Hypertrophic Scarring

 Occurs within limits of scar

 Usually along flexor surfaces and skin creases
 No genetic predisposition
 Possibly due to local ischaemia from wound tension

Keloid Scarring

 Extends beyond wound margins

 Common in ear lobes, chin, neck, shoulder and chest
 Genetic: Black and Hispanic races
 Females > Males
 Associated with IgG, IgM, C3 and ANAs (immunogenic)