Types of Keloids: Hypertrophic vs. Keloid Scars
If you’ve ever had a scar that seems to grow bigger and thicker over time, you might be dealing with a keloid. But did you know that there are different types of keloids? Understanding the differences between hypertrophic and keloid scars can help you better manage your skin concerns.
Hypertrophic Scars
Let’s start with hypertrophic scars. These scars are raised and thick, just like keloids, but they don’t extend beyond the boundaries of the original wound. Instead, they stay confined to the area where the injury occurred. Hypertrophic scars often develop within weeks after the injury and may gradually fade over time. They’re commonly caused by:
- Surgical incisions
- Burns
- Acne
- Cuts or scrapes
While hypertrophic scars can be bothersome, they generally don’t grow as large or extend as far as keloids. Plus, they tend to respond well to treatment options like silicone gel sheets, steroid injections, or laser therapy.
Keloid Scars
Keloids, on the other hand, are a bit more intense. These scars not only rise above the skin but also spread beyond the boundaries of the original wound. They can be larger, thicker, and more challenging to manage compared to hypertrophic scars. Keloids often have a shiny, smooth appearance and may be red, purple, or darker than the surrounding skin.
Unlike hypertrophic scars, keloids can continue to grow for months or even years after the initial injury. They’re more likely to develop in people with darker skin tones and those with a family history of keloids. Common triggers for keloid formation include:
- Ear or body piercings
- Surgical incisions
- Acne scars
- Burns
- Tattoos
- Insect bites or scratches
Managing keloids can be tricky, but treatment options like steroid injections, surgical removal, laser therapy, or pressure dressings may help reduce their size and symptoms.
Distinguishing Between the Two
So, how can you tell if you have a hypertrophic scar or a keloid? While both types of scars are raised and thick, keloids extend beyond the original wound area, while hypertrophic scars stay within the boundaries. Additionally, keloids are more likely to grow larger over time and may cause itching, discomfort, or pain.
Conclusion
Whether you’re dealing with a hypertrophic scar or a keloid, understanding the differences between these two types of scars can help you take better care of your skin. By identifying the type of scar you have and exploring treatment options with a healthcare professional, you can work towards minimizing its appearance and symptoms.
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