Which naturopathic interventions are suggested for hypertrophic scarring and keloid prevention?

• A. Topical centella or calendula, topical vitamin A and E
• B. Aloe vera only
• C. Garlic paste
• D. Essential oils of lemon

Answer: (A)

Hypertrophic scars and keloids come from overactive scar formation during healing, so naturopathic strategies focus on calming inflammation and guiding collagen remodeling toward a normal scar. Topical centella asiatica (gotu kola) and calendula are traditional wound-healing agents that support this process: centella stimulates collagen synthesis and neovascularization while promoting stronger tissue, and calendula provides anti-inflammatory and soothing effects that help the healing environment settle. Adding topical vitamins A and E addresses epidermal and dermal remodeling plus antioxidant protection—Vitamin A influences keratinocyte and fibroblast activity to encourage proper scar remodeling, while Vitamin E helps protect cells and may improve scar pliability and appearance when used with other healing agents. This combination targets the multiple factors involved in abnormal scarring, making it the most comprehensive option among the choices.

Aloe vera alone can aid moisture and basic healing but doesn’t specifically target hypertrophic scar prevention. Garlic paste can irritate skin and provoke dermatitis, offering no proven scar-prevention benefit. Essential oils of lemon are irritating and phototoxic, not appropriate for healing wounds or scar prevention.