They are common in African Americans and in anyone with a history of producing keloids. People with a tendency to form keloids should be closely followed by the doctor. Injection of anti-inflammatory agents may decrease keloid formation. Also, large keloids can be removed, and a graft can be used to close the wound. These occur mostly around joints.
Hypertrophic scars tend to develop a peak size and then get smaller over months to years.
Keloids, on the other hand, rarely go away. For people with hypertrophic scars, a firm pressure dressing may aid in preventing them from forming. Nine stitches were used to close the wound. Staples were used to close the wound after the operation. This picture was taken 1 week after his fall.