Keloid vs Hypertrophic Scars: How to Tell the Difference
Both are raised scars, but they behave very differently — and that difference changes how they should be treated.
Read articleOne of the most common misunderstandings about scars is that healing is finished once the wound has closed. In reality, a scar keeps changing for many months. Understanding the timeline helps set realistic expectations and explains why scar care matters long after the stitches come out.
Immediately after a wound or incision, the body controls bleeding and begins cleaning the area. The wound looks red and may be swollen or tender. This is normal and necessary.
New tissue and tiny blood vessels form to bridge the wound. The scar often looks its reddest and most raised during this stage. This can be alarming, but a firm, pink scar at six weeks is not a sign that something has gone wrong — it is a scar that is still maturing.
Over this long final phase, collagen reorganises and the scar gradually flattens, softens, and fades. Most of the visible improvement happens in the first 6 to 12 months, but subtle changes can continue for up to two years.
Healing speed varies with age, skin tone, genetics, the location and tension of the wound, smoking, nutrition, and whether the wound became infected. Scars over joints or on the chest, where there is constant movement and tension, tend to take longer and stay raised for longer.
Bottom line: a scar is a work in progress for up to two years. Consistent care during the maturing phase gives it the best chance to settle — and if a mature scar is still bothering you, that is the right time to discuss revision options.
Considering scar revision? Dr. Erdal offers a free, no-obligation assessment — send a photo of your scar on WhatsApp for an honest opinion on what can realistically be improved.
Both are raised scars, but they behave very differently — and that difference changes how they should be treated.
Read articleSilicone is the most evidence-backed at-home scar treatment. Here's how sheets and gel compare, and how to use them.
Read articleYou cannot erase a scar completely — but an old, prominent scar can very often be made far less noticeable.
Read articleA free assessment with a double board-certified plastic surgeon — no pressure, no obligation.