Effective Scar Management After Stitches: Tips for Healing and Prevention - Plastic Surgery

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How to treat scars?


My daughter is 16 years old and was bitten on the nose by a dog, requiring five stitches.
The stitches are scheduled to be removed tomorrow.
What should we do for post-removal care to minimize scarring? Thank you.

ALICE, 40~49 year old female. Ask Date: 2006/10/22

Dr. Lu Daokuan reply Plastic Surgery


After removing the stitches, you can use beauty patches or artificial skin as auxiliary treatment.
After some time, you can apply topical L-ascorbic acid to assist in healing.
If there is still pigmentation after six months, you may consider using scar cream or laser treatment.

Reply Date: 2006/10/22

More Info


Effective scar management after stitches is crucial, especially for a young individual like your daughter. Here are some comprehensive tips and strategies to promote healing and minimize scarring after the removal of stitches.


1. Follow Post-Operative Care Instructions:
After the stitches are removed, it’s essential to follow the specific care instructions provided by the healthcare provider. This may include keeping the area clean and dry, applying ointments, and avoiding certain activities.


2. Keep the Area Moisturized:
Keeping the wound moisturized can significantly aid in the healing process. Use a gentle, fragrance-free moisturizer or a silicone gel. Silicone gel sheets or silicone ointments are particularly effective in reducing scar formation. They help to hydrate the skin and create a protective barrier.


3. Sun Protection:
Protecting the healing area from sun exposure is vital. UV rays can darken scars and make them more noticeable. Use a broad-spectrum sunscreen with an SPF of at least 30 on the scar once it has healed enough to be exposed to the sun. Ideally, keep the area covered with clothing or a bandage for the first few months.


4. Gentle Massage:
Once the stitches are removed and the skin has healed sufficiently (usually after a couple of weeks), gentle massage of the scar tissue can help break down collagen fibers and improve the appearance of the scar. Use a moisturizing lotion or oil during the massage to avoid irritation.


5. Avoid Picking or Scratching:
It’s crucial to avoid picking at scabs or scratching the area, as this can lead to increased scarring. Encourage your daughter to be mindful of this, as it can be tempting to touch the area.


6. Healthy Diet:
A balanced diet rich in vitamins and minerals can promote healing. Foods high in vitamin C (like citrus fruits), vitamin E (found in nuts and seeds), and zinc (found in meats and legumes) can support skin health and healing.


7. Hydration:
Staying well-hydrated is essential for overall skin health. Encourage your daughter to drink plenty of water, as hydration can aid in the healing process.


8. Consider Over-the-Counter Treatments:
After the area has healed, you might consider over-the-counter treatments specifically designed for scar reduction. These can include silicone gel sheets, creams containing onion extract (like Mederma), or other topical treatments that promote healing.


9. Consult a Dermatologist:
If you notice that the scar is not improving or if it becomes raised or discolored, consider consulting a dermatologist. They can provide treatments such as laser therapy, chemical peels, or microdermabrasion, which can help improve the appearance of scars.


10. Patience is Key:
Scars can take time to mature and fade. It’s important to be patient and consistent with the care regimen. Most scars will continue to improve in appearance for up to a year after the injury.


Conclusion:
By following these tips, you can help your daughter achieve the best possible outcome in terms of scar appearance after her stitches are removed. Remember that every individual heals differently, and while some scars may fade significantly, others may remain more noticeable. Early intervention and consistent care are key to minimizing scarring. If you have any concerns about the healing process, don’t hesitate to reach out to your healthcare provider for personalized advice.

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