RT Book, Section A1 Tannous, Zeina A1 Avram, Mathew M. A1 Tsao, Sandy A1 Avram, Marc R. SR Print(0) ID 1175823788 T1 Hypertrophic Scars, Keloids, and Acne Scars T2 Color Atlas of Cosmetic Dermatology, 2e YR 2011 FD 2011 PB The McGraw-Hill Companies, Inc. PP New York, NY SN 9780071635035 LK dermatology.mhmedical.com/content.aspx?aid=1175823788 RD 2022/08/19 AB Hypertrophic scars and keloids are both characterized by excess fibrous tissue at a site of injury in the skin. Hypertrophic scars are confined to the original wound site, whereas keloids, by contrast, extend beyond the original wound site (Table 61.1). Both are common and frequently disturb patients greatly, both as an unsightly scar as well as a reminder of previous trauma or surgery. Acne scars result from the loss of underlying collagen and elastic tissue from dermal inflammation associated with acne, particularly cystic acne. Acne scars are also very common and a source of distress to the patient, both for their obvious appearance on the face as well as a reminder of previous acne.