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SKIN LESIONS AND SCARS

Keloid and Hypertrophic Scars

It is the development of excessive scar tissue during wound healing. Keloid may extend beyond the boundaries of the initial wound; The possibility of recurrence after treatment is important.

PATIENT INFORMATIONAbout 3 minutes readingBack to skin & scar topics
Prof. Dr. Koray Coşkunfırat is in his office in his clinical uniform.
Prof. Dr. Koray Coşkunfırat.

Overview

A hypertrophic scar usually swells within the boundaries of the initial wound, while a keloid can grow into the surrounding normal skin. Both can cause stiffness, itching, or pain; Depending on its placement, it may affect movement. Similar response in previous wounds and family history are important in choosing treatment. The aim is to reduce swelling and complaints; Complete disappearance cannot be guaranteed. Since removing the keloid only by surgery carries a high risk of recurrence, an additional treatment plan is especially evaluated. It may be necessary to use more than one method together. The type of scar, the person's skin characteristics and the response to previous treatments are taken into account in the follow-up.

What is evaluated?

  • Whether the scar exceeds the initial wound boundaries and its growth course are examined.
  • Discussion of pain, itching, effects on movement and response to previous treatments.
  • Family history, previous keloids, and risk of skin discoloration are evaluated.

Approach and options

  • In suitable lesions, silicone and personalized pressure treatments may be considered.
  • Intralesional drug applications, laser or cryotherapy can be evaluated in selected cases.
  • In keloids that require surgery, additional treatment and follow-up are planned together to reduce recurrence.

Recovery and follow-up

Changes in scar tissue may be gradual and require multiple checks. If pressure or silicone is recommended, the usage plan is determined individually. Color and skin thickness are monitored after injection or other applications. If re-hardening, itching or growth develops after treatment is completed, early control should be performed.

Risks and limits

  • Recurrence or new keloid development after treatment
  • Skin thinning or discoloration due to injections
  • Pigment change after cryotherapy or laser
  • Wound problem and more visible scar after surgery

The headings here do not cover all risks. Possible benefits, alternatives and personal risks should be discussed in detail during the examination.

You can ask in the consultation

  • Is this scar a keloid or a hypertrophic scar?
  • If surgery is being considered, what is the additional plan to reduce recurrence?
  • How do we monitor improvement in itching and pain?

Resources

Access to sources: September 2026. The content has been prepared for general information purposes.

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