There are several main treatments for hyperplastic scar or keloid 1. Localized pressure, simple and effective. Especially for proliferative scar or keloid on the limbs, localized pressure treatment can be very effective and convenient. For the scar of the trunk, you can also consider wearing elastic jacket for localized compression, but there are some difficulties. Specific implementation measures: elastic sleeve (such as wrist, ankle, knee, calf thigh upper arm forearm elastic sleeve) or elastic bandage for scar and the surrounding parts of the pressure bandage, bandage pressure should be appropriate, neither too tight to cause local vascular and nerve injuries, limb swelling and discomfort, but not too loose to play the effect of pressure, in the absence of compression, as far as possible, a little bit tighter to be good. This method also has a good preventive effect on keloid hyperplasia and keloid scars after limb surgery. Disadvantages: need to adhere to, Advantages: simple and effective Treatment suggestions: routine prevention after surgery, hyperplastic scar or keloid appears when the first choice to try. 2.Topical anti-scar medications, mainly silicone-based, such as Shu Trace and Mepilex, are generally not very effective once hyperplastic scarring or keloid scars appear, and the effective rate is relatively low. Disadvantages: lower effective rate. Advantages: Painless and non-invasive discomfort occurs at a lower rate. Treatment suggestions: routine prevention after surgery, hyperplastic scar or keloid appears when the first choice to try. 3, local hormone injection, this method is effective for most of the keloid hyperplasia and keloid scars, but there is a higher requirement for the doctor’s operation level, and it needs to be injected in three-dimensional keloid scars. Most of the keloid hyperplasia or keloid can be relieved with pain reduction, itching relief, and lowering of the bulge. However, some patients may slowly reappear after the injection, but the appearance of re-injection is usually still effective. Advantages: Higher efficiency. Disadvantages: there is a certain amount of pain when injecting, some patients may have a systemic reaction to hormones, but the systemic reaction to local medication is much smaller. Some patients may have recurrence after treatment. Treatment recommendations: local pressure and topical drug anti-scarring therapy treatment failure when choosing hormone injection. 4, Scar excision, with or without radiation therapy. If the keloid hyperplasia or keloid is caused by infection and other clear reasons in the past, it can be directly excised with plastic surgery and fine suture, and after that, local pressure and topical anti-keloid medication are used, and keloid hyperplasia may no longer occur. If there is no obvious cause of keloid hyperplasia or keloid, it is recommended that after surgical excision auxiliary radiation therapy, radiation therapy, we should not panic, usually 5 days after surgery for 3-5 superficial radiotherapy, not at all equivalent to postoperative radiotherapy for tumors, the specific can be radiotherapy can be consulted on the specific treatment plan. Advantages: better therapeutic effect, generally higher efficiency. Disadvantages: disadvantages of radiotherapy, need for surgical treatment. Treatment suggestions: local pressure, external anti-scarring drugs, hormone therapy is ineffective, choose surgery (or add radiotherapy).