Hypertrophic vs Keloid the classification is mainly academic. Keloids expand beyond the wound. Hypertrophic can go away with time where Keloids are permanent unless treated.
Keloid:
- Pink to purple and shiny
- Extends beyond the boundary of the wound
- Rounded
- Can be painful
Hypertrophic:
- Red to pink, can also be hypopigmented – without pigment.
- Does not extend beyond the wound.
- Get’s better with time
- Nodular or non uniform structure
See how they can be confused and hard to classify, often a derm is needed with a trained eye to look at the wound super close.
They can reoccur in many patient types even with treatment as the body makes excess tissue in these people.
Goto a Dr with Skill treating them (ask how many have you treated, and B&A pics, also treatment methods).