Dealing with Itchy Scars: Tips for Relief and Healing

The scar is unbearably itchy?

Dear Doctor: My postoperative scar is extremely itchy, as if a line of mosquitoes is constantly biting it.
I am a working professional, and this has affected my sleep and daily life.
During work, I can only pat my abdomen to relieve the itch.
I face many people at work every day and have to endure this intense itching.
I can't even play the cello because I end up scratching my abdomen with the bow, which looks quite ridiculous.
Additionally, I plan to stay in Israel for a while during the summer.
In the local dry climate, can I apply anti-itch cream during the day and use ice packs at night to relieve the itch? Also, which anti-itch medications are safe for scar healing? Thanks.

Zhua Yang de Gou Gou, 40~49 year old female. Ask Date: 2008/05/23

Dr. Zhou Hongzhang reply Plastic Surgery

1.
Hypertrophic scars or keloids can be treated with intralesional steroid injections, which can alleviate itching and treat the lesions, with injections administered once every one to three months.

2.
It is recommended to apply anti-itch cream during the day and use ice packs at night.

3.
Most anti-itch ointments contain steroids, which may inhibit wound healing.

4.
What is the definition of "scar revision"?

Reply Date: 2008/05/23

More Info

Dealing with itchy scars can be quite challenging, especially when it interferes with daily activities and sleep. It’s important to understand that itching is a common symptom during the healing process of scars, particularly after surgery or injury. This sensation is often due to the healing of nerve endings and the formation of new tissue. Here are some tips and recommendations to help manage the itchiness and promote healing.

Understanding Itchy Scars
1. Healing Process: After surgery or injury, the body goes through a natural healing process. As the skin heals, it can become tight and itchy. This is a normal part of scar formation, and while it can be uncomfortable, it usually subsides over time.

2. Scar Maturation: Scars typically go through several stages of healing, which can last from a few weeks to several months. During this time, the scar may appear red, raised, and itchy. As the scar matures, it usually becomes flatter and less itchy.

Tips for Relief
1. Moisturization: Keeping the scar moisturized is crucial. Use a fragrance-free moisturizer or a silicone gel specifically designed for scars. These products can help reduce itchiness and improve the appearance of the scar over time.

2. Topical Treatments: Over-the-counter hydrocortisone cream can help alleviate itching. However, it’s essential to use it sparingly and not for extended periods without consulting a healthcare professional, as prolonged use can thin the skin.

3. Cold Compress: Applying a cold compress or ice pack wrapped in a cloth can provide immediate relief from itching. This method can be particularly effective at night before bed to help you sleep better.

4. Antihistamines: Oral antihistamines, such as diphenhydramine (Benadryl), can help reduce itching and improve sleep quality. However, consult with your doctor before starting any new medication.

5. Avoid Scratching: It’s crucial to resist the urge to scratch the scar, as this can lead to further irritation and potential infection. Keeping the area covered with a soft bandage may help prevent scratching.

6. 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.

Specific Considerations for Your Situation
Given your upcoming trip to Israel, where the climate may be dry, here are additional recommendations:
- Hydration: Stay well-hydrated, as dry air can exacerbate itching. Drink plenty of water and consider using a humidifier in your living space if possible.

- Daily Routine: Applying an anti-itch cream during the day and using a cold compress at night can be effective. Ensure that any topical treatments you use are safe for long-term application on scars.

- Consultation: Before using any new products, especially in a different climate, consult with your healthcare provider to ensure they are appropriate for your skin type and the condition of your scar.

Recommended Anti-Itch Products
When looking for anti-itch products, consider those that are specifically formulated for sensitive skin and scars. Some options include:
- Silicone Gel Sheets: These can help flatten and soften scars while providing a barrier that can reduce itching.

- Natural Oils: Oils like coconut oil or vitamin E oil can be soothing and help keep the scar moisturized.

- Calamine Lotion: This can provide temporary relief from itching and is safe for use on scars.

Conclusion
Managing itchy scars requires a combination of proper skincare, topical treatments, and lifestyle adjustments. By keeping the scar moisturized, using appropriate anti-itch products, and protecting it from the sun, you can significantly improve your comfort and the appearance of the scar. If the itching persists or worsens, or if you notice any signs of infection, it’s essential to consult with your healthcare provider for further evaluation and treatment options. Remember, patience is key in the healing process, and with time, the discomfort will likely diminish.

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