Effective Post-Surgery Scar Management for Gynecomastia Patients - Plastic Surgery

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Postoperative care


Hello, doctor.
I would like to ask, it has been about six months since I had gynecomastia surgery, and the scars are still very noticeable and have not faded.
What medications can I apply to make the scars less visible?

Xiao Wu, 30~39 year old female. Ask Date: 2016/10/05

Dr. Lu Daokuan reply Plastic Surgery


If the scar is red, swollen, and raised, a follow-up appointment for treatment is necessary.
If the color is prominent, you can apply a nourishing lotion or scar cream.

Reply Date: 2016/10/05

More Info


After undergoing gynecomastia surgery, it is common for patients to be concerned about the appearance of scars. Scarring is a natural part of the healing process, but there are effective strategies to manage and minimize the visibility of scars post-surgery. Here are some recommendations and treatments that can help improve the appearance of scars after gynecomastia surgery:
1. Silicone Gel Sheets or Silicone Gel: One of the most effective treatments for scar management is the use of silicone gel sheets or silicone gel. These products create a protective barrier over the scar, which helps to hydrate the scar tissue and can significantly improve its appearance over time. They are typically recommended to be used for at least 12 hours a day for several weeks to months.

2. Topical Treatments: Over-the-counter topical treatments containing ingredients like vitamin E, onion extract (found in products like Mederma), or other scar-reducing compounds can be beneficial. While the evidence on vitamin E is mixed, some patients report positive results. It’s essential to apply these products consistently and as directed.

3. Massage Therapy: Gentle massage of the scar tissue can help break down collagen fibers and improve blood flow to the area, which may promote healing and reduce the appearance of the scar. Use a moisturizing lotion or oil to facilitate the massage, and perform this for a few minutes daily.

4. Sun Protection: Protecting the scar from sun exposure is crucial. UV rays can darken scars, making them more noticeable. Use a broad-spectrum sunscreen with an SPF of 30 or higher on the scar when exposed to sunlight, and consider wearing protective clothing.

5. Laser Therapy: If the scar remains prominent after several months, consulting a dermatologist or plastic surgeon about laser therapy may be beneficial. Laser treatments can help reduce redness, flatten raised scars, and improve overall texture. This option is typically considered for scars that do not respond to topical treatments.

6. Chemical Peels or Microneedling: These procedures can also be effective in improving the appearance of scars. Chemical peels remove the outer layer of skin, promoting new skin growth, while microneedling stimulates collagen production in the skin, which can help improve the texture and appearance of scars.

7. Consultation with a Specialist: If you find that your scars are not improving with at-home treatments, it may be worthwhile to consult with a dermatologist or a plastic surgeon who specializes in scar management. They can provide tailored advice and treatment options based on your specific situation.

8. Patience and Time: It’s important to remember that scars can take time to mature and fade. The healing process can vary from person to person, and it may take several months to a year for scars to fully mature and become less noticeable.

In conclusion, while it can be frustrating to deal with noticeable scars after gynecomastia surgery, there are multiple effective strategies for scar management. Consistent use of silicone products, topical treatments, sun protection, and professional interventions can all contribute to improved scar appearance. If you have concerns about your scars, don’t hesitate to reach out to your healthcare provider for personalized advice and treatment options.

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