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No one is really sure what causes proud flesh. It is essentially "exuberant granulation tissue" (which is that bubble gum pink stage that your mare is at right now). There is no predicting when a wound will grow proud flesh and when it won't and some individuals seem more prone to it.
Since there is so much variation from wound to wound and horse to horse, there is no proven way to predictably prevent it. Her wound looks like it is healing really really well and I agree that I would mostly leave it alone at this point. Maybe gentle washing if it becomes dirty with feces and such. A good rule of thumb is if you wouldn't slather it on your own wounds, don't put it on your horse!
Since there is so much variation from wound to wound and horse to horse, there is no proven way to predictably prevent it. Her wound looks like it is healing really really well and I agree that I would mostly leave it alone at this point. Maybe gentle washing if it becomes dirty with feces and such. A good rule of thumb is if you wouldn't slather it on your own wounds, don't put it on your horse!
