How to Care for Scars After Electrosurgery: Tips for Healing - Dermatology

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Scar issues after electrocautery?


Dear Doctor, I had a mole removed through electrosurgery at a regular beauty salon a week ago.
I was worried about accidentally touching it and causing the scab to fall off prematurely, so I used artificial skin for protection.
However, this backfired; although it didn't turn white or become moist, I decided to change the artificial skin early, and the scab came off with it.
There was no bleeding, and the wound has healed, but it currently appears pink and slightly indented.
I would like to ask how I should care for it to minimize the scar or even make it disappear?

A-Hong, 20~29 year old female. Ask Date: 2007/10/11

Dr. Hong Zhengsheng reply Dermatology


Hello, Ah Hong: Regarding skin pigmentation issues, generally speaking, preventing (or reducing) sun exposure is the most basic method.
Additionally, my best advice is to "find a dermatologist you trust and schedule an appointment." I recommend that when your skin exhibits the mentioned symptoms, you should promptly visit a public hospital under the Department of Health in your city or county and consult with a dermatologist.
All of our doctors are very willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your questions.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2007/10/11

More Info


After undergoing electrosurgery for mole removal, proper scar care is crucial for optimal healing and minimizing the appearance of scars. Here are some detailed tips and considerations for scar care following electrosurgery:

Immediate Post-Operative Care
1. Keep the Area Clean: Initially, it’s important to keep the surgical site clean. Use a gentle saline solution or mild soap and water to cleanse the area. Avoid scrubbing, as this can irritate the skin and delay healing.

2. Moisturize: Once the initial healing has taken place (usually after the scab has fallen off), applying a moisturizer can help keep the skin hydrated. Look for products that contain ingredients like hyaluronic acid or silicone gel, which are known to promote healing and reduce scar formation.

3. Avoid Picking or Scratching: It’s essential to resist the urge to pick at scabs or any peeling skin. This can lead to increased scarring and potential infection.


Scar Management Techniques
1. Silicone Gel Sheets or Silicone Gel: After the wound has healed, using silicone gel sheets or silicone gel can be beneficial. These products have been shown to improve the appearance of scars by hydrating the scar tissue and reducing redness and thickness.

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, and consider wearing protective clothing.

3. Massage the Scar: Once the scar has fully healed (typically after a few weeks), gentle massage can help break down the dense collagen fibers that form in scars. Use a moisturizing lotion or oil and massage the area in circular motions for about 10 minutes a day.


Long-Term Care
1. Patience is Key: Scars can take time to mature and fade. It may take several months to a year for the scar to fully heal and its appearance to improve. During this time, continue with your scar care routine.

2. Consult a Dermatologist: If you notice that the scar is not improving or if it becomes raised, itchy, or painful, consult a dermatologist. They may recommend treatments such as laser therapy, chemical peels, or corticosteroid injections to improve the scar's appearance.

3. Healthy Lifestyle: Maintaining a healthy lifestyle can also support skin healing. Stay hydrated, eat a balanced diet rich in vitamins and minerals, and avoid smoking, as it can impair circulation and healing.


Conclusion
In summary, caring for scars after electrosurgery involves keeping the area clean, moisturizing, protecting from sun exposure, and possibly using silicone products. Remember that healing takes time, and while some scars may fade significantly, others may remain more visible. If you have concerns about your scar or its healing process, don’t hesitate to reach out to your healthcare provider for personalized advice and treatment options.

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