Scars no more

Yes, Scars Be Gone can help fade the appearance of both new and old scars. While it enhances skin tone and texture, making scars less noticeable, it is important to note that it does not entirely remove old scars.

While sisters Leonie and Lisa shared their struggles with pubic hair and skin, they wondered how many other women also felt uncomfortable speaking about these very normal struggles. They founded OYO to address these concerns in a natural, empowering, and ethical way. Together, they aim to help women around the world feel and look confident, everywhere.

FAQs Is Scars Be Gone effective on old scars as well as new ones? Yes, Scars Be Gone can help fade the appearance of both new and old scars. While it enhances skin tone and texture, making scars less noticeable, it is important to note that it does not entirely remove old scars. How long will it take to see results with Scars Be Gone? The time it takes to see results can vary. Consistent twice-daily application is key, and users typically notice improvements in scar appearance within 8-12 weeks. Can Scars Be Gone help with stretch marks as well? Absolutely! While Dark Spots Out is optimized for intimate areas, it's safe and effective on any external area of your body where you're experiencing dark spots. Is Scars Be Gone safe for all skin types? Yes, it is made with 97% natural ingredients and is suitable for all skin types, including sensitive skin.

Is Scars Be Gone effective on old scars as well as new ones? Yes, Scars Be Gone can help fade the appearance of both new and old scars. While it enhances skin tone and texture, making scars less noticeable, it is important to note that it does not entirely remove old scars. How long will it take to see results with Scars Be Gone? The time it takes to see results can vary. Consistent twice-daily application is key, and users typically notice improvements in scar appearance within 8-12 weeks. Can Scars Be Gone help with stretch marks as well? Absolutely! While Dark Spots Out is optimized for intimate areas, it's safe and effective on any external area of your body where you're experiencing dark spots. Is Scars Be Gone safe for all skin types? Yes, it is made with 97% natural ingredients and is suitable for all skin types, including sensitive skin.

Like many great ideas, OYO was born over a glass of wine and a deep conversation. While sisters Leonie and Lisa shared their struggles with pubic hair and skin, they wondered how many other women also felt uncomfortable speaking about these very normal struggles. They founded OYO to address these concerns in a natural, empowering, and ethical way. Together, they aim to help women around the world feel and look confident, everywhere.

After two pulsed-dye laser treatments from a board-certified dermatologist (B), this woman’s raised scar (A) is much less noticeable. A laser can seem like a magic wand that can make any scar disappear. Medical lasers, however, are nothing to play with. To get impressive results and avoid serious side effects, it’s important to know these basic facts before you have laser treatment for a scar.

Laser treatment can also make a scar less noticeable, but it cannot get rid of a scar. When you have laser scar treatment, you’re replacing one scar with another less-noticeable scar.

It’s essential for the person performing your laser treatment to know about you. To treat a scar effectively, the person performing your laser treatment must consider your skin type, characteristics of your scar, and your overall health.

After having laser treatment, you’ll need to protect your skin from the sun until your skin heals. If the sun’s harmful rays hit your treated skin, you can develop another scar.

Your treatment plan may include more than laser treatment. To give patients the best results, dermatologists often use more than one treatment for scars. For example, if a patient has deep acne scars, a dermatologist may treat the scars with a laser. The patient may also get a filler.

You may need more than one laser treatment. To give a patient long-lasting results and the most improvement, a dermatologist may schedule a series of laser treatments. This is often necessary when using a type of laser called a non-ablative laser. You won’t have downtime with this laser, but to see the desired results, you may need a few laser treatments.

Insurance may not cover the cost. Laser scar treatment can ease the pain and itch that scars sometimes cause. If a scar limits movement, laser treatment can help you move more freely. Still, insurance providers consider laser treatments cosmetic treatments. Health insurance generally does not cover the cost of cosmetic treatments.

If you’re considering laser scar treatment, the best way to find out if it’s right for you is to meet with a board-certified dermatologist. You can find one who specializes in laser procedures at, Find a dermatologist - Select the Specialty “laser procedures”.

Skin is a seamless organ, like a fine cloth protecting valuable assets. Imagine a piece of silk. Just one small tear can make a big difference in how it looks. And it's the same with skin. Any burn, injury, or other trauma, such as surgery, can cause a scar.

Now a scar isn't bad if it's small or in a location that's easy to conceal. But when it's not, you may wonder if there's a way to treat it, other than hiding it under your clothes, that will make it go away or at least change how it looks.

If you are undergoing scar treatment for cosmetic purposes, you will most likely have to pay for it all yourself. If you have scars from cosmetic surgery, make sure you know what your insurer will cover. Health insurers usually don't pay for any cosmetic surgery that isn't medically necessary.

Skin is a seamless organ, like a fine cloth protecting valuable assets. Imagine a piece of silk. Just one small tear can make a big difference in how it looks. And it's the same with skin. Any burn, injury, or other trauma, such as surgery, can cause a scar.Now a scar isn't bad if it's small or in a location that's easy to conceal. But when it's not, you may wonder if there's a way to treat it, other than hiding it under your clothes, that will make it go away or at least change how it looks.The truth is the scar will never completely go away. But there are some methods that can help reduce its size and change its appearance. How Does Scarring Happen?Scarring is a natural part of the healing process after an injury. Its appearance and its treatment depend on multiple factors.The depth and size of the wound or cut and the location of the injury matter. So do your age, genes, sex, and ethnicity. What Are The Types of Scars?These are several different types of scars including:Keloid scars. These scars are the result of an overly aggressive healing process. They extend beyond the original injury. Over time, a keloid scar may hamper movement. Treatments include surgery to remove the scar, steroid injections, or silicone sheets to flatten the scar. Smaller keloids can be treated using cryotherapy (freezing therapy using liquid nitrogen). You can also prevent keloid formation by using pressure treatment or gel pads with silicone when you are injured. Keloid scars are most common among people with dark skin.Contracture scars. If your skin has been burned, you may have a contracture scar. These scars tighten skin, which can impair your ability to move. Contracture scars may also go deeper, affecting muscles and nerves.Hypertrophic scars. These are raised, red scars that are similar to keloids but do not go beyond the boundary of the injury. Treatments include injections of steroids to reduce inflammation or silicone sheets, which flatten the scar.Acnescars. If you've had severe acne, you probably have the scars to prove it. There are many types of acne scars, ranging from deep pits to scars that are angular or wavelike in appearance. Treatment options depend on the types of acne scars you have. .

