Molecular Medicine

, Volume 17, Issue 1–2, pp 113–125 | Cite as

Hypertrophic Scarring and Keloids: Pathomechanisms and Current and Emerging Treatment Strategies

  • Gerd G. Gauglitz
  • Hans C. Korting
  • Tatiana Pavicic
  • Thomas Ruzicka
  • Marc G. Jeschke
Review Article


Excessive scars form as a result of aberrations of physiologic wound healing and may arise following any Insult to the deep dermis. By causing pain, pruritus and contractures, excessive scarring significantly affects the patient’s quality of life, both physically and psychologically. Multiple studies on hypertrophic scar and keloid formation have been conducted for decades and have led to a plethora of therapeutic strategies to prevent or attenuate excessive scar formation. However, most therapeutic approaches remain clinically unsatisfactory, most likely owing to poor understanding of the complex mechanisms underlying the processes of scarring and wound contraction. In this review we summarize the current understanding of the pathophysiology underlying keloid and hypertrophic scar formation and discuss established treatments and novel therapeutic strategies.


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Copyright information

© The Feinstein Institute for Medical Research 2011

Authors and Affiliations

  • Gerd G. Gauglitz
    • 1
    • 2
  • Hans C. Korting
    • 1
  • Tatiana Pavicic
    • 1
  • Thomas Ruzicka
    • 1
  • Marc G. Jeschke
    • 2
    • 3
    • 4
    • 5
  1. 1.Department of Dermatology and AllergologyLudwig Maximilians UniversityMunichGermany
  2. 2.Shriners Hospitals for Children, Department of SurgeryUniversity Texas Medical BranchGalvestonUSA
  3. 3.Ross Tilley Burn CentreSunnybrook Health Sciences CentreTorontoCanada
  4. 4.Sunnybrook Research InstituteSunnybrook Health Sciences CentreTorontoCanada
  5. 5.Department of Surgery, Division of Plastic SurgeryUniversity of TorontoTorontoCanada

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