Managing Hypertrophic and Keloid Facial Scars

Normally when you sustain a wound or injury, your body repairs itself by producing new collagen in the area so that eventually the scar looks like normal skin.

How are they similar?
ormally when you sustain a wound or injury, your body repairs itself by producing new collagen in the area so that eventually the scar looks like normal skin. Both hypertrophic and keloid acne scars are caused by excess collagen build up that causes a scar to form in a lump or a bump.1 These scars tend to form on the back, chest, ears, and jaw line. Both types of scarring occur more frequently in African-Americans and Hispanics (up to 15 times more than in Caucasians) and in patients of Asian descent (up to 5 times more than Caucasians).2

How are they different?
Hypertrophic scars stay confined to the original scar borders. They appear pink, raised, and firm. Keloid scars tend to be more reddish-purple and to expand beyond the borders of the original wound.3 Keloid scars may also cause pain, itching, burning and limited range of motion (if they occur over a joint).

Hypertophic vs. Keloid

  • hypertrophic
  • keloid2
  • keloid

How do I treat hypertrophic and keloid acne scars?
There are a variety of treatments available for hypertrophic and keloid acne scars, including the following:

NOTE: Always consult with a medical professional to make sure you have a proper diagnosis and plan of action to safely achieve healthy skin.

1 Fabbrocini G et al. Acne scars: Pathogenesis, Classification and Treatment. Dermatology Research and Practice,
Volume 2010, article ID 893080.

2 Acne scarring. Dermanetwork. Available from: URL: www.dermanetwork.org/information/acne_scarsasp.
Accessed September 25, 2007.

3 Fabbrocini G et al. Acne scars: Pathogenesis, Classification and Treatment. Dermatology Research and Practice,
Volume 2010, article ID 893080.

4 Rivera AE. Acne scarring: A review and current treatment modalities. JAAD. Oct 2008.

SM 1976-19 Rev00

Footer Banner

View

Expert Q&A

Find acne scar insights, tips, and answers from our expert dermatologists.

Read

Acne scar
treatment options

Learn about newer treatments for acne scars.

Pledge

It all starts with love

I pledge to me to love myself — ALL of myself — from this day forward. And today I proclaim it.

Footer People Image