Hypertrophic Scars
Flattening raised scars while calming the redness that comes with them.
A hypertrophic scar is raised, firm and often red, but stays within the boundary of the original wound. It reflects an over-enthusiastic repair: too much collagen laid down under tension, with a dense new blood supply that keeps the scar inflamed.
- 1–3 days
- Downtime
- 3–6
- Sessions
- 4–6 wks
- Interval
- Silicone
- Support
- Pulsed dye laser
- Intralesional steroid
- Fractional resurfacing
- Silicone therapy
Diagnosed first, treated second.
Treatment works on both halves of that problem. Vascular laser reduces the vessels driving redness, fractional resurfacing and intralesional therapy break down excess collagen, and pressure or silicone support holds the gains between sessions.
- 01Pulsed dye laser
- 02Intralesional steroid
- 03Fractional resurfacing
- 04Silicone therapy
- 05Pressure & massage
- Raised scars confined to the wound edge
- Red, itchy or tender scar tissue
- Scars restricting movement
- Post-surgical or burn scarring
- Prepared to continue home support therapy
How the treatment works
A sequence, not a single appointment — each step informs the next.
- 01
Staging
Height, firmness, colour and symptoms such as itch or tightness are documented.
- 02
Combination plan
Vascular laser plus intralesional therapy, with resurfacing added as the scar softens.
- 03
Treatment cycle
Sessions every four to six weeks, dosing adjusted to the response at each review.
- 04
Support phase
Silicone, massage and pressure therapy to consolidate flattening and prevent rebound.
Results measured, not promised.
What to expect
- 01Measurable reduction in scar height
- 02Marked fading of redness
- 03Relief from itch and tightness
- 04Improved movement across joints
- 05Lower risk of the scar rebuilding
Begin with a diagnosis,
not a guess.
Share a few details and the clinic will reply with available consultation times for hypertrophic scars — one-to-one with Dr. Arely.
- Response
- Within 24 hours
- Consultation
- One-to-one, 45 min
- Assessment
- Trichoscopy included
- Location
- Dr. Arely Clinic
Frequently asked
A hypertrophic scar stays within the original wound; a keloid grows beyond it and behaves more aggressively.
Many become almost level with the skin; the realistic aim is a soft, pale, unobtrusive line.
There is brief pressure and stinging; the area is numbed and volumes are kept small.
Rebound is possible under tension, which is why silicone and massage continue after the sessions end.