Update on management of keloid and hypertrophic scars: A systemic review

J Cosmet Dermatol. 2021 Sep;20(9):2729-2738. doi: 10.1111/jocd.14310. Epub 2021 Jul 3.

Abstract

Numerous therapeutic strategies have been described for prevention and reduction of hypertrophic scars and keloids, but none of the treatments is effective in all patients. No universal consensus in treatment regimen has been established, and there is limited evidence-based literature to guide the correct management. The process of scar development is complex and requires deeper understanding of the molecular mechanisms that cause their development and recurrences. Despite many available modes of targeting keloid and hypertrophic scars, yet they remain an ongoing challenge to patients and clinicians. To date, no one therapy has been universally accepted as the gold standard for the treatment of all excessive scars nor has the capability of complete scar resolution The search of literature included peer-reviewed articles including clinical trials and scientific reviews. Literature was identified from electronic databases (MEDLINE/PubMed) through May 2021 and references of respective articles and only the articles published in English language were included.

Keywords: Keloids; hypertrophic scars; wound healing.

Publication types

  • Systematic Review

MeSH terms

  • Cicatrix, Hypertrophic* / pathology
  • Cicatrix, Hypertrophic* / therapy
  • Humans
  • Keloid* / pathology
  • Keloid* / therapy
  • Recurrence