How to treat hypertrophic scars and keloids?

Jan 15, 2025 Source: Cainiu Health

Dr. Chen Lu

Introduction

In general, hypertrophic scars refer to keloid scars. Hypertrophic scars can be treated under a physician's guidance through pressure therapy, laser treatment, microneedling, radiofrequency skin tightening, and dermabrasion. It is recommended to maintain a healthy diet and consume adequate amounts of foods rich in vitamins and proteins, which can help promote skin repair and regeneration.

Generally, keloid scars refer to hypertrophic scars. Hypertrophic scars can be treated under a doctor's guidance through pressure therapy, laser treatment, microneedling, radiofrequency skin tightening, and dermabrasion. If treatment is needed, it is recommended to visit a qualified hospital and proceed under the guidance of a physician. Detailed analysis is as follows:

1. Pressure Therapy

Pressure therapy involves applying specialized pressure garments or elastic bandages to exert continuous pressure on the scar area, which can suppress scar tissue proliferation and promote softening and flattening. This method requires long-term adherence, with a minimum of several hours of wear daily.

2. Laser Treatment

Laser treatment uses the photothermal effect of lasers to stimulate collagen regeneration and remodeling within the scar tissue, thereby reducing the appearance of scars. The typical reference price for laser treatment is 3,000-8,000 yuan per session, with noticeable improvement generally observed after 1-2 months of treatment. Possible side effects include mild redness, pain, and pigmentation, which typically resolve spontaneously within a few weeks.

3. Microneedling

Microneedling creates microchannels on the skin surface using fine needles to enhance the penetration of nutrients and medications, while also stimulating the skin's self-repair mechanisms to help reduce scar hypertrophy. The typical reference price for microneedling is 1,000-5,000 yuan per session, with visible improvement generally seen after 3-4 weeks. Possible side effects include minor bleeding, redness, and mild pain.

4. Radiofrequency Skin Tightening

Radiofrequency skin tightening utilizes high-frequency electromagnetic waves to target deeper layers of the skin, stimulating collagen and elastin fiber regeneration and remodeling, thereby improving scar texture and appearance. The typical reference price for radiofrequency skin tightening is 3,000-10,000 yuan per session, with visible improvement generally seen after 2-4 weeks. Possible side effects include mild redness, warmth, and dryness of the skin.

5. Dermabrasion

Dermabrasion is a method of removing the top layers of scarred skin tissue mechanically or with lasers, helping to promote new skin growth and fade scars. The typical reference price for dermabrasion is 2,000-6,000 yuan per session, with visible flattening of scars generally observed after 2-3 months. Possible side effects include redness, pain, crusting, and pigmentation.

It is recommended to maintain a healthy diet rich in vitamins and protein, which can help promote skin repair and regeneration. At the same time, avoid consuming overly spicy or irritating foods, as they may exacerbate scar hypertrophy.

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Is it okay to leave a keloid scar untreated?

In general, scars refer to cicatrix. Whether keloids can be left untreated depends on the specific circumstances. If a keloid is not located near any vital organs, it usually does not require treatment. However, if the keloid exhibits other symptoms, treatment is recommended. In daily life, it is important to protect the skin and avoid adverse factors such as trauma and infection.

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Can individuals with a scar-prone constitution undergo double eyelid surgery?

Double eyelid blepharoplasty creates a double eyelid fold by making an incision on the upper eyelid, removing excess skin and fat, and attaching the eyelid skin to the tarsal plate. The general reference price for double eyelid blepharoplasty is 3000–8000 yuan per session. Noticeable improvement is usually observed within 1–3 months, although symptoms such as swelling and pain may occur. Individuals with a scar-prone constitution are advised against undergoing this procedure.

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How to treat scars in females

In general, scars refer to scars or keloids. The causes of scars in females can be treated through methods such as massage, medication, laser therapy, microcrystal dermabrasion, and scar excision. It is recommended to avoid skin injuries in daily life, reduce unnecessary piercings, surgeries, and other forms of skin trauma to lower the risk of scar formation. Regularly clean the skin to prevent infection and reduce the occurrence of inflammatory responses.