What Are Possible Treatments for Scars?Scar treatments may include:Over-the-counter or prescription creams, ointments, or gels. These products can be used to treat scars that are caused by cuts or other injuries or wounds. If you are under the care of a plastic surgeon and your scarring is from cosmetic or plastic surgery, ask your surgeon if over-the-counter treatment is an option. If not, there are prescriptions that may help. Often, treatments can include steroids or certain oral antihistamines for scars that cause itching and are very sensitive. Likewise, if you have scarring from severe acne, ask your dermatologist for advice. Your doctor can also recommend or use pressure treatment or silicone gel sheeting to help treat scars or as preventive care.Surgical removal or treatment. There are many options to treat deeper scars depending on your particular case. These include skin grafts, excision, dermabrasion, or laser surgery. In a skin graft, the surgeon uses skin from another area of your body. This is often used with people who've had burns. If you've got scarring that impairs function, surgery can help address the functional problems. If you've recently had surgery that has caused scars, it is best to wait at least one year before making a decision about scar treatment. Many scars fade and become less noticeable over time.Injections. You may get steroid injections to treat scars that stick out, such as keloids or hypertrophic scars. Your doctor may use this on its own or with other treatments.Other types of injections, such as collagen or other "fillers," may be useful for some types of pitted scarring, although these are not usually permanent solutions. Does Insurance Coverage Apply to Scar Treatments?If your scar physically impairs you in any way, you may be able to get coverage from your health insurer. Ask your doctor to write a letter detailing your particular case. Your doctor can also take photos to support your case.If you are undergoing scar treatment for cosmetic purposes, you will most likely have to pay for it all yourself. If you have scars from cosmetic surgery, make sure you know what your insurer will cover. Health insurers usually don't pay for any cosmetic surgery that isn't medically necessary.

Scars form as part of the body’s healing process. Your body builds tissue to repair damaged skin and close gaps due to an injury. Scars come in all shapes and sizes. They can result from accidents, burns, surgery, acne and illness. Over time, most scars fade away. Several treatments can make scars less noticeable.

Scars develop in all shapes and sizes. Some scars are large and painful, while some are barely visible. People with dark skin (especially people with African, Asian or Hispanic heritage), as well as red-haired individuals, are more likely to develop keloid scars. Keloids are raised scars that grow and extend beyond the injured area. Depending on their size, type and location, your scars may look unsightly and may even make it difficult to move.

Nearly everyone develops some type of scar, whether from an accident, a surgical procedure, acne or an illness like chickenpox (varicella). Scars affect people of all ages and genders.

When a scar first develops on lighter skin, it’s usually pink or red. Over time, the pinkish color fades, and the scar becomes slightly darker or lighter than the color of the skin. In people with dark skin, scars often appear as dark spots. Sometimes scars itch, and they may be painful or tender.

Scars are part of the body’s healing process. As part of your immune system, your skin is the barrier to protect you from germs and other harmful substances. When skin is injured, the body creates new tissue made of collagen to help reseal itself.

Collagen plays many important roles throughout your body, including plumping up your skin and helping your cartilage protect your joints. When a scar develops, collagen fibers repair damaged skin and close any open areas. The new tissue protects you from infection.

Your healthcare provider will do a physical examination to evaluate a scar that’s causing problems. Your provider will look at the scar’s size, texture and color to determine its type. Treatments vary depending on the type of scar, its location, what caused it and how long you’ve had it.

Although you can’t always prevent injuries that cause scars, you can reduce the risk of a scar forming after an injury. If a scar does develop, careful care can make the scar less noticeable.

Most scars fade over time and don’t cause long-term health problems. How a scar changes depends on its location, size and type. A scar may fade so much that you can barely see it, but it never completely goes away.

Some scars cause problems months or years later. As nerve endings grow back, the scar may become painful or itchy. Skin cancer can develop in scars, especially in burn scars. To avoid skin cancer, wear sunscreen or keep your scar covered.

If a scar’s appearance bothers you, talk to your provider about procedures that can make it less noticeable. Also see your provider if the scar changes or is painful, tender, itchy or infected. And if you notice a mole, freckle or growth on or near the scar, call your provider right away. This may be a sign of skin cancer, which can grow in a scar.

If you’ve had a keloid scar, you’re more likely to develop another one. Talk to your provider before getting piercings, tattoos or elective surgery (such as cosmetic surgery). Your provider will recommend precautions (like wearing a pressure garment) if skin starts to thicken and turn into a keloid.

See your healthcare provider if you’re unhappy with how a scar looks. You may not have to live with a scar that bothers you. Several effective treatments can make scars flatter or less noticeable. After treatment, you may not even notice the scar at all. If a scar is causing discomfort or making it difficult for you to move, call your healthcare provider. Treatments can improve movement and relieve pain. Always protect scars from the sun to reduce your risk of skin cancer.

Home/Health Library/Diseases & Conditions/ScarsAdvertisementAdvertisementScarsScars form as part of the body’s healing process. Your body builds tissue to repair damaged skin and close gaps due to an injury. Scars come in all shapes and sizes. They can result from accidents, burns, surgery, acne and illness. Over time, most scars fade away. Several treatments can make scars less noticeable.

OverviewWhat are scars?Scars form as part of the healing process after your skin has been cut or damaged. The skin repairs itself by growing new tissue to pull together the wound and fill in any gaps caused by the injury. Scar tissue is made primarily of a protein called collagen.Scars develop in all shapes and sizes. Some scars are large and painful, while some are barely visible. People with dark skin (especially people with African, Asian or Hispanic heritage), as well as red-haired individuals, are more likely to develop keloid scars. Keloids are raised scars that grow and extend beyond the injured area. Depending on their size, type and location, your scars may look unsightly and may even make it difficult to move.Not all scars require treatment, and many fade away over time. If a scar is bothering you or causing pain, treatments can help.AdvertisementCleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. PolicyHow common are scars?Nearly everyone develops some type of scar, whether from an accident, a surgical procedure, acne or an illness like chickenpox (varicella). Scars affect people of all ages and genders.

What are scars?Scars form as part of the healing process after your skin has been cut or damaged. The skin repairs itself by growing new tissue to pull together the wound and fill in any gaps caused by the injury. Scar tissue is made primarily of a protein called collagen.Scars develop in all shapes and sizes. Some scars are large and painful, while some are barely visible. People with dark skin (especially people with African, Asian or Hispanic heritage), as well as red-haired individuals, are more likely to develop keloid scars. Keloids are raised scars that grow and extend beyond the injured area. Depending on their size, type and location, your scars may look unsightly and may even make it difficult to move.Not all scars require treatment, and many fade away over time. If a scar is bothering you or causing pain, treatments can help.AdvertisementCleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. PolicyHow common are scars?Nearly everyone develops some type of scar, whether from an accident, a surgical procedure, acne or an illness like chickenpox (varicella). Scars affect people of all ages and genders.

