Can wound care cream prevent scar hyperplasia

The answer is not simply yes or no, it depends on what ingredients you use and at what stage you use it. Most ordinary wound care creams that focus on basic debridement and moisturizing have no effect on preventing scar hyperplasia at all. Only special care products containing clear anti-proliferative ingredients such as medical silicone and asiaticoside can have a certain inhibitory effect if they are used regularly during the proliferative period after the wound is completely healed.

I met a little girl who just went to college in the dressing room last week. She broke her arm while riding a shared bicycle. As soon as the scab fell off on the bruised area, she applied ordinary moisturizing care cream at home every day. I originally expected that there would be no scars, but within three weeks, the scars turned red and shiny, felt hard and itchy, and it was obviously hyperplasia. I was so anxious that I almost shed tears.

You can’t blame the little girl for not understanding this. Many care creams on the market are promoted under the banner of “preventing scarring”, and many people can’t tell the difference between ordinary care and anti-proliferation. Most of the functions of ordinary wound care creams are to isolate external pollution, keep the wound surface moist and reduce pulling pain when the wound is not healed. At most, it can reduce the probability of repeated damage and scarring due to dryness and cracking of the wound. However, it has no effect at all on the fibroblasts that proliferate randomly in the dermis after the wound has healed. To put it bluntly, hyperplasia is like "excessive force" when the skin is healing, and excess tissue is grown. Ordinary care creams cannot even penetrate into the dermis layer, and of course they cannot control this "violence".

As for those nursing creams with anti-proliferation effects, the core ingredients are mostly medical silicone. When applied to the scars that have grown, they will form a thin and breathable protective film to control the hydration of the scars within an appropriate range. This is equivalent to putting a brake on the skin that has been "exerted too much" and slowly slowing down the rate of proliferation. But it does not mean that it will not last 100% after using it. If you have scars, or the wound is so deep that it damages the deep layer of the dermis, and it is repeatedly inflamed and infected during healing, it may leave hypertrophic scars even if you apply it every day. This kind of situation often needs to be controlled with pressure patches, scar needles or even fractional lasers.

Some people say that even if they apply ordinary nursing cream, there will be no growth. In fact, it is mostly because the wound itself is shallow and only hurts the epidermis. In addition, the body is not easy to leave scars. Even if you don't apply anything, the scar will probably not grow. It has nothing to do with the nursing cream used. If you are injured at ordinary times, first perform debridement care on the unhealed wound. After the scab has completely fallen off and there is no exudate on the surface, you can then consider using anti-proliferation care products. If you are not sure about the ingredients, just ask the doctor directly. Don't apply them randomly, which will delay things.