Managing Scars After Surgery: When to Seek Dermatology Care - Dermatology

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Managing scars after surgery is an important aspect of post-operative care, especially for patients who have undergone procedures that leave visible marks on the skin. In your case, having a scar of approximately 3.5 cm on your neck after endoscopic surgery for a condition like sarcoma can understandably cause concern, particularly with the scar being red even after three months.

Firstly, it is essential to understand that the healing process for scars can vary significantly from person to person. Scars typically go through several phases: the inflammatory phase, the proliferative phase, and the remodeling phase. The inflammatory phase can last for several weeks, during which redness, swelling, and discomfort are common. The proliferative phase involves the formation of new tissue, and the remodeling phase can take months to years, during which the scar may become less noticeable.

In your situation, since you are still experiencing redness after three months, it is not uncommon. Many scars can remain red for several months, and this redness may gradually fade over time. However, the use of silicone gel sheets or adhesive strips, like the 3M silicone gel sheets you mentioned, is a well-supported method for scar management. These products help to hydrate the scar tissue, reduce redness, and improve the overall appearance of the scar.

Regarding your question about whether to continue using the silicone gel sheets, it is generally advisable to keep using them as long as they are comfortable and you are seeing some improvement. These sheets can be left on for extended periods, and many dermatologists recommend using them for at least 12 weeks for optimal results. If you notice any signs of irritation or if the scar seems to worsen, it would be prudent to reassess your treatment approach.

As for whether you should seek dermatology care, it depends on a few factors. If the scar remains significantly red, raised, or if you experience any pain, itching, or changes in the scar's appearance, it would be wise to consult a dermatologist. They can evaluate the scar and determine if additional treatments, such as corticosteroid injections, laser therapy, or other interventions, might be beneficial. Dermatologists can also provide guidance on the best practices for scar management tailored to your specific situation.

In summary, continue using the silicone gel sheets as they can be effective in managing the appearance of your scar. Monitor the scar for any changes, and if you have concerns about its appearance or if it does not improve over time, do not hesitate to seek dermatological advice. Early intervention can often lead to better outcomes in scar management, so it's always better to err on the side of caution when it comes to your skin health.