Scar Healing: Addressing Swelling and Discoloration After Injury - Plastic Surgery

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When dealing with scar healing, especially after a significant injury like a deep cut that involved tendon damage, it is essential to understand the biological processes at play and how to care for the affected area. Based on your description and the images provided, it seems you are experiencing ongoing redness, swelling, and occasional discoloration (purple) around the scar site. Let’s address your concerns systematically.

1. Why is there still redness and swelling?
The redness and swelling you are observing can be attributed to several factors. After an injury, the body initiates a healing response that involves inflammation. This is a natural part of the healing process where blood flow increases to the area to deliver necessary nutrients and immune cells to fight any potential infection. The swelling can be due to fluid accumulation in the tissues, which is also part of the inflammatory response.
In your case, since the injury was deep and involved the tendon, it is possible that the healing process is still ongoing beneath the surface. The body may still be forming new tissue (granulation tissue) and repairing the damaged tendon, which can contribute to the visible swelling and redness. Additionally, if the scar tissue is thickening or if there is any tension on the scar (for example, from movement), this can also lead to increased redness and swelling.

2. What can be done to reduce swelling and improve the appearance of the scar?
To manage swelling and improve the appearance of the scar, consider the following strategies:
- Compression: Using a compression bandage can help reduce swelling by preventing fluid accumulation. However, ensure that it is not too tight, as this could impede circulation.


- Elevation: Whenever possible, elevate the injured area above the level of the heart. This can help reduce swelling by promoting venous return and decreasing fluid buildup.


- Cold Therapy: Applying ice packs to the area for 15-20 minutes several times a day can help reduce swelling and numb the area, providing temporary relief from discomfort.


- Scar Massage: Once the wound has fully healed and there are no open areas, gentle massage of the scar tissue can help break down dense scar tissue and improve flexibility. Use a moisturizing lotion or silicone gel to facilitate this process.


- Silicone Gel Sheets or Scar Creams: These products can help flatten and soften scars over time. They work by providing a moist environment and may help in reducing redness and improving the overall appearance of the scar.

3. Should you seek further medical evaluation?
Given that you are experiencing persistent symptoms, it would be prudent to consult with a healthcare professional, especially if the swelling and discoloration do not improve with home care measures. A doctor can assess for any underlying issues such as infection, improper healing, or complications related to the tendon injury. They may recommend imaging studies or refer you to a specialist, such as a dermatologist or a plastic surgeon, for further evaluation and management.

In summary, while some redness and swelling can be normal during the healing process, persistent symptoms warrant further investigation. Implementing the suggested home care strategies may help alleviate your symptoms, but do not hesitate to seek professional advice if you have concerns about your healing process. Remember, proper care and monitoring are crucial for optimal recovery and scar management.