Will a burn lead to hypertrophic scarring?

Whether scarring occurs after a burn generally depends on the depth of the burn, wound care, and individual constitution. Scarring typically does not occur with mild burns if properly cared for; however, hypertrophic scars may develop in cases of deep burns, inadequate care, or in individuals with a predisposition to scarring. The details are as follows:

If the burn only affects the epidermis, presenting as redness and small blisters, promptly rinsing with cool water followed by applying burn ointment and keeping the wound clean and dry—while avoiding scratching—usually results in rapid healing. The newly formed skin tissue regenerates regularly, and as long as infection is avoided, significant scarring does not occur, though temporary pigmentation may remain.

When the burn extends into the dermis, causing skin breakdown, ulceration, or eschar formation, or if the wound repeatedly becomes infected or is frequently scratched during healing, excessive tissue proliferation is more likely during dermal repair. Individuals with a scar-prone constitution may develop raised, red scars even after minor burns due to overproduction of fibrous tissue, so early protective measures are essential from the initial healing phase.

For daily care, keep the wound clean and avoid friction or irritation after healing. Applying silicone gel can help prevent scar overgrowth, and sun protection when outdoors reduces hyperpigmentation. Nutritionally, consume foods rich in vitamin C and protein, and avoid spicy or irritating foods to support healthy skin regeneration.