Hypertrophic Scars
Hypertrophic scars are raised, red, and typically remain within the boundaries of the original wound. They result from excessive collagen production during healing but may fade over time. At Scars & Lasers, we offer laser treatments and other therapies to help flatten and reduce the visibility of hypertrophic scars.
Hypertrophic scars form as thick, raised scars that stay within the boundaries of the original wound. Unlike keloid scars, hypertrophic scars do not extend beyond the injury site, but they can appear red, swollen, and firm. These scars typically occur after burns, surgical incisions, or significant skin trauma and can affect both appearance and movement, especially when located over joints. While hypertrophic scars may fade and flatten over time, they can cause discomfort, itching, or pain, prompting patients to seek treatment for both aesthetic and functional reasons.
The Science Behind It
Hypertrophic scars form when excess collagen is produced during the healing process, resulting in a raised and firm appearance. This overproduction of collagen occurs due to factors such as deep skin trauma, burns, or surgeries. Unlike keloids, hypertrophic scars remain confined to the original injury site but can be more noticeable due to their height and coloration. Over time, these scars may flatten and fade, but they can still cause discomfort, particularly in areas prone to movement. Early intervention can help reduce scar formation and improve the long-term appearance and function of the affected area.
What are the best lasers for hypertrophic scars?
For hypertrophic scars (raised scars), treatment is usually aimed at calming scar activity, flattening thickness, and improving redness and texture. Intralesional steroid/anti-metabolite injections are often the first step to help soften and reduce the height of the scar, while VBeam® Pulse Dye Laser can be used to target persistent redness. Once the scar is more stable and flatter, Acclaro UltraClear and Fraxel® Dual Laser may be introduced to refine texture and help the scar blend more smoothly with surrounding skin, often through a tailored combination plan over several sessions.
Treatment at a Glance
| Treatment Type | Number of Sessions | Procedure Time | Typical Recovery |
|---|---|---|---|
| Acclaro UltraClear® | 2 - 5+ sessions | 10 - 30 minutes | 3 - 5+ days |
| Alma Hybrid™ | 2 - 5+ sessions | 10 - 30 minutes | 3 - 5+ days |
| Fraxel® Dual Laser | 2 - 5+ sessions | 10 - 30 minutes | 3 - 5+ days |
| Steroids, Anti-Metabolites, Sonophoresis & Advanced Laser Combination Therapy | 2 - 5 sessions | 5 - 10 minutes | 0 |
| Vbeam® Pulse Dye Laser | 2 - 5+ sessions | 10 - 30 minutes | 3 - 5+ days |
Frequently Asked Questions
Laser treatments can significantly reduce the redness, thickness, and discomfort associated with hypertrophic scars. While lasers don’t completely remove scars, they improve their appearance and make them less noticeable.
Important ACC & Treatment Disclaimer
ACC funding eligibility is determined by the Accident Compensation Corporation on a case-by-case basis. Approval is dependent on injury acceptance, clinical indication, and ACC policy at the time of application. Not all treatments offered at Scars & Lasers are ACC-funded. Private fees may apply for unfunded components of care.
Learn more about ACC IncidentsAdvanced treatment or hypertrophic scars focused on precision scar remodelling and skin restoration.
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