Patient: When I was one year old, I was burned by a pot of boiling porridge poured over my head. The most serious scar is on the front chest, which is what you call a keloid, uneven and as big as the palm of one’s hand. There is no hyperplasia on my forearm, but there is one area of skin that is clearly different in color from the others. I am now 25 years old, is there any hope for recovery if I want to have surgery? Xiaoli Wu, Department of Plastic Surgery, Shanghai Ninth People’s Hospital: Generally speaking, after a long period of hyperplasia, a proliferative scar will gradually mature and age, the congestion will decrease and the texture of the scar will become soft. However, mature keloid scars may also be slightly above the skin surface and slightly bumpy. I think the scar on your chest is most likely this kind of aging scar. The color of the forearm scar may be hyperpigmentation or depigmentation, better show me a photo. Patient: Indeed, as you said, the scar on the chest is not congested and usually there is no discomfort, but it can be clearly seen. Is it more difficult to remove such an aging scar? Xiaoli Wu, Department of Plastic Surgery, Shanghai Ninth People’s Hospital: Aging scars depend on the situation, but the scars can be surgically removed from exposed parts of the body, with little tension and in the shape of strips. Mild unevenness and color difference can be removed by laser and grinding. If the area is large and relatively flat and soft, no treatment is actually needed.