Post-Surgery Wound Issues: Healing, Scar Softening, and Lip Deformity Concerns

Postoperative wound issues?

Hello Doctor, in early April of this year, I underwent surgery due to a blockage in the salivary gland of my lower lip.
During the healing process, the wound became infected due to foreign body rejection from the sutures, and I had to undergo another procedure to remove some tissue.
Currently, the wound does not show any abnormalities, but I experience numbness and occasional warmth, and the area around the wound feels a bit hard, although it is not painful to touch.
I would like to know how long it typically takes for this condition to improve and whether the wound will soften.
What can I do to accelerate scar softening? Additionally, my mouth has slightly changed shape; will this return to normal after the wound softens? Thank you for your assistance.

Jun, 30~39 year old female. Ask Date: 2022/07/18

Dr. Chen Bingze reply Surgery

Hello, it is indeed true that the initial healing of a wound can feel hard to the touch, as you mentioned.
The hardness is due to inflammation; please do not misunderstand this.
Any trauma can cause inflammation, which is necessary for bringing in the repair cells.
Over time, the tissue should soften, but this may take some time (possibly one to two months or even longer).
Currently, there are no specific methods to definitively accelerate the softening of scars.
Maintaining a balanced diet, having a regular routine, and possibly taking some vitamin supplements may help.
I hope this response is helpful to you!

Reply Date: 2022/07/18

More Info

Post-surgery wound healing, particularly in sensitive areas like the lower lip, can be a complex process influenced by various factors. Based on your description, it seems you have experienced complications such as infection and foreign body reaction, which can significantly affect healing. Let’s address your concerns systematically.

Healing Timeline and Scar Softening
1. Healing Duration: The healing process can vary greatly depending on the individual, the extent of the surgery, and any complications that arose. Typically, initial healing of the skin can take anywhere from a few weeks to a couple of months. However, deeper tissues may take longer to heal completely. Given that you have experienced complications, it may take additional time for your wound to heal fully.
2. Scar Softening: Scars often start out firm and may feel hard or raised. Over time, most scars will soften and flatten, but this process can take several months to a year. Factors that can influence scar maturation include your age, skin type, and the care you provide to the scar.

Accelerating Scar Softening
To promote scar softening and improve the overall appearance of the scar, consider the following strategies:
- Moisturization: Keeping the scar moisturized can help in softening it. Use silicone gel sheets or silicone ointments, which are known to be effective in scar management.

- Massage: Gently massaging the scar with a moisturizing lotion can help break down collagen fibers and improve blood circulation to the area. This should be done with caution and only after the wound has sufficiently healed to avoid causing further irritation.

- Sun Protection: Protecting the scar from sun exposure is crucial, as UV rays can darken scars and make them more noticeable. Use sunscreen with a high SPF on the scar when exposed to sunlight.

- Topical Treatments: Over-the-counter products containing ingredients like vitamin E, onion extract (found in products like Mederma), or other scar treatment formulations may help. However, results can vary, and it’s best to consult with your healthcare provider before starting any new treatment.

Concerns About Lip Deformity
Regarding the slight deformity you mentioned, it is not uncommon for surgical sites, especially in the lip area, to appear slightly altered post-healing. As the scar matures and softens, there is a good chance that the appearance of the lip will improve. However, the extent of improvement can depend on various factors, including:
- Scar Location: The lip area is dynamic and can change with movement, which may help in the healing process.

- Tissue Elasticity: The inherent elasticity of your skin and underlying tissues will play a role in how well the area returns to its pre-surgery appearance.

If the deformity persists or worsens, or if you have concerns about the functionality of your lip (such as difficulty in movement or eating), it may be beneficial to consult with a plastic surgeon or a dermatologist who specializes in scar revision or reconstructive surgery.

Conclusion
In summary, while the healing process can be slow and sometimes frustrating, it is essential to be patient and proactive in your care. Regular follow-ups with your healthcare provider will help monitor your progress and address any complications early on. If you have any further questions or concerns, do not hesitate to reach out to your medical team for personalized advice.

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