How to Improve Healing of Scar Tissue After Stitches in Children

How to promote the healing and flattening of needle scars?

Dear Dr.
Tsai, I apologize for bothering you! My young son accidentally bumped below his left eye and received three stitches, but the scar has not healed well.
Could you please advise on how to improve this situation? My son is currently five years old.
Thank you! Sincerely, Roy Tsai.

RoyTsai, 40~49 year old female. Ask Date: 2008/05/26

Dr. Cai Changlin reply Dermatology

Hello,
In response to your question, I would like to provide the following information: Initially, the sutured wound will be quite noticeable, but over time, it may become less prominent.
However, the progression can vary depending on each individual's constitution.
Since I cannot see the current condition of your child's scar (such as its location, color, and texture), I can only suggest some common treatment options:
1.
Use of topical scar gel
2.
Application of silicone gel sheets
3.
Scar revision surgery
I recommend that you seek medical attention nearby and discuss your needs with a physician in person to determine the most suitable treatment for your child.

Best wishes,
Dr.
Tsai Chang-Lin,
Department of Dermatology, Keelung Hospital, Ministry of Health and Welfare

Reply Date: 2008/05/26

More Info

Improving the healing of scar tissue after stitches in children can be a concern for many parents, especially when it comes to visible areas like the face. In your case, your five-year-old son has received stitches under his left eye, and you're looking for ways to enhance the healing process and minimize the appearance of the scar. Here are some strategies and considerations based on medical knowledge and practices.

Understanding Scar Formation
First, it's important to understand that scar formation is a natural part of the healing process. When the skin is injured, the body produces collagen to repair the damaged tissue. This collagen can sometimes lead to a scar that is different in texture and color from the surrounding skin. Factors that influence scar formation include the depth and size of the wound, the location on the body, the child's age, and individual healing responses.

Strategies for Improving Scar Healing
1. Keep the Wound Clean and Moist: After the stitches have been removed, keeping the area clean is crucial. Use a gentle cleanser and avoid harsh soaps. Keeping the scar moisturized can help improve its appearance. You can use a fragrance-free moisturizer or a silicone gel, which has been shown to be effective in scar management.

2. Silicone Gel Sheets or Scar Creams: Products like silicone gel sheets or silicone-based scar creams can be beneficial. These products help to hydrate the scar and create a protective barrier, which can improve the overall appearance of the scar over time. They are typically recommended for use once the wound has fully healed.

3. Massage the Scar: Once the scar has healed sufficiently (usually after a few weeks), gentle massage can help break down the collagen fibers that form the scar tissue. Use a moisturizing lotion or silicone gel during the massage to reduce friction. This can help flatten and soften the scar.

4. 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 outdoors, and consider using protective clothing or hats.

5. Consult a Dermatologist: If the scar does not improve over time or if you have concerns about its appearance, consulting a dermatologist or a pediatric dermatologist can provide additional options. They may recommend treatments such as laser therapy, microdermabrasion, or even surgical revision in some cases.

6. Patience and Time: It's essential to remember that scar maturation can take time. Scars often appear red or raised initially but may fade and flatten over several months to a year. Regular follow-up with a healthcare provider can help monitor the scar's progress.

Conclusion
In summary, while it can be concerning to see a scar on your child's face, there are several effective strategies to improve its healing and appearance. Keeping the area clean and moisturized, using silicone products, protecting the scar from the sun, and possibly consulting a specialist are all important steps. Remember that healing is a gradual process, and with time and proper care, many scars can become less noticeable. If you have any further questions or concerns, don't hesitate to reach out to your healthcare provider for personalized advice.

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