing these types of scars.
- Wound depth – wounds that extend into the deeper layers of the skin are more likely to produce hypertrophic scars
- Wound location – areas of the body with higher tension (such as the chest, back or shoulders) are more likely to develop hypertrophic scars
- Genetics – individuals with a family history of hypertrophic scars are more likely to develop them themselves
In addition to these factors, there are also certain medical conditions that can increase one’s chances of developing hypertrophic scars. Some of the most common medical conditions associated with hypertrophic scarring include:
- Burns
- Acne
- Injuries resulting in skin trauma, such as cuts, piercings, or tattoos
- Surgical incisions
- Infections
While the specific cause of hypertrophic scarring is unknown, it is clear that certain factors can increase one’s chances for developing them. If you have a personal or family history of hypertrophic scarring, it is important to take extra precautions to prevent them from occurring.
Natural remedies for hypertrophic scars
While there are a variety of medical treatments available for hypertrophic scars, natural remedies can also be effective in reducing their appearance. These home remedies are often less expensive than medical treatments and can be a great option for those who prefer more natural methods.
- Aloe vera: This plant has anti-inflammatory properties and has been shown to aid in wound healing. Applying aloe vera gel to the scar 2-3 times a day can help reduce its appearance.
- Vitamin E oil: Known for its skin healing properties, vitamin E oil can be applied directly to the scar or taken as a supplement.
- Lemon juice: The acidity in lemon juice can help reduce the appearance of scars. Apply fresh lemon juice to the scar and leave for 10-15 minutes before rinsing.
In addition to these home remedies, it’s important to maintain good skin health by staying hydrated, eating a healthy diet, and avoiding direct sunlight on the scar. Keeping the scar moisturized can also promote healing and reduce its appearance.
However, it’s important to note that while natural remedies can be helpful, they may not be effective for everyone or for all types of scars. It’s always best to consult with a healthcare professional before starting any new treatment, natural or medical.
Medical treatments for hypertrophic scars
In addition to natural remedies, there are a variety of medical treatments available for hypertrophic scars. These include:
- Silicone sheets or gels: These products can help soften and flatten scars over time. They are typically applied for several months, with visible results after 6-12 weeks.
- Corticosteroid injections: These injections can help reduce inflammation and flatten the scar. They are typically given every 4-6 weeks until desired results are achieved.
- Laser therapy: Laser treatments can help break up scar tissue and promote collagen production. Multiple treatments may be necessary for optimal results.
Prevention of hypertrophic scars
Preventing hypertrophic scars from forming in the first place is the best course of action. This can be done by:
- Keeping wounds clean and covered until healed
- Avoiding picking or scratching at scabs or wounds
- Using sunscreen on scars to avoid discoloration
If you are prone to developing hypertrophic scars, it is important to speak with a healthcare professional about preventative measures that may be recommended for you.
Hypertrophic scar treatment comparison chart
| Treatment | Description | Effectiveness | Pain level | Cost |
|---|---|---|---|---|
| Silicone sheets or gels | Worn over scar for several months to soften and flatten | Effective for most scars | Low | Low-Medium |
| Corticosteroid injections | Injected directly into scar to reduce inflammation and flatten | Effective for most scars | Low-Moderate | High |
| Laser therapy | Breaks up scar tissue and promotes collagen production | Effective for most scars | Moderate-High | High |
As with any medical treatment, it is important to discuss the risks, benefits, and cost with a healthcare professional before making a decision.
Medical treatments for hypertrophic scars
There are several medical treatments available to help improve the appearance and reduce the symptoms of hypertrophic scars. Here we will discuss the most common treatments:
- Silicone gel or sheeting: These products are applied directly to the scar and can help flatten and soften it over time. Silicone products work by creating a protective barrier over the scar and helping to control the amount of collagen produced by the skin.
- Corticosteroid injections: These are injections of a corticosteroid medication directly into the scar tissue. Corticosteroids work by reducing inflammation and preventing the excessive production of collagen. This treatment is usually done over a series of injections spaced several weeks apart.
- Laser therapy: Laser treatments can help to reduce the redness and thickness of hypertrophic scars. This treatment works by selectively targeting the blood vessels in the scar tissue, causing them to collapse and reducing inflammation.
If these treatments don’t work, other options may include surgical removal of the scar, dermabrasion, and cryotherapy.
It’s important to note that no treatment will completely eliminate a hypertrophic scar, and results may vary depending on the severity of the scar and the individual’s response to treatment.
| Treatment | Pros | Cons |
|---|---|---|
| Silicone gel/sheeting | Easy to use, can be purchased over the counter | Might not work for everyone, may need to be worn for several months to see results |
| Corticosteroid injections | Can be effective, relatively low risk | Painful, may require multiple injections over several weeks |
| Laser therapy | Can be effective, non-invasive | Can be expensive, may require multiple treatments |
It’s important to consult with a dermatologist or plastic surgeon to determine the best course of treatment for your individual case of hypertrophic scarring.
