Do Hemorrhoid Surgeries Leave Scars? Expert Insights and Tips - Surgery

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Doctor, will traditional hemorrhoidectomy leave scars?


Hello, doctor.
I would like to ask if hemorrhoidectomy will leave scars on the anus, as I found online that some people experienced discomfort due to hardened scars, and I also care about aesthetics.
If scarring is likely, would applying scar gel on the wound after surgery be helpful?

Lin De Kai, 10~19 year old female. Ask Date: 2023/01/21

Dr. Zhang Shuhao reply Surgery


After hemorrhoidectomy, the healing site may slightly lose elasticity due to fibrosis, and like wounds in other parts of the body, there is a chance of scarring.
The visibility of scars primarily depends on the individual's constitution and the size of the external hemorrhoid wound; if the surgery mainly involves internal hemorrhoids, scarring is less likely to occur.
After the wound has healed, scar reduction gel can be used, but the skin around the anus is more sensitive, and it is not suitable for use on open wounds or mucosal areas.
It is recommended to use medication under the guidance of a physician.

Reply Date: 2023/01/21

More Info


Hemorrhoid surgeries, particularly hemorrhoidectomy, can indeed leave scars, but the extent and visibility of these scars can vary significantly depending on several factors, including the surgical technique used, the individual's healing process, and post-operative care.


Understanding Scarring from Hemorrhoid Surgery
1. Surgical Technique: There are different methods for performing hemorrhoid surgery. Traditional hemorrhoidectomy involves excising the hemorrhoids and can lead to more noticeable scarring compared to newer techniques like stapled hemorrhoidopexy or laser treatments, which may minimize scarring. The choice of technique can influence the amount of tissue removed and the resulting scar formation.

2. Healing Process: Each person's body heals differently. Factors such as age, skin type, and overall health can affect how well the skin heals and how noticeable the scars will be. Some individuals may experience hypertrophic scars or keloids, which are raised and can be more prominent.

3. Post-operative Care: Proper care after surgery is crucial for minimizing scarring. Keeping the surgical area clean, avoiding strain during bowel movements, and following your surgeon's post-operative instructions can all contribute to better healing outcomes.


Tips for Minimizing Scarring
1. Follow Post-operative Instructions: Adhering to your surgeon's guidelines for care after surgery is essential. This includes recommendations for bathing, wound care, and dietary adjustments to prevent constipation and straining.

2. Use of Scar Treatments: Applying silicone-based scar gels or sheets can be beneficial in the healing process. These products help to hydrate the scar tissue and can reduce the appearance of scars over time. It's generally recommended to start using these treatments once the incision has fully healed, which usually takes a few weeks.

3. Sun Protection: Protecting the scar from sun exposure is crucial. UV rays can darken scars, making them more noticeable. Using sunscreen on the scarred area can help prevent this.

4. Consultation with a Dermatologist: If you are concerned about scarring, consider consulting a dermatologist or a plastic surgeon who specializes in scar management. They can provide tailored advice and may suggest treatments such as laser therapy or microdermabrasion if scarring becomes a concern.

5. Consider Non-surgical Options: If you are particularly worried about scarring and the cosmetic outcome, discuss non-surgical options with your healthcare provider. Some patients may benefit from less invasive treatments that can alleviate symptoms without the same risk of scarring.


Conclusion
In summary, while hemorrhoid surgeries can leave scars, the visibility and discomfort associated with these scars can be managed through careful surgical technique, diligent post-operative care, and the use of appropriate scar treatments. If you have specific concerns about scarring or discomfort after your surgery, it's important to discuss these with your surgeon or healthcare provider, who can provide personalized advice based on your situation. Remember, the goal of the surgery is not only to alleviate symptoms but also to ensure a satisfactory cosmetic outcome, so open communication with your medical team is key.

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