Post-Skin Graft Care: Healing and Scar Management

Post-skin graft suture removal?

Hello, my daughter underwent a skin graft two weeks ago for a burn on her left arm, and the skin was taken from her groin area.
Today, the stitches were removed.
We asked the doctor about using silicone gel sheets or any follow-up care, and the doctor advised applying lotion or Aquaphor.
I would like to inquire if it is normal for the area where the skin was taken from the groin to feel a bit firm.
Should we apply anything to soften it or to help with scarring?

Niming, 0~9 year old female. Ask Date: 2017/07/26

Dr. Lu Daokuan reply Plastic Surgery

The area where the skin graft was taken may feel firm during the healing process.
The groin area does not require any special ointment; simply apply the lotion as prescribed by the physician for the graft site.

Reply Date: 2017/07/26

More Info

Post-skin graft care is a crucial aspect of the healing process, especially after a significant injury like a burn. When your daughter underwent a skin graft from the groin area to her left arm, it was essential to follow specific care protocols to ensure optimal healing and minimize scarring.
Firstly, it is normal for the donor site (in this case, the groin area) to feel firm or hard after the grafting procedure. This hardness can be attributed to several factors, including swelling, the healing process of the skin, and the formation of scar tissue. As the skin heals, it may go through various stages, and firmness can be a part of that process. However, it is essential to monitor the area for any signs of infection, such as increased redness, warmth, or discharge.

Regarding the use of lotions or creams, the doctor’s recommendation to apply a moisturizing lotion or a specific product like "Aitoly" is appropriate. Keeping the skin moisturized is vital as it helps to maintain skin elasticity and can aid in the healing process. It is crucial to use a gentle, fragrance-free moisturizer to avoid irritation, especially on sensitive areas like the skin graft site.

In terms of scar management, while it is essential to allow the skin to heal naturally, there are several methods to help soften and reduce the appearance of scars over time. Silicone gel sheets or silicone gel can be beneficial in flattening and softening scars. These products create a protective barrier over the scar, which helps to hydrate the tissue and can improve the overall appearance of the scar. It is advisable to start using silicone products once the wound has fully healed and there are no open areas.

Alpha hydroxy acids (AHAs) or other exfoliating agents are generally not recommended on fresh scars or healing skin, as they can be irritating and may hinder the healing process. Instead, focus on gentle moisturization and protection. If the scar tissue remains firm or if there are concerns about its appearance, consulting with a dermatologist or a plastic surgeon specializing in scar management may be beneficial. They can provide tailored advice and treatment options, including laser therapy, microneedling, or other advanced techniques.

Additionally, it is essential to protect the graft site from sun exposure, as UV rays can darken scars and make them more noticeable. Using a broad-spectrum sunscreen with an SPF of 30 or higher on the healed graft site is advisable once the skin has fully closed. This protection should continue for at least a year post-surgery to minimize discoloration.

In summary, post-skin graft care involves monitoring the healing process, maintaining moisture in the skin, and considering scar management techniques as the skin matures. It is normal for the donor site to feel firm, and with proper care, the appearance of scars can be improved over time. Always consult with healthcare professionals for personalized advice and treatment options tailored to your daughter’s specific situation.

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