Silicon gels can be used as well as massaging however this can be slow and not always work. The worst forms of scarring are hypertrophic or keloid scarring that commonly occur in fair skin or darker skin types in areas such as the chest, breast and shoulders. Treatments for this are difficult and in some cases can make them worse. The main treatments involve steroid injections into the scar or steroid tape. These often need to be repeated every 2-3 months to see the best results. IPL laser can also help reduce the redness.