AdvertisementDiagnosis and TestsHow are scars diagnosed?You can easily diagnose most scars yourself by keeping an eye on an area of skin that has healed from an injury. Scars often look darker, lighter or pinker than the surrounding skin.Your healthcare provider will do a physical examination to evaluate a scar that’s causing problems. Your provider will look at the scar’s size, texture and color to determine its type. Treatments vary depending on the type of scar, its location, what caused it and how long you’ve had it.

Diagnosis and TestsHow are scars diagnosed?You can easily diagnose most scars yourself by keeping an eye on an area of skin that has healed from an injury. Scars often look darker, lighter or pinker than the surrounding skin.Your healthcare provider will do a physical examination to evaluate a scar that’s causing problems. Your provider will look at the scar’s size, texture and color to determine its type. Treatments vary depending on the type of scar, its location, what caused it and how long you’ve had it.

How are scars diagnosed?You can easily diagnose most scars yourself by keeping an eye on an area of skin that has healed from an injury. Scars often look darker, lighter or pinker than the surrounding skin.Your healthcare provider will do a physical examination to evaluate a scar that’s causing problems. Your provider will look at the scar’s size, texture and color to determine its type. Treatments vary depending on the type of scar, its location, what caused it and how long you’ve had it.

Outlook / PrognosisDo scars fade, shrink or become less noticeable over time?Most scars fade over time and don’t cause long-term health problems. How a scar changes depends on its location, size and type. A scar may fade so much that you can barely see it, but it never completely goes away.Some scars cause problems months or years later. As nerve endings grow back, the scar may become painful or itchy. Skin cancer can develop in scars, especially in burn scars. To avoid skin cancer, wear sunscreen or keep your scar covered.

Do scars fade, shrink or become less noticeable over time?Most scars fade over time and don’t cause long-term health problems. How a scar changes depends on its location, size and type. A scar may fade so much that you can barely see it, but it never completely goes away.Some scars cause problems months or years later. As nerve endings grow back, the scar may become painful or itchy. Skin cancer can develop in scars, especially in burn scars. To avoid skin cancer, wear sunscreen or keep your scar covered.

Living WithWhen should I see my healthcare provider about a scar?If a scar’s appearance bothers you, talk to your provider about procedures that can make it less noticeable. Also see your provider if the scar changes or is painful, tender, itchy or infected. And if you notice a mole, freckle or growth on or near the scar, call your provider right away. This may be a sign of skin cancer, which can grow in a scar.If you’ve had a keloid scar, you’re more likely to develop another one. Talk to your provider before getting piercings, tattoos or elective surgery (such as cosmetic surgery). Your provider will recommend precautions (like wearing a pressure garment) if skin starts to thicken and turn into a keloid.A note from Cleveland ClinicSee your healthcare provider if you’re unhappy with how a scar looks. You may not have to live with a scar that bothers you. Several effective treatments can make scars flatter or less noticeable. After treatment, you may not even notice the scar at all. If a scar is causing discomfort or making it difficult for you to move, call your healthcare provider. Treatments can improve movement and relieve pain. Always protect scars from the sun to reduce your risk of skin cancer.

When should I see my healthcare provider about a scar?If a scar’s appearance bothers you, talk to your provider about procedures that can make it less noticeable. Also see your provider if the scar changes or is painful, tender, itchy or infected. And if you notice a mole, freckle or growth on or near the scar, call your provider right away. This may be a sign of skin cancer, which can grow in a scar.If you’ve had a keloid scar, you’re more likely to develop another one. Talk to your provider before getting piercings, tattoos or elective surgery (such as cosmetic surgery). Your provider will recommend precautions (like wearing a pressure garment) if skin starts to thicken and turn into a keloid.A note from Cleveland ClinicSee your healthcare provider if you’re unhappy with how a scar looks. You may not have to live with a scar that bothers you. Several effective treatments can make scars flatter or less noticeable. After treatment, you may not even notice the scar at all. If a scar is causing discomfort or making it difficult for you to move, call your healthcare provider. Treatments can improve movement and relieve pain. Always protect scars from the sun to reduce your risk of skin cancer.

A scar is a mark on the skin after a wound or injury has healed. You cannot get rid of a scar, but most will fade over time. This can take up to 2 years or more, but there are some things you can do to help it heal or improve how it looks.

A scar is the body's natural way of healing and replacing lost or damaged skin. A scar is usually composed of fibrous tissue. Scars may be formed for many different reasons, including as a result of infections, surgery, injuries, or inflammation of tissue. Scars may appear anywhere on the body, and the composition of a scar may vary--appearing flat, lumpy, sunken, or colored. The scar may be painful or itchy. The final look of a scar depends on many factors, including the skin type and location on the body, the direction of the wound, the type of injury, age of the person with the scar, and his or her nutritional status.

A scar revision is a procedure done on a scar to alter the appearance of the scar. The revision may improve the cosmetic appearance of the scar, restore function to a part of the body that may have been restricted by the scar, or improve an itchy scar. It is important to remember that scars cannot be completely removed.

These are thick, rounded, irregular clusters of scar tissue that grow at the site of a wound on the skin, but beyond the edges of the borders of the wound. They often appear red or darker in color, as compared to the surrounding normal skin. Keloids are formed from skin cells and connective tissue (fibroblasts) that begin multiplying to repair the damage. These scars may appear anywhere on the body, but more commonly on the face, neck, ears, chest, or shoulders. They occur more often in darker-skinned people. Keloid scars may occur up to one year after the original trauma to the skin.

Steroids are injected directly into the keloid scar tissue to help decrease the itching, redness, and burning sensations that these scars may produce. Sometimes, the injections help to actually decrease the size of the scar.

If the keloid scar is not responsive to nonsurgical management options, surgery may be done. One type of surgery directly removes the scar formation with an incision, and stitches are placed to help close the wound. Sometimes, skin grafts are used to help close the wound. This involves replacing or attaching skin to an area that is missing skin. Skin grafts are done by taking a piece of healthy skin from another area of the body (called the donor site) and attaching it to the needed area.

