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Mechanical load initiates hypertrophic scar formation through decreased cellular apoptosis https://www.ncbi.nlm.nih.gov/pubmed/17504973
So, my hypothesis.
1. Damage atrophic scar with needling, peel, etc.
2. Mechanical load wound with massage, face gymnastic, vibration, etc.
3. Get hypertrophic scar inside atrophic scar.
4. Atrophic scar + hypertrophic scar = normotrophic scar.
It's crazy?