Post-surgical skin scars
Hello! I had surgery for cellulitis on my left cheek in June, which involved drainage and debridement, resulting in two scars measuring approximately 0.5 cm and 1 cm.
Now that the wounds have healed, the scars are quite noticeable.
What treatment options are available? Thank you.
ZM, 40~49 year old female. Ask Date: 2021/09/27
Dr. Wu Yuxin reply Dermatology
It could be pigment deposition or hypertrophic scars that may turn into atrophic scars.
The treatment methods differ, so it is important to seek medical attention for confirmation.
Reply Date: 2021/09/27
More Info
Post-surgery scars, especially on the face, can be a significant concern for many individuals. Given your situation, where you have two noticeable scars on your left cheek following surgery for cellulitis, there are several effective treatments and care strategies you can consider to improve the appearance of these scars.
1. Silicone Gel Sheets or Silicone Gel
Silicone gel sheets and silicone gel are among the most recommended treatments for scars. They work by hydrating the scar tissue and creating an optimal healing environment. Studies have shown that silicone can help flatten and soften scars, making them less noticeable. You can apply silicone gel or sheets to the scars for several hours a day, and it’s often recommended to use them for at least 12 weeks for the best results.
2. Topical Treatments
There are various topical treatments available that can help improve the appearance of scars. Products containing ingredients like vitamin E, onion extract (found in products like Mederma), or hydroquinone for skin lightening may be beneficial. However, it's essential to note that while some people find these products helpful, results can vary, and they may not work for everyone. Always consult with a dermatologist before starting any new topical treatment to ensure it’s appropriate for your skin type and the nature of your scars.
3. Pressure Therapy
For some types of scars, especially hypertrophic scars or keloids, pressure therapy can be effective. This involves using pressure garments or silicone sheets to apply consistent pressure to the scar, which can help flatten it over time. This method is often used in conjunction with other treatments.
4. Laser Therapy
Laser treatments can significantly improve the appearance of scars. Fractional laser therapy, for instance, can help resurface the skin and promote collagen production, which can lead to smoother skin texture. This treatment usually requires multiple sessions and should be performed by a qualified dermatologist or plastic surgeon.
5. Microneedling
Microneedling is another option that involves using tiny needles to create micro-injuries in the skin, which stimulates the body’s natural healing process and collagen production. This treatment can improve the texture and appearance of scars over time.
6. Chemical Peels
Chemical peels can help improve the appearance of scars by removing the outer layer of skin, promoting new skin growth. Depending on the depth of the peel, recovery times can vary, and multiple sessions may be necessary.
7. Surgical Revision
In some cases, if the scars are particularly bothersome, surgical revision may be an option. This involves removing the scar tissue and closing the wound in a way that minimizes the appearance of the scar. This should be considered a last resort and discussed thoroughly with a qualified plastic surgeon.
8. Sun Protection
Regardless of the treatment you choose, protecting your scars from sun exposure is crucial. UV rays can darken scars and make them more noticeable. Use a broad-spectrum sunscreen with an SPF of at least 30 on the affected areas, and consider wearing protective clothing or hats when outdoors.
Conclusion
In summary, there are several effective treatments for post-surgery scars on the face, ranging from topical treatments and silicone gels to more advanced options like laser therapy and surgical revision. It’s essential to consult with a dermatologist or plastic surgeon to determine the best course of action based on the specific characteristics of your scars and your skin type. With the right approach and consistent care, you can significantly improve the appearance of your scars over time.
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