Another option for keloid scar treatment is laser surgery. Scars may be treated with a variety of different lasers, depending on the underlying cause of the scar. Lasers may be used to smooth a scar, remove the abnormal color of a scar, or flatten a scar. Most laser therapy for keloid scars is done in conjunction with other treatments, including injections of steroids, use of special dressings, and the use of bandages. Multiple treatments may be required, regardless of the initial type of therapy.

Hypertrophic scars are similar to keloid scars; however, their growth is confined within the boundaries of the original skin defect. These scars may also appear red, and are usually thick and elevated. Hypertrophic scars usually start to develop within weeks after the injury to the skin. Hypertrophic scars may improve naturally, although this process may take up to a year or more.

In treating hypertrophic scars, steroids may be the first line of therapy with this type of scar, although there is not one simple cure. Steroids may be given as an injection or by direct application. These scars may also be removed surgically. Often, steroid injections are used along with the surgery and may continue up to 2 years after the surgery to help maximize healing and decrease the chance of the scar returning.

Contractures are an abnormal occurrence that happens when a large area of skin is damaged and lost, resulting in a scar. The scar formation pulls the edges of the skin together, causing a tight area of skin. This can also occur as scars heal. The decrease in the size of the skin can then affect the muscles, joints, and tendons, causing a decrease in movement. There are many different surgical treatment options for contractures. Some of which may include the following:.

Skin graft or skin flap for contractures. Skin grafts or skin flaps are done after the scar tissue is removed. Skin grafts involve replacing or attaching skin to a part of the body that is missing skin. Skin grafts are performed by taking a piece of healthy skin from another area of the body (called the donor site) and attaching it to the needed area. Skin flaps are similar to skin grafts, where a part of the skin is taken from another area, but with the skin flaps, the skin that is retrieved has its own blood supply. The section of skin used includes the underlying blood vessels, fat, and muscles. Flaps may be used when that area that is missing the skin does not have a good supply of blood because of the location or because of damage to the vessels.

What is a scar? A scar is the body's natural way of healing and replacing lost or damaged skin. A scar is usually composed of fibrous tissue. Scars may be formed for many different reasons, including as a result of infections, surgery, injuries, or inflammation of tissue. Scars may appear anywhere on the body, and the composition of a scar may vary--appearing flat, lumpy, sunken, or colored. The scar may be painful or itchy. The final look of a scar depends on many factors, including the skin type and location on the body, the direction of the wound, the type of injury, age of the person with the scar, and his or her nutritional status. What is a scar revision? A scar revision is a procedure done on a scar to alter the appearance of the scar. The revision may improve the cosmetic appearance of the scar, restore function to a part of the body that may have been restricted by the scar, or improve an itchy scar. It is important to remember that scars cannot be completely removed.

Hypertrophic scars Hypertrophic scars are similar to keloid scars; however, their growth is confined within the boundaries of the original skin defect. These scars may also appear red, and are usually thick and elevated. Hypertrophic scars usually start to develop within weeks after the injury to the skin. Hypertrophic scars may improve naturally, although this process may take up to a year or more. In treating hypertrophic scars, steroids may be the first line of therapy with this type of scar, although there is not one simple cure. Steroids may be given as an injection or by direct application. These scars may also be removed surgically. Often, steroid injections are used along with the surgery and may continue up to 2 years after the surgery to help maximize healing and decrease the chance of the scar returning. Contractures Contractures are an abnormal occurrence that happens when a large area of skin is damaged and lost, resulting in a scar. The scar formation pulls the edges of the skin together, causing a tight area of skin. This can also occur as scars heal. The decrease in the size of the skin can then affect the muscles, joints, and tendons, causing a decrease in movement. There are many different surgical treatment options for contractures. Some of which may include the following: Skin graft or skin flap for contractures. Skin grafts or skin flaps are done after the scar tissue is removed. Skin grafts involve replacing or attaching skin to a part of the body that is missing skin. Skin grafts are performed by taking a piece of healthy skin from another area of the body (called the donor site) and attaching it to the needed area. Skin flaps are similar to skin grafts, where a part of the skin is taken from another area, but with the skin flaps, the skin that is retrieved has its own blood supply. The section of skin used includes the underlying blood vessels, fat, and muscles. Flaps may be used when that area that is missing the skin does not have a good supply of blood because of the location or because of damage to the vessels. Tissue expansion for contractures. Tissue expansion is a newer technique being used for scar treatment, and involves a process that increases the amount of existing tissue available for reconstructive purposes. This procedure is often used in addition to the flap surgery.

Most of the time, those reddish or brownish acne marks that are left behind after pimples clear up will fade with no need for treatment. Picking or squeezing acne can increase the risk for scarring, though.

For "rolling" scars, doctors sometimes inject material under the scar to raise it to the level of normal skin. Finally, in some cases, a doctor may recommend surgery to remove deeply indented scars.

If you have a red or brownish mark on your face that you got from a bad zit, it should eventually fade. However, it may take 12 months or longer. If you're upset about acne marks, talk to your doctor, who might have advice on what you can do.

Dermatologists at NYU Langone understand that noticeable, poorly healed scars can affect how you feel about your appearance, especially if they are located in a highly visible place such as your face or hand. Our doctors offer noninvasive techniques to minimize the appearance of all types of scars and, in some instances, prevent a surgical wound from becoming a hypertrophic scar or keloid.

A variety of topical silicone products, which are available without a prescription, may reduce the size and color of scars. When applied to the scar, silicone attaches to the tissue at the molecular level. It is thought that by creating tension on the surface of the skin, silicone can prompt the body to shrink excess collagen and repair broken blood vessels, which cause scars to look red and swollen. .

Topical silicone products are available as gels, as well as adhesive sheets that have a layer of silicone gel on one side and fabric backing on the other. Topical silicone products can be applied to scars that are still pink and healing, as well as older scars, including small hypertrophic scars and small keloids. These products are safe for people of any age and skin tone. .

Dermatologists may inject a corticosteroid solution directly into a hypertrophic scar or keloid, which may help reduce its size. Steroids break the bonds between collagen fibers, which reduces the amount of scar tissue beneath the skin. Steroids also have powerful anti-inflammatory properties, which can help reduce swelling, redness, itching, or tenderness.

If a hypertrophic scar or keloid develops after surgery, dermatologists recommend getting steroid injections every four to six weeks, limiting the total number of injections to five. The procedure takes about 15 minutes, and often no anesthesia is required. .

