Improving a Hypertrophic Scar

A Hypertrophic scar can feel overwhelming - raised, firm, uncomfortable, and often more noticeable than we’d like. The positive news is that scar improvement is absolutely possible with the proper care, consistency, and evidence-based treatments. At Genova Skincare, we’re passionate about helping women feel confident in their skin at every stage of life, including those navigating post-surgery recovery, burns, trauma scars, and hormonal changes.

This guide walks you through why hypertrophic scars form, what really works to improve them, and how Genova Silicone Scar Gel can help restore a smoother, softer appearance over time.

What Are Hypertrophic Scars and Why Do They Form?

Hypertrophic scars are raised and firm, usually staying within the boundary of the original injury. They’re a result of collagen overproduction during healing. If your skin forms too much collagen too quickly, the scar rises above the surface and becomes thicker or more pronounced. These scars can develop after burns, surgical procedures, acne, trauma, or even minor cuts that didn’t heal smoothly.

Unlike keloids - which grow beyond the wound edges - hypertrophic scars don’t spread but can still be highly visible or uncomfortable. Their texture may feel tight, itchy, dry, or irritated. Areas of high tension, such as the chest, shoulders, or joints, are especially prone to this type of scarring.

How Wound Care Influences Long-Term Scarring

The early healing phase plays a significant role in determining the scar’s final appearance. Fresh wounds need the right environment: moist, clean, and protected. Once the surface has fully closed and stitches have been removed, you can transition into targeted scar management.

Avoid:

• Picking at scabs
• Harsh scrubbing
• High UV exposure
• Activities that stretch or pull on the healing skin

Simple early-care habits reduce inflammation and promote smoother healing.

The Most Effective Treatments for Improving Hypertrophic Scars

Scar improvement isn’t one-size-fits-all, but several treatments are clinically proven to soften, flatten, and fade hypertrophic scars over time.

Silicone Gel Treatments (Gold Standard)

Silicone remains the most recommended, dermatologist-endorsed treatment for hypertrophic scars. By creating a breathable, protective layer over the skin, silicone helps regulate hydration, reduce redness, ease itchiness, and control excess collagen production.

This is where Genova Silicone Scar Gel shines. Developed with high-quality, medical-grade silicone, it delivers an elegant, fast-drying formula that suits even the most sensitive skin. It fits seamlessly into your daily routine, whether you’re managing a surgical scar, burn recovery, or a long-standing hypertrophic scar.

Laser Therapy

Dermatologists often use fractional or pulsed-dye lasers to reduce redness and stimulate remodelling. This option works well for tough or older scars but is usually used alongside silicone for the best outcome.

Steroid Injections

For thick or itchy scars, steroid injections help shrink excess tissue and calm inflammation. This is particularly useful for early, substantial hypertrophic scars.

Microneedling

Microneedling creates tiny micro-channels in the scar, encouraging healthy collagen regeneration and a smoother texture over time.

Cryotherapy and Surgery

Freezing techniques and surgical scar revision are usually reserved for severe cases, and both should always be followed by silicone therapy to maintain results.

Why Genova Silicone Scar Gel Is a Perfect Fit for Hypertrophic Scars

Silicone gels are widely recognised as a first-line treatment because they effectively address the core issue: collagen imbalance. The Genova Silicone Scar Gel formula is specifically designed for raised, firm, red, or itchy scars, offering:

• Visible softening and flattening of raised scars
• Reduction in dryness, irritation, and itch
• Support for both new and old hypertrophic scars
• A lightweight, invisible finish suitable for daily wear
• Suitability for sensitive, hormonally-changing or mature skin

This makes it an ideal option for women experiencing skin changes during peri-menopause and menopause, when healing processes naturally slow and scars may take longer to settle.

How to Use Genova Silicone Scar Gel for Best Results

For optimal improvement:

• Apply a thin layer twice daily
• Use consistently for 8–12 weeks for new scars
• Continue for 3–6 months for older or thicker scars
• Protect the area with SPF 50+ daily
• Pair with a gentle massage once the gel has absorbed

Consistency is the deciding factor in scar improvement. Small daily applications build up to significant long-term change.

At-Home Strategies to Support Scar Softening

While silicone gel is essential, a few simple habits can boost results:

Gentle Scar Massage

Massaging the area in small circular motions helps soften and disperse tight collagen bundles. This works well after Genova Silicone Scar Gel has been absorbed.

Sun Protection

UV exposure darkens scars and can slow improvement. A high-quality sunscreen is essential.

Hydration and Barrier Support

Supporting the skin with hydrating ingredients - such as medical-grade silicone, Vanistryl, and a skin probiotic - can help maintain comfort and flexibility during remodelling.

Lifestyle Factors That Influence Healing

Skin heals best when the body has the right resources to support collagen remodelling.
Key factors include:

• Nutrition: Prioritise vitamin C, zinc, protein, and omega-3s
• Sleep: Deep rest helps regulate cellular repair
• Stress levels: Chronic stress slows wound healing
• Smoking or alcohol: Both compromise blood flow and skin repair

These factors play a meaningful role in the speed and quality of scar improvement.

When to Seek Professional Support

If your hypertrophic scar becomes painful, rapidly thickens, limits movement, or doesn’t respond after 12 weeks of consistent care, it may be worth consulting a dermatologist. They may recommend combination approaches like laser treatment, microneedling, or steroid injections- but silicone gel remains the foundation.

Preventing Future Hypertrophic Scars

If you’re preparing for surgery or prone to raised scarring, prevention is key. Keep fresh wounds moist, covered, and protected. Once fully closed, begin silicone therapy early - it’s one of the most effective ways to prevent raised scarring.

Final Thoughts

While hypertrophic scars can be challenging, the path to improvement is transparent, evidence-based, and absolutely achievable. With consistent care, sun protection, and the proven benefits of medical-grade silicone, raised scars can soften, flatten, and become far less noticeable over time. Genova Silicone Scar Gel offers a trusted, high-quality option for women wanting smoother, healthier-looking skin with confidence.

FAQs

1. Can hypertrophic scars go away completely?

They rarely disappear entirely, but proper treatment can dramatically reduce thickness, redness, and discomfort.

2. How long should I use silicone gel?

Most people need 8–12 weeks for newer scars and 3–6 months for older scars.

3. Does Genova Silicone Scar Gel work on surgical scars?

Yes- it’s ideal for closed surgical wounds once the skin surface has completely healed.

4. Can I use silicone gel on old scars?

Absolutely. Older scars respond well, though they may take longer to soften.

5. Do hypertrophic scars itch?

Yes, itchiness is common due to collagen build-up. Silicone gel helps reduce this.