Prevention of Hypertrophic Scarring
Hypertrophic scars can be a frustrating and unsightly complication of the wound healing process. While sometimes they are unavoidable, there are some precautionary measures you can take to promote proper wound healing and reduce your risk of developing hypertrophic scarring.
- Proper wound care: Keep your wound clean and covered, and avoid picking at scabs or removing dressings prematurely.
- Scar massage: Once your wound has healed, massaging the scar tissue for several minutes a day can promote blood flow and tissue elasticity, reducing your risk of developing hypertrophic scarring.
- Topical treatments: Silicone gels, vitamin E, and onion extract have been shown to reduce the appearance of scars and improve overall skin health.
It’s also important to avoid certain habits that can exacerbate hypertrophic scarring, such as smoking, excessive alcohol consumption, and exposure to sunlight without proper protection. Smoking can decrease blood flow and slow the healing process, while alcohol has been shown to impair collagen production. Sun exposure can make scars more visible by causing hyperpigmentation.
If you have a history of hypertrophic scarring or are concerned about a recent wound, consult with your healthcare provider about preventative measures and options for topical treatments that can help reduce the risk of scarring.
| Preventative Measures | Exacerbating Factors |
|---|---|
| Proper wound care | Smoking |
| Scar massage | Excessive alcohol consumption |
| Topical treatments | Exposure to sunlight without proper protection |
By taking proactive steps to promote healthy wound healing and avoiding habits that can exacerbate scarring, you can reduce your risk of developing hypertrophic scars and promote overall skin health.
Emotional Effects of Hypertrophic Scars
Dealing with a hypertrophic scar can take a significant emotional toll on a person. Although visible scarring itself can be a cause for concern, the range of emotions one may experience as they are learning to live with the scar can be overwhelming. While not everyone has the same emotional experience when dealing with hypertrophic scars, some of the emotions commonly associated with it include:
- Anxiety: Anxiety is a common emotion for those with hypertrophic scars. Often, anxiety stems from fear of judgment and reaction from others. For example, someone with a hypertrophic scar on their face or one that is difficult to hide may experience social anxiety in situations where their scar is more visible.
- Embarrassment: Embarrassment is another common emotion among people with hypertrophic scars. It is not uncommon for people to feel self-conscious about their scars and attempt to hide them from others, leading them to decline social invitations or avoid going out altogether.
- Depression: Depression may occur as a result of living with the physical and emotional burden of hypertrophic scarring. Individuals may feel hopeless or unmotivated to participate in self-care or engage in social activities due to their scarring.
- Low self-esteem: Hypertrophic scars can significantly impact an individual’s self-image, leading to low self-esteem. Feeling unattractive or unconfident about one’s appearance can have long-term effects on one’s mental health.
- Anger: People with hypertrophic scars may feel angry about their situation or the way they were injured. This emotion may be compounded if someone else was responsible for their injury.
- Guilt: Individuals may feel guilty if they feel that their hypertrophic scars have burdened their loved ones or put them in an emotional and financial strain.
- Hopelessness: Feeling that the hypertrophic scar is permanent can lead people to feel helpless about their situation, leading to feelings of hopelessness and despair.
It is essential to understand that these emotions are normal and that people with hypertrophic scars are not alone in their experiences. It is also vital to find support and understanding from loved ones and healthcare professionals, including mental health specialists, who can provide individualized treatment plans to help individuals cope with the emotional effects of hypertrophic scars.
FAQs about What Does a Hypertrophic Scar Feel Like
1. What is a hypertrophic scar?
A hypertrophic scar is a raised and thickened scar that can develop after an injury, surgery, or burn.
2. How does a hypertrophic scar feel?
A hypertrophic scar can feel firm, raised, and thicker than the surrounding skin. It can also be itchy, tender, or painful.
3. Can a hypertrophic scar change over time?
Yes, a hypertrophic scar can change in appearance and sensation over time. It may become more raised, wider, or darker, and the sensation can vary from numbness to heightened sensitivity.
4. What causes hypertrophic scars?
Hypertrophic scars are caused by an overproduction of collagen during the wound healing process. Factors that can increase the risk of developing hypertrophic scars include genetics, location of the injury, and infection.
5. How can hypertrophic scars be treated?
Treatment options for hypertrophic scars include corticosteroid injections, silicone gel or sheeting, laser therapy, and surgical removal. Your doctor can recommend the best option for your individual case.
6. Can hypertrophic scars be prevented?
Preventing hypertrophic scars is not always possible, but measures such as keeping the wound clean, avoiding tension on the skin during healing, and using sunscreen on the scar can help reduce the risk of hypertrophic scar formation.
7. Are hypertrophic scars a serious medical condition?
Hypertrophic scars are generally not a serious medical condition, but they can affect a person’s quality of life due to their appearance or sensation.
Closing Thoughts
Thank you for taking the time to read about what a hypertrophic scar feels like. While these scars may not be a serious medical concern, they can cause discomfort and affect one’s self-confidence. If you have any concerns about a hypertrophic scar, we encourage you to speak with a medical professional. And don’t forget to check back here for more informative and lifelike articles on health and wellness.