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Hypertrophic and Keloid Scars (Hypertrophic (Scar confined to wound…
Hypertrophic and Keloid Scars
Features
Scar more prominent than surrounding skin
Hypertrophic
Scar confined to wound margins
Across flexor surfaces and skin creases
Appear soon after injury and regress spontaneously
Any age: commonly 8-20yrs
M=F
All races
Keloid
Scar extends beyond wound margins
Earlobes, chin, neck, shoulder, chest
Appear months after injury and continue to grow
Puberty to 30yrs
F>M
Black and Hispanic
Mx
Non-surgical
Mechanical pressure therapy
Topical silicone gel sheets
Intralesional steroid and LA injections
Surgical
Revision of scar w/ closure by direct suturing
Wound Associations
Infection
Trauma
Burns
Tension
Certain body areas