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Treatment Options for Scar Management







Soft Tissue Injuries


Edge of Wound


Pressure Ulcers


Minor Wounds






















Scar Management





Scars are an inevitable and natural part of the healing process for most dermal wounds - they are a normal consequence of the body's physiological healing response.

Most scars do not produce poor cosmetic or functional results. The original scar tissue is gradually replaced during the end phase of healing resulting in a reduction in redness, elevation and firm consistency of the tissue to produce a flat, soft, pale scar that is level with the adjacent skin. If, however, the delicate balance is not achieved during the healing process, the resulting scar may display abnormalities. Two such types of abnormal scars are hypertrophic and keloid scars.


Hypertrophic Scars

A hypertrophic scar is typically red, firm and thickened and often causes itching or pain, which decreases as the scar matures. A hypertrophic scar is raised but does not grow outside the confines of the original trauma site. They can result from thermal injuries, trauma, tension on a scar (for example sutures that are placed under tension, or in an area with a lot of mobility eg. knee), or as a result of a foreign body reaction at the time of injury. Children are highly susceptible to hypertrophic scarring due to the rapid nature of cell formation in the young. There are also several locations on the body which are more prone to hypertrophic scarring and these include any area where the skin is relatively thick: the back; the chest (including any surgery in the area eg. breast surgery or cardiac surgery); and the shoulders.




Hypertrophic Scar



Keloid Scars

Keloid scars are similar in appearance to hypertrophic scars in that they are red or hyperpigmented, firm, raised and they can be nodular. They too can cause itching or pain. Keloid scars differ from hypertrophic scars as they invade surrounding tissue unlike a hypertrophic scar which remains confined to the original trauma site. Keloid scars are common among people with deeply pigmented skin, 10 to 30 year olds, and in people with thermal injuries. Keloid scars are commonly found on the earlobes, back, shoulders and chest.


Keloid Scar




Treatment Options

Various options are available for the treatment of keloid and hypertrophic scars including:

  • surgical revision

  • laser surgery

  • steroid therapy

  • pressure garments

  • silicone gel sheets



Product Selection

Silicone gels are clinically proven for treating red & raised scars and avoid most of the disadvantages of other treatments.

The current generation of silicone gel treatments includes Cica-Care* , a self adhesive gel sheet that has been shown to reduce scarring in many patients around the world.



Related Links

- Further information on scarring can be found at

- The International Recommendations on Scar Management can be obtained through    (Volume 110. Number 2. August 2002)

- Australian and New Zealand Burns Association (ANZBA) -