Superficial external beam radiotherapy is a low-dose radiation treatment that uses highly focused beams of light called superficial X-rays to destroy collagen-producing cells and limit the growth of new ones. These specialized X-rays do not penetrate deep layers of skin, so they don’t affect healthy tissue. Dermatologists may recommend radiotherapy if a keloid does not respond to steroid injections and topical silicone treatment, or if the keloid is particularly large. .

Radiotherapy is a painless process. Depending on the location of the keloid, you sit or lie down on an exam table. A radiation therapist covers the surrounding skin with a lead apron to protect it from radiation, then positions the radiotherapy machine so that it rests directly on the keloid. Treatment takes less than 10 minutes. Afterward, a doctor may place a bandage over the keloid to prevent infection and protect it from sun exposure. .

Doctors determine whether more than one radiotherapy session is necessary based on the size of the keloid, whether you had the keloid surgically removed prior to radiotherapy, and the results of the first radiotherapy session. Your dermatologist evaluates the success of radiotherapy in a follow-up appointment about a month after the first session. Side effects include redness and tenderness at the site of therapy. .

Rather than completely resurfacing the area being treated, the laser touches tiny areas of skin with microscopic beams of light, leaving the skin surrounding a scar untouched. Because large areas of the skin are left untreated, the healing time is faster. .

A dermatologist performs fractional C02 laser therapy in his or her office using a small handheld device. After a local anesthetic is applied to the areas being treated, the device is passed over the skin. Depending on the size and texture of the scar, multiple sessions may be needed. Dermatologists typically recommend scheduling sessions every six to eight weeks. .

After each treatment, the dermatologist places a bandage over the areas that were treated. Swelling, redness, and itching are normal and typically diminish in five to seven days, when the top layer of skin begins to peel. A dermatologist recommends keeping your skin moisturized and clean during the healing process to prevent infection. Wearing a broad-spectrum sunscreen with an SPF of 30 or above is also recommended when you are exposed to the sun. .

To perform the procedure, a dermatologist first injects a local anesthetic into the areas of skin being treated. He or she then uses a small tool that has a rough, rapidly spinning surface to remove scar tissue. This technique does not completely eliminate a scar, but it softens the skin and helps the color and texture of the scar blend in with the surrounding skin. .

After dermabrasion, the skin may bleed. This is normal, and doctors apply antiseptic bandages to prevent infection while the skin heals. It may take 10 to 14 days for the skin to completely heal. During this time, doctors recommend using a broad-spectrum sunscreen with an SPF of 30 or above every time you are in the sun. Your skin may have a pink appearance for several weeks while new skin cells replace the layers that were removed. Most people see smoother skin after two months. .

Medical Treatment for Scars & Keloids Dermatologists at NYU Langone understand that noticeable, poorly healed scars can affect how you feel about your appearance, especially if they are located in a highly visible place such as your face or hand. Our doctors offer noninvasive techniques to minimize the appearance of all types of scars and, in some instances, prevent a surgical wound from becoming a hypertrophic scar or keloid. Schedule an Appointment Browse our specialists and get the care you need. Find a Doctor & Schedule Over-the-Counter Topical Treatments A variety of topical silicone products, which are available without a prescription, may reduce the size and color of scars. When applied to the scar, silicone attaches to the tissue at the molecular level. It is thought that by creating tension on the surface of the skin, silicone can prompt the body to shrink excess collagen and repair broken blood vessels, which cause scars to look red and swollen. Topical silicone products are available as gels, as well as adhesive sheets that have a layer of silicone gel on one side and fabric backing on the other. Topical silicone products can be applied to scars that are still pink and healing, as well as older scars, including small hypertrophic scars and small keloids. These products are safe for people of any age and skin tone. When a silicone-based product is applied and left on the skin for 12 hours or more per day, many people see results within two to four months, although the time frame varies from person to person. Our dermatologists determine how often you should apply the topical silicone and how long to continue treatment based on the size and location of the scar, the cause of the skin wound, and the type of scar. Additionally, there is a new silicone surgical dressing that is designed to take tension off the wound itself and may minimize postsurgical scarring. Steroid Injections Dermatologists may inject a corticosteroid solution directly into a hypertrophic scar or keloid, which may help reduce its size. Steroids break the bonds between collagen fibers, which reduces the amount of scar tissue beneath the skin. Steroids also have powerful anti-inflammatory properties, which can help reduce swelling, redness, itching, or tenderness.Steroid injections are usually administered in a dermatologist’s office after a scar has healed. If you have a history of hypertrophic scars or keloids and require surgery, a doctor may inject steroids into the area before surgery begins. Presurgical steroid injections may prevent a hypertrophic scar or keloid from forming—or they may reduce the scar’s size. Surgeons may administer an additional steroid injection during surgery as well. If a hypertrophic scar or keloid develops after surgery, dermatologists recommend getting steroid injections every four to six weeks, limiting the total number of injections to five. The procedure takes about 15 minutes, and often no anesthesia is required. In the hours after an injection, you can break up scar tissue yourself and improve the effectiveness of the injections by gently massaging the scar. Side effects may include thinning or sunken skin at the site of injection. Superficial External Beam Radiotherapy Superficial external beam radiotherapy is a low-dose radiation treatment that uses highly focused beams of light called superficial X-rays to destroy collagen-producing cells and limit the growth of new ones. These specialized X-rays do not penetrate deep layers of skin, so they don’t affect healthy tissue. Dermatologists may recommend radiotherapy if a keloid does not respond to steroid injections and topical silicone treatment, or if the keloid is particularly large. Radiotherapy is a painless process. Depending on the location of the keloid, you sit or lie down on an exam table. A radiation therapist covers the surrounding skin with a lead apron to protect it from radiation, then positions the radiotherapy machine so that it rests directly on the keloid. Treatment takes less than 10 minutes. Afterward, a doctor may place a bandage over the keloid to prevent infection and protect it from sun exposure. Often, superficial external beam radiotherapy is used to prevent a keloid from growing back after it has been surgically removed. Radiotherapy is typically recommended within 24 to 48 hours of surgery for the best results. Doctors determine whether more than one radiotherapy session is necessary based on the size of the keloid, whether you had the keloid surgically removed prior to radiotherapy, and the results of the first radiotherapy session. Your dermatologist evaluates the success of radiotherapy in a follow-up appointment about a month after the first session. Side effects include redness and tenderness at the site of therapy. Laser Treatment Dermatologists may recommend laser treatment to reduce redness or discoloration in older scars. Laser therapy is also used to correct uneven skin tone affected by acne scarring and to minimize the appearance of stretch marks. Pulsed Dye Laser TherapyPulsed dye laser therapy is an effective treatment for reducing redness and discoloration in scars, even if a scar healed a long time ago. The pulsed dye laser is a highly focused beam of light that dermatologists focus on scarred skin using a handheld device. The energy from the laser causes the blood vessels in scar tissue to shrink and eventually dissolve. It also causes a scar to lighten because the blood vessels are what cause redness and discoloration in a scar. Over several sessions, pulsed dye laser therapy can more closely match the color of a scar to the surrounding skin. Pulsed dye laser therapy is administered in a dermatologist’s office and causes few side effects. There may be slight bruising around the area of the scar; this fades in one or two days. Fractional Carbon Dioxide Laser TherapyFractional carbon dioxide (C02) laser therapy uses a high-energy beam of light to speed up the skin’s exfoliation and repair processes, and to remove scarred or discolored outer layers of skin. The term “fractional laser” means the beam hits only a fraction of the surface at a time. Rather than completely resurfacing the area being treated, the laser touches tiny areas of skin with microscopic beams of light, leaving the skin surrounding a scar untouched. Because large areas of the skin are left untreated, the healing time is faster. A dermatologist performs fractional C02 laser therapy in his or her office using a small handheld device. After a local anesthetic is applied to the areas being treated, the device is passed over the skin. Depending on the size and texture of the scar, multiple sessions may be needed. Dermatologists typically recommend scheduling sessions every six to eight weeks. After each treatment, the dermatologist places a bandage over the areas that were treated. Swelling, redness, and itching are normal and typically diminish in five to seven days, when the top layer of skin begins to peel. A dermatologist recommends keeping your skin moisturized and clean during the healing process to prevent infection. Wearing a broad-spectrum sunscreen with an SPF of 30 or above is also recommended when you are exposed to the sun. Possible side effects include permanent light or dark spots and burns. Dermabrasion Another method used to remove scars is dermabrasion, which is a technique similar to sanding or scraping. Doctors may recommend dermabrasion if you have burn or acne scars or hypertrophic scars that span large areas of skin. Dermabrasion is not recommended for the removal of keloids.To perform the procedure, a dermatologist first injects a local anesthetic into the areas of skin being treated. He or she then uses a small tool that has a rough, rapidly spinning surface to remove scar tissue. This technique does not completely eliminate a scar, but it softens the skin and helps the color and texture of the scar blend in with the surrounding skin. After dermabrasion, the skin may bleed. This is normal, and doctors apply antiseptic bandages to prevent infection while the skin heals. It may take 10 to 14 days for the skin to completely heal. During this time, doctors recommend using a broad-spectrum sunscreen with an SPF of 30 or above every time you are in the sun. Your skin may have a pink appearance for several weeks while new skin cells replace the layers that were removed. Most people see smoother skin after two months. .

