Neck scars are unpredictable. In some cases, the scars heal as a thin line while in other cases, they may be extremely thickened.
The goals of therapy are to modulate the scar early on in order to decrease the chance of it thickening. This is accomplished by rigorous massage in the early postoperative period. Other options include application of silicone sheeting, injection of cortisone, and ultimately, reexcision of the scar.
One of the reasons why neck scars do not heal as well is because we cannot completely immobilize the neck during the healing phase. Thus, the body deposits more collagen in the area in order to prevent the incision line from dehiscing.
If you have a poorly healed scar, consider speaking to a plastic surgeon about your options as discussed above. You are always welcome to email our office if you have specific questions.
