Scar Healing After Facial Mole Removal Surgery - Surgery

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Facial mole excision


Dear Doctor,
It has been almost 6 months since my mole removal surgery on my face, but the skin tissue at both ends of the scar is slightly swollen, which becomes noticeable when illuminated from above.
Will this swelling resolve on its own? I consulted with the surgeon, who mentioned that the swelling at both ends is not a dog ear deformity but rather due to the underlying skin tissue still healing, which may take another 2 months.
I would like to hear your opinion on this.
Should I continue using silicone tape? Is it advisable to massage the swollen areas? Thank you.

Mavis, 30~39 year old female. Ask Date: 2022/09/20

Dr. Li Zhonghuai reply Surgery


Hello! After applying the scar gel, let it dry before applying the beauty tape.
Make sure to extend the beauty tape a bit longer at both ends and press it firmly.
Take care! Changhua Hospital cares about you!

Reply Date: 2022/09/20

More Info


After facial mole removal surgery, it is common to experience some degree of scarring, which can vary in appearance and texture. In your case, you mentioned that the scar has been present for about six months, and you are noticing some swelling at the ends of the scar. This is not unusual, as the healing process can take time, and the skin may still be undergoing changes.

Scarring is a complex biological process that involves the formation of new tissue to replace damaged skin. Initially, the body responds to injury by forming a clot, followed by inflammation, tissue formation, and finally remodeling. The remodeling phase can last for several months to even years, during which the scar may change in color, texture, and size. It is important to understand that while some scars may fade and flatten over time, others may remain raised or discolored.

Regarding your specific concerns about the swollen areas at the ends of the scar, it is possible that this is due to the healing process. The surgeon's assessment that the swelling is not a "dog ear" deformity but rather a result of ongoing healing is plausible. Dog ears are typically characterized by excess skin at the ends of a scar, which can occur if the excised area is not properly closed. If your surgeon has ruled this out, it is likely that the swelling will subside as the tissue continues to heal.

As for your questions about the use of silicone gel sheets or tape, these are often recommended to help flatten and soften scars. Continuing to use silicone gel or tape can be beneficial, especially if your surgeon has advised it. These products work by providing a moist environment and may help in reducing scar formation. It is generally recommended to apply them consistently for several weeks to see optimal results.

When it comes to massaging the swollen areas, gentle massage can sometimes help in breaking down scar tissue and improving circulation to the area. However, it is crucial to approach this with caution. You should avoid applying too much pressure, especially if the area is tender or painful. It is best to consult with your surgeon or a dermatologist before starting any massage techniques to ensure that it is safe and appropriate for your specific situation.

In summary, the swelling you are experiencing may very well be part of the normal healing process, and it is likely to improve over time. Continuing to use silicone gel or tape as recommended and consulting with your healthcare provider about the possibility of gentle massage can be beneficial. If you have any concerns about the appearance of your scar or if the swelling does not improve, it is advisable to follow up with your surgeon for further evaluation and guidance. They may also provide additional treatment options if necessary, such as laser therapy or corticosteroid injections, to help improve the scar's appearance.

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