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Signs that people usually want to do something can be divided into atrophic (in which there is depression, ie the tissue becomes smaller than necessary) and convex – hypertrophic or keloid scars. Hypertensive signs are black, heavy spots that stop growing as the wound heals and may shrink over time. The scars of keloid are also heavy, but they extend beyond the wound and may reappear after removal. Both keloid and hypertrophic scars are painful and itchy.