Many people have scars. It seems as if it is hard to make it through life without getting at least one scar as a reminder of a fall or a cut or some mishap as part of life’s journey. Scars come in all sorts of different sizes and shapes and even in different colors.
Scars can be caused by many different sorts of injuries including acne, chickenpox, burns, and cuts. Scars also come in different types including keloid, burn, acne, atrophic, and hypertrophic.
These different types of scars tend to have thicknesses that are different, shapes, colors, and severity based on the amount of collagen that is produced during the healing process.
Typically raised and red, hypertrophic scars form within one to two months following an injury. Younger people seem to get them more often than older individuals.
A hypertrophic scar is swollen, reddened, and puffy which causes it to stand out from the surrounding skin usually making it very noticeable. These scars typically occur when something goes wrong during the healing process which can happen for a number of reasons.
Hypertrophic scars do not grow and spread. Once this type of scar covers the wound, it stays the same size for a while and then after several years it may shrink a great deal and also get lighter in color. These types of scars may actually get small enough and light enough to become almost invisible.
The best hypertrophic scar cream will contain medical grade one hundred percent silicone which is extremely effective in reducing the size and appearance of hypertrophic scars. These type of scars are not only a cosmetic issue, they can get large enough to cause a physical restriction in mobility and can cause outright pain and discomfort.
Hypertrophic scars can improve in appearance and size with time, but if any improvement does happen, it will be slow and will be much less dramatic than it would be if paired with hypertrophic scar gel or cream.
Since hypertrophic scars can be difficult to improve or reduce in appearance, it is very important that before you try and use hypertrophic scar cream on your scar that you ensure the scar treatment is made for treating your particular type of hypertrophic scar. It is recommended that you consult with your physician before starting any type of scar treatment on a hypertrophic scar.
There are typically significant side effects with using any type of hypertrophic scar treatment including even the best hypertrophic scar cream, so be sure you understand what these are. The most significant possibility of any type of hypertrophic scar treatment is the possibility of scar recurrence which happens in approximately fifty percent of the cases.
Using hypertrophic scar treatments that are topical are the best and safest treatments to reduce the possibility of recurrence of the hypertrophic scars and to increase the chance of improving the appearance of the hypertrophic scar.
It must be noted however, that while the best hypertrophic scar cream treatments have the best chance of reducing the appearance of your hypertrophic scar, they are not options for completely removing the scar.
No type of topical treatment will offer that remedy, although there are clinically tested hypertrophic scar treatment gels which have proven to reduce the appearance of hypertrophic scars so dramatically as to make them almost invisible.
Using a topical hypertrophic scar treatment is still the safest and gentlest on your scar with the fewest side effects. The best results are achieved when the topical treatment is used as soon as possible after the scar happens because the older, deeper, and darker the hypertrophic scar gets, the more difficult it is to lighten, reduce the height, and over all reduce the appearance of the scar.
There are other options for treating hypertrophic scars including pressure therapy, cryotherapy, silicone therapy, surgical excision, and laser therapy.
Pressure therapy is an uncomfortable and hot treatment and is used in combination with other forms of therapy. A compression garment is applied to the scar with constant pressure for twenty four hours a day for up to six months. Indications that pressure therapy is working are a reduction in the redness and in the inflammation of the scars.
Individuals who are fair skinned can use cryotherapy which uses liquid nitrogen to kill the cells in the scar tissue. This treatment is best used on individuals who have small scars.
This treatment disrupts skin pigmentation resulting in lighter spots on the skin, so individuals who are darker skinned should not use this treatment. This darkening of the skin is called hypopigmentation and can last for at least twelve to eighteen months or may even become permanent.
Silicone therapy uses silicone gel sheets which help a scar’s pliability and reduce the height of a scar. Silicone therapy also reduces the itching and the pain of a scar. If applied early enough, silicone gel sheets also help prevent new scars from forming.
Silicone therapy using silicone gel sheets increases hydration and scar occlusion resulting in improvement in a scar’s appearance in seventy to ninety percent of patients. The silicone gel sheets are applied to the scar tissue for twelve hours continuously and are sometime done in combination with other treatments. Silicone therapy is typically done for two to three months and has few, if any side effects.
Surgical exclusion is one of the only truly effective methods of reducing large hypertrophic scars into smaller, less visible scars. Unfortunately, though the trauma of surgically excising the scar results in a fifty percent to one hundred percent chance of recurrence of the scar.
Applying adjunct treatments such as topical imiquimod, radiation, or intralesional steroids can help lower this recurrence rate. Using surgical excision and radiation treatments together did result in a seventy-five percent reduction in the recurrence rate.
Laser therapy has seen good success with reducing the appearance and visibility of scars, although there is some recovery time required. Lasers are more effective in reducing the pain, burning, and itching than surgical excision. The proper laser treatment depends upon the type of scar to be treated and should only be done under the guidance of a physician.
Whether it is determining the best hypertrophic scar cream or the best hypertrophic scar surgical treatment, you should gather as much information as possible about the treatment before making your decision.