Surgical Scars: Tips for Post-Operative Care and Techniques

Surgical scar

Hello Dr.
Lu,
1.
When is the most appropriate time to use cosmetic fillers after surgery? What length of the filler is considered optimal for better results?
2.
I need to have the steel pins removed from my calf.
Previously, I had a wider scar in one area.
The doctor mentioned that adding an extra stitch when removing the pins would improve the appearance of the scar.
Why is that?
3.
I noticed that the method used to suture facial wounds prevents horizontal scarring.
Is this suturing technique applicable to the limbs or other areas? Why don't doctors use this method for other facial areas?
Thank you for your response.

Xiao Xing, 20~29 year old female. Ask Date: 2006/11/22

Dr. Lu Daokuan reply Plastic Surgery

The timing for using cosmetic adhesive depends on the wound.
Some wounds can be treated with cosmetic adhesive without needing to close the outer layer.
The length of the adhesive should be determined by the location of the wound; generally, it should be long enough to cover the area and not easily come off.
The face is a crucial area for aesthetics, and due to its rich blood supply, it can often be sutured more closely.
Other areas may have specific medical considerations that do not necessarily apply the same suturing techniques.

Reply Date: 2006/11/22

More Info

Understanding surgical scars and their management is crucial for optimal recovery and aesthetic outcomes. Post-operative care can significantly influence the appearance of scars, and there are several strategies and techniques that can be employed to enhance healing and minimize scarring.

1. Timing and Use of Silicone Gel: Silicone gel is a popular choice for scar management. It is typically recommended to start using silicone gel once the surgical wound has completely healed, which usually takes about 1-2 weeks post-surgery. The gel should be applied to the scarred area and allowed to dry, forming a protective layer. The length of the silicone gel strip should ideally cover the entire scar, extending slightly beyond the edges to ensure complete coverage. Regular application, often recommended twice daily for several months, can help flatten and soften the scar tissue.

2. Surgical Techniques for Scar Minimization: When it comes to the removal of hardware like steel pins, surgeons often employ specific techniques to improve the aesthetic outcome of the scar. The reason for placing an additional stitch when closing the incision is to create a more precise and tighter closure, which can help reduce the width of the scar. This technique minimizes tension on the skin edges, promoting better alignment and healing, which can lead to a finer scar. The goal is to create a scar that is less noticeable and blends better with the surrounding skin.

3. Suturing Techniques: Different suturing techniques are employed based on the location and type of incision. For facial wounds, surgeons often use techniques that minimize the appearance of scars, such as subcuticular sutures, which are placed just beneath the skin surface. This method helps to avoid visible stitch marks and reduces the risk of scarring. While similar techniques can be applied to other body parts, the choice of suturing method depends on various factors, including the tension on the skin, the type of tissue involved, and the desired cosmetic outcome. In areas with more movement or tension, such as joints or limbs, surgeons may opt for different techniques that provide better support and healing.

4. General Post-Operative Care Tips: Beyond the use of silicone gel and careful suturing, there are several other strategies to promote optimal healing and minimize scarring:
- Keep the Wound Clean and Moisturized: Proper hygiene is essential to prevent infection, which can worsen scarring. Keeping the wound moisturized with appropriate ointments can also aid in healing.

- Sun Protection: Newly healed scars are particularly sensitive to UV radiation. Using sunscreen on scars can prevent hyperpigmentation and help them blend better with the surrounding skin over time.

- Avoiding Tension on the Scar: Activities that place tension on the scar can lead to widening and hypertrophy. It’s important to follow your surgeon's advice regarding activity restrictions during the healing phase.

- Massage Therapy: Once the scar has healed, gentle massage can help break down collagen fibers and improve the texture and appearance of the scar.

5. Monitoring for Complications: It’s important to monitor the surgical site for any signs of complications, such as increased redness, swelling, or discharge, which could indicate infection. If any unusual symptoms arise, it’s crucial to consult your healthcare provider promptly.

In conclusion, understanding the factors that influence scar formation and employing effective post-operative care techniques can significantly enhance healing and minimize the appearance of scars. Always consult with your surgeon or healthcare provider for personalized advice tailored to your specific situation and surgical procedure.

Similar Q&A

Effective Scar Management After Surgery: Tips for Recovery

How to eliminate scars?

Dr. Huang Zhihui reply Surgery
The formation of scars is closely related to individual constitution and the tension of the wound. Therefore, if you want to minimize scarring after surgery, the only effective method is to reduce the tension on the wound. It is recommended to bring the edges of the wound closer ...

Effective Scar Care After Surgery: Tips for Smoother Healing

Hello Doctor, I had surgery in March this year, and the wound has healed, but there is a noticeable scar. What methods should I use to care for it to make it smoother? Also, I still feel pain when I press on the scar; is this normal, or does it mean that while the surface has hea...

Dr. Huang Ruiyun reply Dermatology
The best DIY method for post-surgical scars is to purchase silicone sheets specifically designed for scars from a medical supply store and use them according to the instructions. Some hypertrophic scars or keloids may be painful, and using silicone sheets for a period of time may...

Effective Treatments for Post-Surgery Scars on the Face

Hello! I had surgery for cellulitis on my left cheek in June, which involved drainage and debridement, resulting in two scars measuring approximately 0.5 cm and 1 cm. Now that the wounds have healed, the scars are quite noticeable. What treatment options are available? Thank you.

Dr. Wu Yuxin reply Dermatology
It could be pigment deposition or hypertrophic scars that may turn into atrophic scars. The treatment methods differ, so it is important to seek medical attention for confirmation.

Effective Scar Care After Laparotomy: Best Products and Tips

Dear Doctor: (According to your previous reply) After laparotomy, should I use alpha hydroxy acid, lactobionic acid, or L-ascorbic acid lotion or cream, or anything else on my scars? Thank you for your answer. Have a good day! Ling

Dr. Zhou Hongzhang reply Plastic Surgery
In general, it is advisable not to use "destructive" skincare products (such as retinoids or alpha hydroxy acids) on scars. Allowing the scar tissue to heal naturally and gradually will result in a more aesthetically pleasing appearance.