Can hypertrophic scars heal on their own?

Mar 17, 2025 Source: Cainiu Health
Dr. Chen Lu
Introduction
In general, whether hypertrophic scars can heal spontaneously depends on factors such as the duration of scar formation. If the scar has formed recently, there is usually some possibility of spontaneous healing. However, if the scar has been present for a longer period, the likelihood of spontaneous healing decreases. It is recommended to maintain healthy lifestyle habits to support skin health.

Whether hypertrophic scars can heal spontaneously generally depends on the specific circumstances. If the scar has formed recently, there is usually some possibility of natural healing; however, if the scar has existed for a long time, the likelihood of spontaneous resolution is low. Detailed analysis is as follows:

If the patient's scar has formed recently, it may still be in the proliferative phase. At this stage, localized swelling and redness occur, and the scar gradually thickens. Over time, the scar may progress into the regression phase and fade naturally.

If the scar has been present for a long time, it may have entered the mature phase. At this stage, the scar is stable, no longer continues to proliferate, and will not resolve spontaneously. In such cases, the likelihood of self-healing is low, and medical intervention is usually required. Patients may use medications such as asiaticoside cream, sodium heparin cream, or human epidermal growth factor gel as directed by a physician.

It is recommended to maintain healthy lifestyle habits, manage work and rest appropriately, avoid staying up late and excessive fatigue, which helps maintain skin health.

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