Recovery from Surgical Scars: When to Seek Help

Surgical scar healing?

Hello: Two months ago, I had a small surgery on my back to remove a fibroma, and I received about eight to nine stitches (it looked like a centipede).
In February of this year, after the stitches were removed, I applied tape for about another month.
Now I have stopped using the tape because I feel that the wound's healing seems to have "made no progress." Additionally, I am unsure if the wound can be considered healed, as it still looks the same, and I feel slight pain when I gently press on it with my fingers.
So my "question" is: should I continue to apply medication and tape to the wound?

Xianxian, 20~29 year old female. Ask Date: 2002/03/25

Dr. Zheng Lizhen reply Dermatology

After two months, the wound should have healed, and now the concern is about the scar.
You can continue to use silicone tape, but there is no need for further medication or disinfection.
If you are not satisfied with the scar in the future, you can consider scar revision treatments.

Reply Date: 2002/03/25

More Info

When it comes to recovery from surgical scars, particularly after a procedure like the excision of a fibroma, it's essential to understand the healing process and when to seek further medical advice. Based on your description, it sounds like you are experiencing some common concerns that many patients face after surgery.

Firstly, it's important to recognize that the healing of surgical wounds can vary significantly from person to person. Factors such as the type of surgery, the location of the incision, individual health conditions, and even genetics can influence how quickly and effectively a wound heals. After your surgery, the stitches were removed, and you used adhesive tape for an additional month, which is a standard practice to support the healing process and protect the wound.

You mentioned that you feel the wound has not made much progress and that there is still some tenderness when you apply pressure. This is not uncommon. After the removal of stitches, the skin and underlying tissues continue to heal, and it can take several weeks to months for the area to fully recover. The appearance of the scar may change over time as well, often becoming less pronounced as it matures.

In terms of whether you should continue to use adhesive tape, it generally depends on the condition of your scar. If the area is still tender or if you notice any signs of irritation, redness, or abnormal swelling, it may be beneficial to keep the area protected. However, if the scar appears stable and there are no signs of infection or complications, you might not need to continue using the tape.
Here are some additional considerations regarding your recovery:
1. Scar Management: Once the wound has healed, you can consider using silicone gel sheets or silicone ointments, which have been shown to help improve the appearance of scars. These products can help keep the scar hydrated and may reduce its visibility over time.

2. Massage Therapy: Gentle massage of the scar tissue can also promote healing and improve flexibility. This should be done with clean hands and can be combined with a moisturizing lotion or oil.

3. Monitoring for Complications: Keep an eye on the scar for any signs of infection, such as increased redness, warmth, swelling, or discharge. If you experience significant pain, changes in sensation, or if the scar seems to be worsening, it's essential to consult your healthcare provider.

4. When to Seek Help: If you are concerned about the healing process or if the scar is causing you discomfort, it is advisable to seek medical advice. A healthcare professional can assess the scar, determine if there are any underlying issues, and recommend appropriate treatments or interventions.

5. Patience is Key: Remember that scar healing is a gradual process. It can take several months for scars to mature fully, and they often continue to change in appearance during this time.

In conclusion, while it is normal to feel concerned about the healing of your surgical scar, there are steps you can take to support recovery. If you have any doubts or if the situation does not improve, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. They can provide personalized advice based on your specific situation and help ensure that your recovery progresses smoothly.

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