Dermatologists at NYU Langone understand that noticeable, poorly healed scars can affect how you feel about your appearance, especially if they are located in a highly visible place such as your face or hand. Our doctors offer noninvasive techniques to minimize the appearance of all types of scars and, in some instances, prevent a surgical wound from becoming a hypertrophic scar or keloid. Schedule an Appointment Browse our specialists and get the care you need. Find a Doctor & Schedule.

Over-the-Counter Topical Treatments A variety of topical silicone products, which are available without a prescription, may reduce the size and color of scars. When applied to the scar, silicone attaches to the tissue at the molecular level. It is thought that by creating tension on the surface of the skin, silicone can prompt the body to shrink excess collagen and repair broken blood vessels, which cause scars to look red and swollen. Topical silicone products are available as gels, as well as adhesive sheets that have a layer of silicone gel on one side and fabric backing on the other. Topical silicone products can be applied to scars that are still pink and healing, as well as older scars, including small hypertrophic scars and small keloids. These products are safe for people of any age and skin tone. When a silicone-based product is applied and left on the skin for 12 hours or more per day, many people see results within two to four months, although the time frame varies from person to person. Our dermatologists determine how often you should apply the topical silicone and how long to continue treatment based on the size and location of the scar, the cause of the skin wound, and the type of scar. Additionally, there is a new silicone surgical dressing that is designed to take tension off the wound itself and may minimize postsurgical scarring. Steroid Injections Dermatologists may inject a corticosteroid solution directly into a hypertrophic scar or keloid, which may help reduce its size. Steroids break the bonds between collagen fibers, which reduces the amount of scar tissue beneath the skin. Steroids also have powerful anti-inflammatory properties, which can help reduce swelling, redness, itching, or tenderness.Steroid injections are usually administered in a dermatologist’s office after a scar has healed. If you have a history of hypertrophic scars or keloids and require surgery, a doctor may inject steroids into the area before surgery begins. Presurgical steroid injections may prevent a hypertrophic scar or keloid from forming—or they may reduce the scar’s size. Surgeons may administer an additional steroid injection during surgery as well. If a hypertrophic scar or keloid develops after surgery, dermatologists recommend getting steroid injections every four to six weeks, limiting the total number of injections to five. The procedure takes about 15 minutes, and often no anesthesia is required. In the hours after an injection, you can break up scar tissue yourself and improve the effectiveness of the injections by gently massaging the scar. Side effects may include thinning or sunken skin at the site of injection. Superficial External Beam Radiotherapy Superficial external beam radiotherapy is a low-dose radiation treatment that uses highly focused beams of light called superficial X-rays to destroy collagen-producing cells and limit the growth of new ones. These specialized X-rays do not penetrate deep layers of skin, so they don’t affect healthy tissue. Dermatologists may recommend radiotherapy if a keloid does not respond to steroid injections and topical silicone treatment, or if the keloid is particularly large. Radiotherapy is a painless process. Depending on the location of the keloid, you sit or lie down on an exam table. A radiation therapist covers the surrounding skin with a lead apron to protect it from radiation, then positions the radiotherapy machine so that it rests directly on the keloid. Treatment takes less than 10 minutes. Afterward, a doctor may place a bandage over the keloid to prevent infection and protect it from sun exposure. Often, superficial external beam radiotherapy is used to prevent a keloid from growing back after it has been surgically removed. Radiotherapy is typically recommended within 24 to 48 hours of surgery for the best results. Doctors determine whether more than one radiotherapy session is necessary based on the size of the keloid, whether you had the keloid surgically removed prior to radiotherapy, and the results of the first radiotherapy session. Your dermatologist evaluates the success of radiotherapy in a follow-up appointment about a month after the first session. Side effects include redness and tenderness at the site of therapy. Laser Treatment Dermatologists may recommend laser treatment to reduce redness or discoloration in older scars. Laser therapy is also used to correct uneven skin tone affected by acne scarring and to minimize the appearance of stretch marks. Pulsed Dye Laser TherapyPulsed dye laser therapy is an effective treatment for reducing redness and discoloration in scars, even if a scar healed a long time ago. The pulsed dye laser is a highly focused beam of light that dermatologists focus on scarred skin using a handheld device. The energy from the laser causes the blood vessels in scar tissue to shrink and eventually dissolve. It also causes a scar to lighten because the blood vessels are what cause redness and discoloration in a scar. Over several sessions, pulsed dye laser therapy can more closely match the color of a scar to the surrounding skin. Pulsed dye laser therapy is administered in a dermatologist’s office and causes few side effects. There may be slight bruising around the area of the scar; this fades in one or two days. Fractional Carbon Dioxide Laser TherapyFractional carbon dioxide (C02) laser therapy uses a high-energy beam of light to speed up the skin’s exfoliation and repair processes, and to remove scarred or discolored outer layers of skin. The term “fractional laser” means the beam hits only a fraction of the surface at a time. Rather than completely resurfacing the area being treated, the laser touches tiny areas of skin with microscopic beams of light, leaving the skin surrounding a scar untouched. Because large areas of the skin are left untreated, the healing time is faster. A dermatologist performs fractional C02 laser therapy in his or her office using a small handheld device. After a local anesthetic is applied to the areas being treated, the device is passed over the skin. Depending on the size and texture of the scar, multiple sessions may be needed. Dermatologists typically recommend scheduling sessions every six to eight weeks. After each treatment, the dermatologist places a bandage over the areas that were treated. Swelling, redness, and itching are normal and typically diminish in five to seven days, when the top layer of skin begins to peel. A dermatologist recommends keeping your skin moisturized and clean during the healing process to prevent infection. Wearing a broad-spectrum sunscreen with an SPF of 30 or above is also recommended when you are exposed to the sun. Possible side effects include permanent light or dark spots and burns. Dermabrasion Another method used to remove scars is dermabrasion, which is a technique similar to sanding or scraping. Doctors may recommend dermabrasion if you have burn or acne scars or hypertrophic scars that span large areas of skin. Dermabrasion is not recommended for the removal of keloids.To perform the procedure, a dermatologist first injects a local anesthetic into the areas of skin being treated. He or she then uses a small tool that has a rough, rapidly spinning surface to remove scar tissue. This technique does not completely eliminate a scar, but it softens the skin and helps the color and texture of the scar blend in with the surrounding skin. After dermabrasion, the skin may bleed. This is normal, and doctors apply antiseptic bandages to prevent infection while the skin heals. It may take 10 to 14 days for the skin to completely heal. During this time, doctors recommend using a broad-spectrum sunscreen with an SPF of 30 or above every time you are in the sun. Your skin may have a pink appearance for several weeks while new skin cells replace the layers that were removed. Most people see smoother skin after two months. .

