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The scars attributable to elevated tissue formation are called keloids or hypertrophic scars. The phrase hypertrophy means “enlargement” or “overgrowth.” Both hypertrophic and keloid scars are related to extreme amounts of the cell substance collagen. Overproduction of collagen is a response of skin cells to harm. The excess collagen becomes piled up in fibrous masses, resulting in a attribute agency, smooth, normally irregularly-shaped scar. The photo exhibits a typical severe acne keloid: