Managing Scarring After Stitches: Tips for Healing a Forehead Injury

Q: Managing Scarring After Stitches: Tips for Healing a Forehead Injury

Dear Mr. <br>Hsueh： You can now consider using scar ointment; the earlier you start applying it, the better. <br>You can also use cosmetic gel, but it is not convenient to use both at the same time. <br>Director Peng Hsien-Wen, Department of Surgery, Nantou Hospital.

Laceration wound above the left eyebrow?

I had a car accident on November 24th, resulting in a 3 cm laceration above my left eyebrow.
I received 7 stitches, and after the stitches were removed, I have been continuously applying adhesive silicone tape.
Now, I'm unsure whether to continue using the silicone tape or to stop and apply scar ointment directly.
The ointment I purchased from the hospital is called Sutrafoam.

Xue Xiansheng, 20~29 year old female. Ask Date: 2020/12/15

Dr. Peng Xianwen reply Surgery

Dear Mr.
Hsueh: You can now consider using scar ointment; the earlier you start applying it, the better.
You can also use cosmetic gel, but it is not convenient to use both at the same time.
Director Peng Hsien-Wen, Department of Surgery, Nantou Hospital.

Reply Date: 2020/12/15

More Info

Managing scarring after stitches, especially on visible areas like the forehead, can be a significant concern for many individuals. Your situation, involving a 3 cm laceration above the left eyebrow that required seven stitches, is not uncommon, and there are several strategies you can employ to promote optimal healing and minimize scarring.

1. Continued Use of Adhesive Tape vs. Scar Creams
After the stitches are removed, it is generally advisable to continue using adhesive tape or silicone gel sheets for a period of time, as they can help flatten and soften the scar. The tape can provide a protective barrier, keeping the area moist and preventing excessive tension on the healing skin. This is particularly important for facial injuries, where movement can affect the healing process.

However, if you feel that the adhesive tape is causing irritation or if the scar appears to be healing well, you may consider transitioning to a scar treatment cream, such as the one you mentioned (舒坦法碼). These creams often contain ingredients that promote healing and can help reduce the appearance of scars. It’s essential to follow the instructions provided with the product and consult with your healthcare provider before making any changes to your treatment plan.

2. Scar Management Techniques
Here are some additional tips for managing your scar effectively:
- Keep the Area Moisturized: Regularly applying a moisturizer or a silicone-based gel can help keep the scar hydrated, which is crucial for healing. This can also reduce itching and discomfort associated with healing skin.

- Sun Protection: Protecting the scar from sun exposure is critical. UV rays can darken scars and make them more noticeable. Use a broad-spectrum sunscreen with an SPF of at least 30 on the scar when exposed to sunlight.

- Gentle Massage: Once the scar has fully healed (usually after a few weeks), gentle massage can help break down the dense collagen fibers that form in scars. Use your fingers to apply gentle pressure in circular motions on the scarred area. This can improve blood flow and promote a more flexible scar.

- Avoid Picking or Scratching: It’s essential to avoid picking at the scab or scar, as this can lead to further irritation and potentially worsen the scar's appearance.

3. Monitoring for Complications
Keep an eye on the healing process. If you notice increased redness, swelling, or discharge from the wound, it could indicate an infection, and you should seek medical attention promptly. Additionally, if the scar appears to be raised or discolored after healing, you may want to consult a dermatologist or a plastic surgeon for further evaluation and potential treatments, such as laser therapy or steroid injections.

4. Long-Term Considerations
Scarring can take time to mature, often up to a year or more. During this time, the appearance of the scar may change, becoming less noticeable as it fades. Patience is key, and following a consistent scar management routine can yield the best results.

In conclusion, it’s important to balance the use of adhesive tape and scar creams based on how your skin responds. Consulting with your healthcare provider or a dermatologist can provide personalized recommendations tailored to your specific situation. Remember, every individual's healing process is unique, and what works for one person may not work for another.

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