Hypertrophic and Other Scars - Think of That Scar As a Living Patch

A hypertrophic scar is one that is larger than expected. Before going into what makes a scar larger that expected, what is a scar?

When we sustain an injury, there is a graduated bio-cellular response that takes place in our bodies. The type of reaction largely depends on the site where the injury occurs, the strength and type of the injury and the individual. For example, when we sustain a cut, the body tries to close the laceration as completely as possible. Most of the time, those cuts and scrapes close completely.

If the injury is over a larger area or is deeper, the tissue reaction may not be able to fully restore the skin to its original shape and condition. At some point, the graduated bio-cellular response begins to form a living patch that bridges the deeper and wider deficits in the skin. We call this patch a scar.

Scars are mostly composed of fiber-making cells in a sea of collagen. These patches can have different shapes and sizes. Most of the time the scar is confined within the borders of the wound. In some individuals, the scar grows up and out of the borders of the wound. This is observed in the case of keloid formation. Characteristically, keloids have much more substance than is needed to patch the wound.

Hypertrophic scarring is another variety of scar. These patches have larger than usual fiber cells in their substance. There may be more bulk than expected but the hypertrophic tissue stays withing the borders of the wound.

Skin scars mature over time. That is why the wound in the form of a scar may contract and often change color from red to white. Scars are made of living tissue and will try to defend themselves if they are traumatized. Scars will re-grow, grow deeper and wider and resist physical removal in a variety of ways. The younger the scar, the more likely it is to react to attempts to remove it. This characteristic of any scar has important implications when attempts are made to remove the scar. Scar removal attempts can make the scarring worse.

There are many techniques available to remove scars. Recent laser and cream therapy have brought new and more promising strategies for scar removal. One of the drawbacks to laser scar removal is the discomfort which can be appreciable. Also, there is the cost. Laser removal along with dermabrasion can be very expensive.

Up until recently, skin creams worked by re-vitalizing the skin. Common methods include watering or oiling the skin. In the last few years, we have gone beyond skin revitalization to the next level. Now we can regenerate the skin. As the word implies, regeneration makes the scar more like normal skin. Regeneration stimulates and alters the scar cells to behave more like skin cells. This is how the scar is modified. No expensive peels or laser burnings.

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