• Loss of normal papillary dermis and reticular dermis contrast
  • Single homogenous hyperreflective texture corresponding to densely packed collagen bundles minimal fluid
  • Fine vessels may be evident in healing scars
  • Can occur with a hyporeflective area underneath scar indicating perivascular lymphocytic infiltrate (*)


  • Similar to scar tissue healed biopsy sites have increased dermal collagen hyperreflectivity and a more homogenous texture
  • Typical skin structures: hair follicles, glands and vessels are typically absent, however fine vessel structures may occur
  • Biopsy scars typically appear as hyperreflective wedges in the dermis further indicated by the change in collagen texture

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