Keloid and Hypertrophic scar

Keloid

Feature

Hypertrophic Scar

Excessive scar tissue extending beyond
the boundaries of the original wound.

Definition

Excessive scar tissue confined to
the original wound area.

Expands beyond the wound margins.

Growth

Remains within the wound boundaries.

More common in darker-skinned
individuals and areas like chest,
shoulders, and earlobes.

Occurrence

Can occur in all skin types, typically
in areas of high tension or after trauma.

Rarely regresses spontaneously;
tends to persist or grow.

Regression

May regress or flatten over time
without treatment.

Difficult to treat; options include
corticosteroid injections (intralesional),
surgery,
cryotherapy, or laser therapy.

Treatment

Often improves with time; treatments include
silicone gel,
pressure therapy, or mild corticosteroids.

High recurrence rate
after removal or treatment.

Recurrence

Lower recurrence rate
compared to keloids.