Hi, I sustained a second-degree dry burn injury in my arm. Now the scar has hypertrophied. It is about 4cm x 1.5cm. I want to know the procedures to remove the hypertrophied scar, the cost involved and the days I need to be off work.
Answered by Pankaj Kamble
Hello, There are various treatments which can be done to remove Hypertrophic scar:
- Corticosteroid treatments: Corticosteroid injections are considered a first-line treatment for hypertrophic scars. Injecting a steroid into the scar every six weeks may help flatten and soften the scar.
- Laser therapy: Laser therapy is more effective in newly formed scars than in older scars. The lasers work by burning and flattening elevated scars. They also target the red and pink pigments in the scars to lighten them.
- Bleomycin: : Bleomycin is a metabolite of a strain of soil bacteria. It has shown promising results when injected directly into a hypertrophic scar. It may help improve the scars appearance and relieve itching and pain.
- Cryotherapy: In cryotherapy, a doctor or dermatologist freezes the scar tissue with liquid nitrogen to help flatten it. Cryotherapy has been shown to be successful, safe, nontoxic, and well-tolerated in a number of small studies.
- Surgery: :After waiting at least a year, a hypertrophic scar can be excised, or cut out, and closed again with stitches. This treatment tries to re-heal the injury while eliminating the issues that may have caused the scar in the first place, such as infection, inflammation, or tension.
Your doctor will tell you which treatment to be done so, we suggest you visit your nearest Plastic Surgeon and regarding the cost, it varies from doctor to doctor, only after complete physical examination the cost details will be provided. I hope this answers your query. Find doctors here - Dermatologists in India.

Pankaj Kamble
Questions & Answers on "Dermatology" (2644)
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