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How Soon After Surgery Can I Start Scar Treatment?

I'm 17 days post op from. TT and BA. I Want to start using silicone sheeting I'm my.TT scar. How soon can I start? I did not have steri strips. My PS used stitches. I'm not doing anything with the scar except cleaning and putting ointment on it.

Doctor Answers (18)

How Soon After Surgery Can I Start Scar Treatment?

+5

I rarely recommend scar treatments to my patients.

There is little or no evidence that they work.

The various silicone products may slightly speed up scar maturation but I don't believe they are worth the time or expense in most cases.

They serve mainly to give people something to do while Mother Nature goes about her work. She takes at least a year and, depending on the skin type, two years or more to produce the final scar result.

The only exceptions would be in those patients who have a history of abnormal scarring, or in those where the scars are still thicker or redder than they should be for that stage of healing. In these cases modalities such as silicone sheeting or laser may be appropriate.


Vancouver Plastic Surgeon
5.0 out of 5 stars 49 reviews

Tummy tuck scar treatment options

+3

all wounds go through several stages of healing. There is no benefit of apply any "scar treatments" until after scars start to contract which is about 4 weeks. until then it is best to keep the skin well hydrated and moisterized.

S. Sean Younai, MD, FACS
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 25 reviews

Timing of scar treatment after TT.

+2

If I have a concern that a patient of mine may get an active, raised scar after TT or Breast augmentation, I will start using silicone sheeting early, at about 5-7 days, after surgery.  The wound only needs to be closed for the sheeting to be placed on.  There is little downside to this besides some minor skin irritation from increased moisture beneath the sheeting.

Jeffrey M. Darrow, MD
Boston Plastic Surgeon
5.0 out of 5 stars 32 reviews

How Soon After Surgery Can I Start Scar Treatment?

+2

As soon as your wound is no longer having any drainage you may start using topical scar creams as well as silastic sheeting. Watch out for any signs of skin maceration that may be caused by excess moisture under the silastic. Good luck!

Mark Preston, MD
Columbus Plastic Surgeon
4.5 out of 5 stars 9 reviews

Scar care after tummy tuck

+1
Thank you for your post. In tummy tuck and other lift/tightening surgeries, tension is the enemy. The scar is healing gradually over 12 weeks or so, and until it is strong, it is the weakest link. As there is a great deal of tension in tummy tucks, body lifts, breast lifts, etc., the scar is at high risk of 'stretching' or widening. Silicone sheeting, although having the ability to make a scar flat, does nothing to prevent stretching of the scar. Creams or steroids or lasers also do not have the ability to prevent stretching of the scar. Those are used if scar is thick or dark, but not to reduce the wideness of the scar, which is the main problem. Massage also does not help keep the scar thin, and can actually worsen the scar in the first 12 weeks because you are actually adding tension to the scar. Massage is for softening a hard or thick scar, but if used early, will hasten the scar widening. Only tension reduction has the ability to keep the scar as thin as possible. You may notice in a lot of tummy tuck scars that the center portion of the scar is the widest with the sides toward the hips being the thinnest. This is because the maximum tension is at the center, and least amount on the sides. Embrace removes a lot of the tension by putting more tension on the skin on either side of the incision and drawing the incision together. It is expensive though at about $100 per week for 12 weeks. When patients do not want to spend the money for embrace, I tape the incision trying to remove as much tension as possible for 12 weeks and recommend no stretching back and to sit most of the time, keeping tension off the scar.
Best wishes,
Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 26 reviews

Silastic Sheeting & Topical Agents for Scarring

+1

A large variety of agents are currently available for the treatment of scarring.  At this point in time there doesn’t seem to be a consensus amongst plastic surgeons regarding their effectiveness.  Nevertheless, their use appears to be increasing amongst cosmetic surgery patients.

These agents include a variety of topical agents and silastic sheeting.  We generally recommend starting them 2 to 3 weeks following surgery as long as no open areas or scabbing is present.

It’s important to discuss scar treatment with your plastic surgeon.  Your surgeon should be able to make an appropriate recommendation.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 74 reviews

Scar Care After Your Tummy Tuck

+1
Once the steri-strips have begun to curl at their edges they can be safely removed. At this point you will no longer need to cover your incisions with dressings and can begin to administer scar reducing products. There is no harm in using these products, though the best is your body. It works to naturally reduce scarring. Redness and a raised texture are normal during the three to six months following your tummy tuck, but both traits begin to subside during the healing process.  

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 54 reviews

How Soon After Surgery Can I Start Scar Treatment?

+1

Your plastic surgeon will have his/her preference when it comes to incision line “care”.  For example, some plastic surgeons prefer the use of tape ( applying pressure) along the incision line. The use of silicone-based products (creams or sheeting)  may also be helpful in achieving the best scars possible.

I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 710 reviews

Scar Treatment after Surgery

+1

I recommend to my patients to begin using some kind of scar treatment within 2 weeks after surgery. Some patients use silicone sheeting because this treatment has been shown to decrease keloids or raised scars. Scar creams such as Biocorneum and Mederma have also been shown to decrease the color and help to lighten the scar quicker than doing nothing.

Stanley Castor, MD
Tampa Plastic Surgeon
5.0 out of 5 stars 45 reviews

Scar Treatment

+1

In most cases, I suggest patients wait about a week before starting any specific scar treatment.  Silicone sheets can be used as well as Maderma, ScarGuard or other similar products.  However, you should discuss any scar treatment with your plastic surgeon.  I had a patient who had a persistently irritated incision and I found out she was using Tea Tree and Garlic Oil on the incision.  Within a few days of stopping these self-prescribed treatments, the patient's incisions showed a remarkable improvement.

 

Good Luck.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 56 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.