Hypertrophic scars and Keloids are exuberant fibrous repair tissues after a cutaneous injury. Most often the color of the normal skin but also bright red, bluish. May be linear after traumatic or surgical injury.

Individuals prone to hypertrophic scars or keloids should be advised to avoid cosmetic procedures such as ear pierching.

Intralesional injection of triamcinolone acetonide every month may reduce pruritus its volume and flatten it or we can combine Cryotherapy and intrealesional triamcinolone. Over this, Silicone Cream and Silicone Gel Sheet reported to be beneficial in keloids and is painless and noninvasive.