Therapy of patients with hypertrophic scars is a rather difficult task, and the amount of treatment methods directly depends on the duration of the existence of the scar, its size and localization. There were 34 patients under observation (mean age 37.4 ± 4.2 years) with hypertrophic scars (the average duration of the scar was 6.7 ± 2.3 months), who were prescribed two procedures of pneumokinetic therapy with glucocorticosteroid and 5-fluorouracil with at intervals of 2 months, a month later, laser therapy was performed using a neodymium laser. in patients with hypertrophic scars after the use of a combined physiotherapy technique, there were significant changes in the parameters of ultrasound scanning: An increase in the thickness of the epidermis by 1.5 times (with the restoration of the architectonics of the epidermal layer), a decrease in the thickness of the dermis by 2.1 times. The acoustic density of the dermis increased by 2.5 times.