A 23-year-old woman comes to the physician for a ...
I think it may actually be a keloid, not a hypertrophic scar, as it expands beyond the borders of the original incision.
I believe this is a keloid; a hypertrophic scar does not extend past the borders of it's original incision, while a keloid does. regardless, the answer to this question is the same :)
First AID pg 219
Scar formation: Hypertrophic vs. Keloid