Raised scars come in two main types. Knowing which you have guides treatment.
The difference
Hypertrophic scars stay within the original wound borders and often improve over time. Keloids grow beyond the wound edges and can be harder to treat.
First-line: silicone
Both respond to silicone gel sheeting as a first-line, non-invasive option — consistent daily use over months gives the best results.
Other options
Pressure therapy, steroid injections and other clinician-led treatments may be combined for stubborn keloids — see a dermatologist or plastic surgeon.
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Frequently asked questions
Can silicone treat keloids?
Silicone sheeting is a recognised first-line option; stubborn keloids may need additional clinician-led treatment.
How do I know which scar I have?
Hypertrophic scars stay within the wound; keloids extend beyond it. A clinician can confirm.
