Relieving Tight Skin After Basal Cell Carcinoma Surgery - Dermatology

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Skin tightness


Hello Dr.
Lee: My father previously had a basal cell carcinoma on his chest, which has been surgically excised.
Recently, he has been feeling discomfort due to tightness in the skin at the excision site.
Are there any methods to improve this condition?

Kristy, 30~39 year old female. Ask Date: 2018/05/08

Dr. Li Yufen reply Dermatology


Hello: Based solely on the textual description, it is not possible to assess the current condition of the surgical scar.
You may try applying a moisturizing lotion to the area to see if the tightness improves.
If there is no progress or if the condition continues to worsen, it is advisable to consult a nearby dermatologist for diagnosis and treatment.
Thank you!

Reply Date: 2018/05/08

More Info


After undergoing surgery for basal cell carcinoma (BCC), many patients experience tightness or discomfort in the skin surrounding the surgical site. This sensation can be attributed to several factors, including the healing process, scar formation, and changes in skin elasticity. Here are some strategies and treatments that may help relieve tight skin after BCC surgery:
1. Moisturization: Keeping the skin well-hydrated is crucial for improving elasticity and comfort. Use a gentle, fragrance-free moisturizer regularly on the affected area. Products containing ingredients like hyaluronic acid, glycerin, or ceramides can be particularly effective in retaining moisture.

2. Silicone Gel Sheets or Silicone Creams: These products can help flatten and soften scars, which may alleviate some of the tightness. Silicone gel sheets are often recommended for scar management and can be applied once the surgical site has healed sufficiently.

3. Gentle Massage: Once the incision has fully healed (usually after a few weeks), gentle massage of the scar tissue can help break down collagen fibers and improve flexibility. Use a moisturizer or oil during the massage to reduce friction. It’s important to be gentle and not to apply too much pressure, as this can cause discomfort.

4. Stretching Exercises: Depending on the location of the surgery, specific stretching exercises may help improve the range of motion and reduce the sensation of tightness. Consult with a physical therapist or occupational therapist for tailored exercises that suit your father’s condition.

5. Topical Treatments: Some topical treatments, such as those containing vitamin E or aloe vera, may help soothe the skin and promote healing. However, the effectiveness of vitamin E in scar treatment is debated, so it’s best to consult with a healthcare provider before starting any new topical regimen.

6. Compression Garments: In some cases, wearing a compression garment may help manage tightness and improve comfort, especially if the surgery was extensive. These garments can provide support and reduce swelling.

7. Consultation with a Dermatologist: If the tightness persists or worsens, it may be beneficial to consult a dermatologist. They can assess the surgical site and recommend additional treatments, such as corticosteroid injections to reduce scar tissue or laser therapy to improve skin texture and elasticity.

8. Avoiding Sun Exposure: Protecting the surgical site from sun exposure is crucial, as UV rays can worsen scarring and tightness. Use sunscreen with a high SPF and wear protective clothing when outdoors.

9. Hydration and Nutrition: Maintaining overall hydration and a balanced diet rich in vitamins and minerals can support skin health and healing. Foods high in antioxidants, such as fruits and vegetables, may promote skin repair.

10. Patience and Time: It’s important to remember that healing takes time. The sensation of tightness may gradually improve as the skin continues to heal and adapt post-surgery.

In summary, while tight skin after basal cell carcinoma surgery can be uncomfortable, there are several methods to alleviate this issue. Regular moisturization, gentle massage, and possibly the use of silicone products can be effective. If discomfort persists, seeking professional advice from a dermatologist or healthcare provider is recommended to explore further treatment options.

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