Managing Hypertrophic Scars After Arm Surgery: What to Expect - Plastic Surgery

More Info

---

Managing hypertrophic scars after surgery can be a challenging process, especially when the scar is located near a joint, as is the case with your arm. Hypertrophic scars are raised scars that can develop after an injury or surgery, and they occur due to an overproduction of collagen during the healing process. Here’s what you can expect and some strategies for managing your scar.


Understanding Hypertrophic Scars
Hypertrophic scars are often red, raised, and can feel itchy or uncomfortable. They are different from keloids, which extend beyond the original wound site. Hypertrophic scars typically remain within the boundaries of the injury but can still be quite prominent. The good news is that many hypertrophic scars can improve over time, becoming flatter and less noticeable, although this process can take months or even years.


Surgical Considerations
Regarding your concern about the removal of the internal fixation plate, it is important to discuss this with your surgeon. In some cases, reopening the scar to remove hardware can lead to further trauma to the area, potentially exacerbating the hypertrophic scar. The new incision may also heal in a similar manner, leading to another hypertrophic scar. However, if the plate is causing discomfort or complications, the benefits of removal may outweigh the risks. Your surgeon can provide guidance based on the specifics of your situation.


Scar Management Strategies
1. Silicone Gel Sheets or Gels: These are often recommended for scar management. They can help flatten and soften hypertrophic scars. It’s important to apply them consistently and as directed. If you’ve been using a silicone gel and haven’t seen results, ensure you’re using it correctly and for an adequate duration.

2. Pressure Therapy: This involves applying pressure to the scar using specialized garments. This method is particularly effective for hypertrophic scars and can help flatten them over time.

3. Steroid Injections: Corticosteroid injections can be effective in reducing the thickness and redness of hypertrophic scars. They work by reducing inflammation and collagen production. However, there is a risk that the scar could return or worsen after treatment, so this should be discussed thoroughly with your dermatologist or plastic surgeon.

4. Laser Therapy: Various laser treatments can help improve the appearance of hypertrophic scars. These treatments can reduce redness and flatten the scar. Consult with a dermatologist who specializes in scar treatment to explore this option.

5. Massage Therapy: Gentle massage of the scar tissue can help break down collagen fibers and improve blood flow to the area, which may aid in the healing process.

6. Time: Often, hypertrophic scars will improve on their own over time. It’s essential to be patient and continue with your scar management regimen.


What to Avoid
- Avoid Sun Exposure: Protect your scar from sun exposure, as UV rays can darken scars and make them more noticeable.

- Avoid Picking or Scratching: This can irritate the scar and lead to further complications.


Conclusion
Managing hypertrophic scars requires a multifaceted approach, and it’s essential to work closely with your healthcare providers to determine the best course of action for your specific situation. If you are considering any treatments, such as steroid injections or laser therapy, consult with a specialist who can provide personalized advice based on your scar's characteristics and your overall health. Remember, while hypertrophic scars can be frustrating, many treatment options are available to help improve their appearance.