About this condition
Scar tissue is a normal part of wound healing, but a scar may become raised, firm, red or uncomfortable. A hypertrophic scar usually stays within the original wound, while a keloid can extend beyond it. The distinction influences the choice of treatment and recurrence risk.
What to understand about this concern
A prominent scar may itch, hurt, pull on nearby skin or limit movement. Not every raised scar is a keloid: an immature, widened, contracted or depressed scar may require a different approach. The appearance can continue to change as healing progresses.
When to seek a consultation
Consider assessment if a scar is painful, increasingly raised, causing restricted movement or markedly affecting daily life. Rapid unexpected change, discharge or persistent ulceration should be evaluated rather than assumed to be harmless scarring.
Differences and limitations
Conservative scar care, injection-based or device-assisted treatments and selected surgical revision have different roles. Excision of a keloid without a recurrence-prevention plan can lead to further excessive scar formation. No approach guarantees invisible skin.
Assessment and preparation
The clinician reviews when the wound occurred, the healing course, previous treatments, family or personal keloid tendency, and the scar's location. Its borders, thickness, mobility and effect on surrounding tissues are assessed; unusual features may require other investigations.
Risks and recovery
The goal may be less discomfort, better movement or a less conspicuous scar, rather than complete removal. Treatment selection depends on scar type and maturity. Surgery itself creates another wound, and thickening or recurrence is possible, particularly with keloids.
When urgent medical care is needed
A scar with spreading redness, pus, fever or rapidly increasing pain needs medical evaluation for possible infection. Heavy bleeding, collapse or severe deterioration after an intervention warrants emergency care; call 103.
Related information
Surgical revision of postoperative scars; Abdominoplasty (tummy tuck); Breast lift (mastopexy).
Signs and symptoms
Diagnosis and tests
Care and treatment approaches
When to seek urgent care
Frequently asked questions
How does a keloid differ from a hypertrophic scar?
A keloid can grow beyond the initial wound boundaries; a hypertrophic scar generally remains within those boundaries.
Should a raised scar be cut out immediately?
Not necessarily. Scar maturity and non-surgical options should be assessed before considering revision.
Can a scar come back after treatment?
Yes. Recurrence is especially relevant for keloids, and the likelihood and prevention plan should be discussed beforehand.
Important information
A medical consultation is needed for diagnosis and treatment recommendations.
Self-treatment can be harmful to your health.
