Surgical scar
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 healed, there may still be issues beneath? Thank you for your assistance, Dr.
Huang.
SS, 20~29 year old female. Ask Date: 2007/06/12
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 help improve the condition.
Reply Date: 2007/06/12
More Info
Effective scar care after surgery is crucial for achieving smoother healing and minimizing the appearance of scars. After your surgery in March, it’s understandable that you are concerned about the visible scar and the pain you are experiencing when pressing on it. Let’s address both of your concerns.
Scar Care Tips
1. Keep the Scar Moisturized: Applying a silicone gel or silicone sheets can help keep the scar hydrated and promote healing. Silicone is known to be effective in flattening and softening scars. You can start using these products once the wound has fully healed and there are no open areas.
2. Sun Protection: Protecting the scar 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 when exposed to sunlight. This should be done for at least a year after the surgery.
3. Gentle Massage: Once the scar has healed, gentle massage can help improve blood flow to the area and soften the scar tissue. Use a moisturizing lotion or oil to massage the scar in circular motions for about 10 minutes, several times a day.
4. Avoid Irritation: Be cautious with clothing or activities that may irritate the scar. Avoid tight clothing that rubs against the scar, and be mindful of activities that could cause friction.
5. Healthy Diet: A balanced diet rich in vitamins C and E, zinc, and protein can support skin healing. Foods like fruits, vegetables, nuts, and lean meats can help your body repair itself.
6. Stay Hydrated: Drinking plenty of water is essential for overall skin health and can aid in the healing process.
7. Consult a Dermatologist: If the scar remains painful or does not improve over time, consider consulting a dermatologist. They may recommend treatments such as laser therapy, microdermabrasion, or corticosteroid injections to help improve the appearance of the scar.
Pain in the Scar Area
Regarding the pain you feel when pressing on the scar, it’s not uncommon for scars to be sensitive or painful for some time after healing. This can be due to several factors:
- Nerve Regeneration: After surgery, nerves in the area may take time to heal. As they regenerate, you might experience sensations, including pain or discomfort.
- Scar Tissue Formation: The body forms scar tissue as part of the healing process, which can sometimes be more sensitive than normal skin. This sensitivity can persist for weeks or even months after the surface appears healed.
- Underlying Healing: While the surface of the scar may look healed, deeper layers of tissue may still be in the process of healing. This can lead to sensations of discomfort or pain.
If the pain persists or worsens, it is advisable to consult with your healthcare provider to rule out any complications, such as infection or abnormal scar formation (like hypertrophic scars or keloids).
Conclusion
In summary, effective scar care involves keeping the scar moisturized, protected from the sun, and gently massaged. Pain in the scar area can be normal, but if it continues or worsens, seeking medical advice is recommended. Remember that healing takes time, and with proper care, the appearance of your scar can improve significantly. If you have further questions or concerns, don’t hesitate to reach out to your healthcare provider for personalized advice.
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