Q. Can children develop hypertrophic scars after scar excision?
Answered by Dr. Sandeep Dawre and medically reviewed by iCliniq medical review team.
Hello doctor,
My son has one somewhat large scar on the right side of his neck and a small scar on the left side of his neck from a burn injury since 10 months ago. He has received three laser treatments, and it looks much, much better. My son is almost 2 years old. Our plastic surgeon would do a scar excision if we wanted him too (or more laser treatments) but is leaving it up to us. I have read that other plastic surgeons say to wait until the teens so that the natural growth factors produced by a child do not result in a more hypertrophic scar after scar excision. Are children really more susceptible to the formation of hypertrophic scars after scar excision? I am trying to determine if scar excision is really the best option for him.
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Dr. Sandeep Dawre
MBBS., MS ( GENERAL SURGERY )., MCH ( PLASTIC AND RECONSTRUCTIVE SURGERY
Cosmetology, General Surgery, Plastic Surgery – Reconstructive And Cosmetic
Hi,
Welcome to icliniq.com.
Your son has a post-burn hypertrophic scar over the submandibular region.
Probable diagnosis:
Post-burn hypertrophic scar.
Treatment plan:It is better not to do any surgery now for the scar as if the surgery is done, there will be a risk of hypertrophic scar again. This scar will improve over the period. Scar revision can be done later if wanted when the patient is a little grown-up.
Preventive measures:To improve scar, the following can be done.
Scar massage, silicone gel to be applied twice a day, pressure garment if possible to reduce the chance of hypertrophic scarring.
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