A variety of topical silicone products, which are available without a prescription, may reduce the size and color of scars. When applied to the scar, silicone attaches to the tissue at the molecular level. It is thought that by creating tension on the surface of the skin, silicone can prompt the body to shrink excess collagen and repair broken blood vessels, which cause scars to look red and swollen. Topical silicone products are available as gels, as well as adhesive sheets that have a layer of silicone gel on one side and fabric backing on the other. Topical silicone products can be applied to scars that are still pink and healing, as well as older scars, including small hypertrophic scars and small keloids. These products are safe for people of any age and skin tone. When a silicone-based product is applied and left on the skin for 12 hours or more per day, many people see results within two to four months, although the time frame varies from person to person. Our dermatologists determine how often you should apply the topical silicone and how long to continue treatment based on the size and location of the scar, the cause of the skin wound, and the type of scar. Additionally, there is a new silicone surgical dressing that is designed to take tension off the wound itself and may minimize postsurgical scarring.

Dermatologists may inject a corticosteroid solution directly into a hypertrophic scar or keloid, which may help reduce its size. Steroids break the bonds between collagen fibers, which reduces the amount of scar tissue beneath the skin. Steroids also have powerful anti-inflammatory properties, which can help reduce swelling, redness, itching, or tenderness.Steroid injections are usually administered in a dermatologist’s office after a scar has healed. If you have a history of hypertrophic scars or keloids and require surgery, a doctor may inject steroids into the area before surgery begins. Presurgical steroid injections may prevent a hypertrophic scar or keloid from forming—or they may reduce the scar’s size. Surgeons may administer an additional steroid injection during surgery as well. If a hypertrophic scar or keloid develops after surgery, dermatologists recommend getting steroid injections every four to six weeks, limiting the total number of injections to five. The procedure takes about 15 minutes, and often no anesthesia is required. In the hours after an injection, you can break up scar tissue yourself and improve the effectiveness of the injections by gently massaging the scar. Side effects may include thinning or sunken skin at the site of injection.

Superficial external beam radiotherapy is a low-dose radiation treatment that uses highly focused beams of light called superficial X-rays to destroy collagen-producing cells and limit the growth of new ones. These specialized X-rays do not penetrate deep layers of skin, so they don’t affect healthy tissue. Dermatologists may recommend radiotherapy if a keloid does not respond to steroid injections and topical silicone treatment, or if the keloid is particularly large. Radiotherapy is a painless process. Depending on the location of the keloid, you sit or lie down on an exam table. A radiation therapist covers the surrounding skin with a lead apron to protect it from radiation, then positions the radiotherapy machine so that it rests directly on the keloid. Treatment takes less than 10 minutes. Afterward, a doctor may place a bandage over the keloid to prevent infection and protect it from sun exposure. Often, superficial external beam radiotherapy is used to prevent a keloid from growing back after it has been surgically removed. Radiotherapy is typically recommended within 24 to 48 hours of surgery for the best results. Doctors determine whether more than one radiotherapy session is necessary based on the size of the keloid, whether you had the keloid surgically removed prior to radiotherapy, and the results of the first radiotherapy session. Your dermatologist evaluates the success of radiotherapy in a follow-up appointment about a month after the first session. Side effects include redness and tenderness at the site of therapy. .

