Post-Surgery Skin Peeling: Causes and Solutions After ACL Reconstruction - Dermatology

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After undergoing an ACL (anterior cruciate ligament) reconstruction surgery, experiencing skin peeling can be concerning, especially if it persists for an extended period, such as a month. Skin peeling post-surgery can occur for several reasons, and understanding these can help in managing the condition effectively.

One common cause of skin peeling after surgery is the trauma that the skin and underlying tissues undergo during the procedure. Surgical interventions often involve incisions and manipulation of tissues, which can lead to inflammation and irritation of the skin. This inflammation can disrupt the normal skin barrier, leading to dryness and peeling as the skin attempts to heal.

Another potential reason for skin peeling could be related to the dressings or adhesives used during the post-operative care. If the surgical site was covered with a bandage or adhesive tape, the removal of these materials can sometimes strip away the outer layer of skin, especially if they are removed too aggressively. This can result in areas of peeling skin around the incision site.

Additionally, if the skin was exposed to moisture for prolonged periods, such as from sweating or bathing, it could lead to maceration, where the skin becomes overly soft and begins to peel. This is particularly relevant in the case of the lower extremities, where swelling and fluid accumulation can occur post-surgery.

To address the issue of skin peeling, here are some recommendations:
1. Moisturization: While you mentioned that applying lotion has not been effective, it is crucial to use a thicker, more occlusive moisturizer, such as petroleum jelly or a cream containing urea or lactic acid. These products can help to lock in moisture and repair the skin barrier.

2. Gentle Cleansing: When washing the area, use a mild, fragrance-free cleanser to avoid further irritation. Avoid scrubbing the peeling skin, as this can exacerbate the issue.

3. Hydration: Continue to drink plenty of water to maintain overall hydration, which can support skin health.

4. Avoid Irritants: Be cautious with any products applied to the skin around the surgical site. Avoid harsh chemicals or exfoliants that could irritate the skin further.

5. Consultation with a Dermatologist: If the peeling persists or worsens, it may be beneficial to consult with a dermatologist. They can assess the condition of your skin and may recommend treatments such as topical steroids or other medications to reduce inflammation and promote healing.

6. Follow-Up with Your Surgeon: Since this peeling is occurring post-surgery, it’s essential to keep your orthopedic surgeon informed. They can evaluate whether the peeling is a normal part of the healing process or if it indicates a complication, such as an infection or an adverse reaction to the surgical materials used.

In summary, while skin peeling after ACL reconstruction can be a common occurrence due to surgical trauma, proper skin care and monitoring are essential. If the condition does not improve with at-home care, seeking professional advice is crucial to ensure optimal healing and recovery.