Hypertrophic Scar/Keloid

  • More common on chest/back, darker skinned patients, and secondary intention wounds
  • Hypertrophic scars: arise early within 4 weeks postop and can regress
  • Keloids may arise months after surgery, do not regress and frequently recur
  • Treatment with IL steroid injection, silicone gel sheeting, pulsed dye laser, or scar revision