Scar Care After Surgery
Benefits of Scar Treatment
A scar forms from the natural healing process that occurs in response to an incision
placed during surgery. Scar tissue goes through phases of healing and can often
appear red or mildly elevated during this natural process. Scars can be improved by
topical products and scar massage. Caring for your scar can help improve its
appearance. Patients with a higher risk of abnormal scarring include those with previous
history of hypertrophic or keloid scars or patients with darker skin pigmentation. In
addition, incisions in higher tension areas or over parts of the body that engage in
repetitive movement may result in widened or unsightly scars.
How to Manage Your Scar
Patient participation is critical in achieving an optimal scar. Scar management occurs
once your incision is sufficiently healed. This usually happens 4-6 weeks after surgery.
Optimal scar management includes a silicone-based product (silicone gel or silicone gel
sheets), scar massage, and sun avoidance. Scar management is most effective in the
first year following surgery.
Silicone-based products
Silicone-based scar gel can be applied over scars twice daily. Alternatively
silicone gel sheets can be applied over scars for 12-24 hours per day. Silicone-
based products increase hydration and oxygen levels in the skin, thereby promoting
favorable scar formation. These products can found on Amazon or at a drugstore in
the band-aid section)
Scar Massage
Scar massage desensitizes the area and reduces scar tightening. Scar massage
can begin 4 to 6 weeks after surgery and should avoid any open part of the incision
(open wounds). When performing massage, rub in a circular motion on and around
your scar. Use firm, even pressure for 2-3 minutes. Perform this 2 times a day. Dr.
Tanna recommends using a silicone-based scar gel or moisturizing lotion while
massaging your scar to decrease friction at the area.
Sun Avoidance & Sunscreen
In the first year following surgery, ultraviolet radiation from sun exposure can cause
your immature scar tissue to become darker than the surrounding skin. This
hyperpigmented scar may remain darker than the other skin. To help prevent this,
Dr. Tanna recommends that all patients use a sunscreen when outdoors and avoid
prolonged exposure to the sun. This is especially true for new scars (that are readily
exposed to sunlight). The SPF (Sun Protection Factor) should be 30 or higher and
preferably waterproof. Physical sunscreens (zinc, titanium etc.) are thought to be
better than chemical sunscreens. Follow the application directions on the bottle or
tube.
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Suture Extrusion (“Spitting Sutures”)
As your incision heals, it is normal to have some minor redness, swelling, itching, skin
irritation, drainage, and/or small lumps in the skin near the incision. If you notice a small
suture poking through the skin, try to gently remove it with scissors or tweezers. You
can also come to our office so Dr. Tanna can remove it. A spitting suture is a
dissolvable suture under your skin that is rejected by your body before it can completely
dissolve. These spitting sutures can cause swelling, redness and/or oozing at the
incision. This is normal and will eventually go away on its own.
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