Dermatologists may recommend laser treatment to reduce redness or discoloration in older scars. Laser therapy is also used to correct uneven skin tone affected by acne scarring and to minimize the appearance of stretch marks. Pulsed Dye Laser TherapyPulsed dye laser therapy is an effective treatment for reducing redness and discoloration in scars, even if a scar healed a long time ago. The pulsed dye laser is a highly focused beam of light that dermatologists focus on scarred skin using a handheld device. The energy from the laser causes the blood vessels in scar tissue to shrink and eventually dissolve. It also causes a scar to lighten because the blood vessels are what cause redness and discoloration in a scar. Over several sessions, pulsed dye laser therapy can more closely match the color of a scar to the surrounding skin. Pulsed dye laser therapy is administered in a dermatologist’s office and causes few side effects. There may be slight bruising around the area of the scar; this fades in one or two days. Fractional Carbon Dioxide Laser TherapyFractional carbon dioxide (C02) laser therapy uses a high-energy beam of light to speed up the skin’s exfoliation and repair processes, and to remove scarred or discolored outer layers of skin. The term “fractional laser” means the beam hits only a fraction of the surface at a time. Rather than completely resurfacing the area being treated, the laser touches tiny areas of skin with microscopic beams of light, leaving the skin surrounding a scar untouched. Because large areas of the skin are left untreated, the healing time is faster. A dermatologist performs fractional C02 laser therapy in his or her office using a small handheld device. After a local anesthetic is applied to the areas being treated, the device is passed over the skin. Depending on the size and texture of the scar, multiple sessions may be needed. Dermatologists typically recommend scheduling sessions every six to eight weeks. After each treatment, the dermatologist places a bandage over the areas that were treated. Swelling, redness, and itching are normal and typically diminish in five to seven days, when the top layer of skin begins to peel. A dermatologist recommends keeping your skin moisturized and clean during the healing process to prevent infection. Wearing a broad-spectrum sunscreen with an SPF of 30 or above is also recommended when you are exposed to the sun. Possible side effects include permanent light or dark spots and burns.

Another method used to remove scars is dermabrasion, which is a technique similar to sanding or scraping. Doctors may recommend dermabrasion if you have burn or acne scars or hypertrophic scars that span large areas of skin. Dermabrasion is not recommended for the removal of keloids.To perform the procedure, a dermatologist first injects a local anesthetic into the areas of skin being treated. He or she then uses a small tool that has a rough, rapidly spinning surface to remove scar tissue. This technique does not completely eliminate a scar, but it softens the skin and helps the color and texture of the scar blend in with the surrounding skin. After dermabrasion, the skin may bleed. This is normal, and doctors apply antiseptic bandages to prevent infection while the skin heals. It may take 10 to 14 days for the skin to completely heal. During this time, doctors recommend using a broad-spectrum sunscreen with an SPF of 30 or above every time you are in the sun. Your skin may have a pink appearance for several weeks while new skin cells replace the layers that were removed. Most people see smoother skin after two months. .

Keloids and hypertrophic scars represent an exuberant healing response that poses a challenge for physicians. Patients at high risk of keloids are usually younger than 30 years and have darker skin. Sternal skin, shoulders and upper arms, earlobes, and cheeks are most susceptible to developing keloids and hypertrophic scars. High-risk trauma includes burns, ear piercing, and any factor that prolongs wound healing. Keloid formation often can be prevented if anticipated with immediate silicone elastomer sheeting, taping to reduce skin tension, or corticosteroid injections. Once established, however, keloids are difficult to treat, with a high recurrence rate regardless of therapy. Evidence supports silicone sheeting, pressure dressings, and corticosteroid injections as first-line treatments. Cryotherapy may be useful, but should be reserved for smaller lesions. Surgical removal of keloids poses a high recurrence risk unless combined with one or several of these standard therapies. Alternative postsurgical options for refractory scars include pulsed dye laser, radiation, and possibly imiquimod cream. Intralesional verapamil, fluorouracil, bleomycin, and interferon alfa-2b injections appear to be beneficial for treatment of established keloids. Despite the popularity of over-the-counter herb-based creams, the evidence for their use is mixed, and there is little evidence that vitamin E is helpful.

The primary risk factor for keloids is darkly pigmented skin, which carries a 15- to 20-fold increased risk, perhaps because of melanocyte-stimulating hormone anomalies.4 Familial predisposition, with autosomal dominant and recessive genetic variants is recognized.5 Black, Hispanic, and Asian persons are far more likely to develop keloids than white persons.6,7 Hypertrophic scars, however, are less likely to be associated with skin pigmentation.

Keloids are more common in persons younger than 30 years, with risk peaking between 10 to 20 years of age, and in patients with elevated hormone levels (e.g., during puberty or pregnancy).8 Sternal skin, shoulders and upper arms, earlobes, and cheeks are most susceptible to developing keloids9 (Figure 1). Certain types of trauma and delayed healing (longer than three weeks) heighten keloid incidence even more, with burns carrying the highest risk. Acne, ear piercing, chickenpox, vaccinations (particularly bacille Calmette-Guérin vaccination), biopsy procedures, and lacerations may cause abnormal scarring (Figure 2). Acne keloids are particularly common. Keloids are more than just cosmetically unacceptable; many are also pruritic and painful. They often result in severe emotional distress.

Before any surgical procedure, patients should be asked if they have had previous problems with scarring. Discuss the potential for keloids as part of informed consent, and discourage ear piercing and other elective procedures in persons with dark skin. If ears are pierced despite this advice, pressure earrings are commercially available for reducing keloid risk. If surgery cannot be avoided in a high-risk patient, immediate silicone elastomer sheeting or corticosteroid injections should be instituted. Anything that expedites wound healing and diminishes skin tension (e.g., postsurgical taping for 12 weeks) will diminish risk.10 The cosmetic outcome of wounds closed with standard suture techniques appears to be similar to that of those closed with 2-octyl cyanoacrylate dermal adhesive (Dermabond). One small study showed that hypertrophic scars occurred in five out of 24 repairs with Dermabond versus three out of 28 repairs with traditional suture.11.

Keloid and hypertrophic scar therapy is challenging and controversial (Table 2).1,7–9,12–21 Both conditions respond to the same therapies, but hypertrophic scars are easier to treat. The large number of treatment options is a reflection of the poor quality of research on this topic, with no single proven best treatment or combination of treatments. First-line options include silicone sheeting, pressure treatment, and corticosteroid injections, but all of these require exemplary adherence and follow-up. Cryotherapy is useful, but only for smaller lesions, such as those resulting from acne. Cryotherapy may cause hy

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