Effective Scar Treatment After Circumcision: Tips and Recommendations

Q: Effective Scar Treatment After Circumcision: Tips and Recommendations

Hello： Scars can be either keloids or hypertrophic scars. <br>The best method to manage scars is through destruction and reconstruction. <br>Topical treatments for scars are relatively rare cases. <br>For hyperpigmented scars, various depigmenting agents can be used for treatment

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Hello, Dr.
Zhang.
I apologize for the interruption, but I would like to ask about my circumcision that was performed two years ago.
The scar from the procedure is still very noticeable.
What can I do to reduce the appearance of this scar? Is it still effective to apply scar ointment at this stage? Do you have any recommendations? If I come to your clinic for a consultation, can you prescribe something? Additionally, I have noticed a color difference between the circumcised area and the original color of my penis.
How can I increase the melanin in that area? Thank you.

A-Bang, 20~29 year old female. Ask Date: 2009/04/27

Dr. Zhang Zhibo reply Dermatology

Hello: Scars can be either keloids or hypertrophic scars.
The best method to manage scars is through destruction and reconstruction.
Topical treatments for scars are relatively rare cases.
For hyperpigmented scars, various depigmenting agents can be used for treatment.
Scars typically become well-defined within six months post-injury.
If the improvement is unsatisfactory, it is recommended to use "ablative" laser treatment.
Currently, our facility does not have such equipment! Regarding "how to increase melanin in the penis?" The number of melanocytes will not increase, but you can stimulate the production of melanin to achieve your desired outcome.
However, since this area is close to the testicles, using light therapy or chemical agents to darken the skin is not recommended as it may affect fertility.

Reply Date: 2009/04/27

More Info

After circumcision, it is common for patients to experience noticeable scarring, which can be a source of concern. Here are some effective tips and recommendations for scar treatment, as well as addressing the issue of skin discoloration.

Scar Treatment Options
1. Topical Treatments: Over-the-counter scar creams and silicone gel sheets are often recommended for scar management. Products containing ingredients like silicone, vitamin E, and onion extract (such as Mederma) can help improve the appearance of scars. While applying these treatments two years post-surgery may still yield some benefits, results can vary based on the age and type of scar. It's advisable to apply these products consistently for several weeks to see noticeable changes.

2. Hydration and Moisturization: Keeping the scar area well-moisturized can help improve its appearance. Use a gentle, fragrance-free moisturizer to prevent the scar from becoming dry and flaky, which can make it more noticeable.

3. Massage Therapy: Gentle massage of the scar tissue can help break down the dense collagen fibers that form in scars. Using a moisturizing lotion or oil during the massage can enhance the effectiveness of this technique.

4. Laser Therapy: If topical treatments do not yield satisfactory results, consulting a dermatologist about laser therapy may be beneficial. Laser treatments can help reduce redness, flatten raised scars, and improve overall skin texture.

5. Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, promoting collagen production and potentially improving the appearance of scars.

6. Chemical Peels: A dermatologist may recommend chemical peels to help exfoliate the top layer of skin, which can improve the texture and color of the scar.

7. Surgical Revision: In cases where the scar is particularly prominent or bothersome, surgical revision may be an option. This involves removing the scar tissue and re-closing the skin, which can result in a less noticeable scar.

Addressing Skin Discoloration
The discoloration of the skin following circumcision can be addressed through several methods:
1. Topical Treatments: Products containing hydroquinone or retinoids can help lighten hyperpigmented areas. However, these should be used under the guidance of a healthcare professional to avoid adverse effects.

2. Sun Protection: Protecting the area from sun exposure is crucial, as UV rays can exacerbate discoloration. Use a broad-spectrum sunscreen with a high SPF on the scarred area when exposed to sunlight.

3. Consultation with a Dermatologist: A dermatologist can provide personalized recommendations based on the specific characteristics of your skin and the scar. They may suggest treatments such as laser therapy or prescription creams to help even out skin tone.

Professional Consultation
If you are considering more advanced treatments or if you have concerns about the effectiveness of over-the-counter products, it would be beneficial to consult with a dermatologist or a plastic surgeon who specializes in scar management. They can assess your scar and skin condition and recommend appropriate treatments, which may include prescriptions for stronger topical agents or procedures that are not available over the counter.

Conclusion
While it is possible to improve the appearance of scars and skin discoloration after circumcision, the effectiveness of treatments can vary. Consistency in applying topical treatments, protecting the area from sun exposure, and seeking professional advice are key steps in achieving the best results. If you have further questions or wish to explore specific treatments, do not hesitate to reach out to a healthcare professional for guidance tailored to your individual needs.

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