Dr Fimi and Dr Rimi Adedeji present a case of hypertrophic scar management and steroid-induced hypopigmentation in skin of colour
Scars are often a source of emotional, psychological and physical distress, prompting patients to explore options for management in aesthetic and dermatological settings.1 Scar formation is the body’s natural response to skin trauma, such as wounds, acne, burns or surgical incisions. This involves a complex four-stage process: haemostasis, inflammation, proliferation and remodelling.2
Pathological wound healing, defined by dysregulation in the normal tissue repair mechanisms, can lead to development of hypertrophic or keloid scars. Both are due to over proliferation of myofibroblasts and excess collagen deposition, resulting in an elevated scar.2
Hypertrophic scars remain confined to the original wound boundaries and may regress over time, while keloids extend beyond the wound edges and may persist or grow progressively over months or years.3,4 Risk factors for the development of…
