A year ago my baby at 8 months got a puncture on his cheek. I tried to get a plastic surgeon but the hospital would not call one. I let the er doc glue the puncture but I feel he did not close it properly. The scar is 4 months old, still very pink and looks wide. I have been doing massage, applying sunscreen every day, and applying silicon gel every night. He is almost a year. At what age is a revision possible? I do not want to make it worse but read it will widen even more as he grows.
At What Age Can I Child Receive Scar Revision on His Cheek?
Doctor Answers (4)
Scar on 8 month old that occured 4 months ago is an early scar and waiting is most appropriate
4 months is too early to judge. This pink and wide description will likely get better. At this time I would consider silicone gel to the area for the next 6 months or a year to see if that helps. Silicone gel is one of the only options that have been shown to make a significant difference based on scientific study. Also treatment of a baby this young is fraught with risks with anesthesia etc. Below is a video for you to watch and a link to see more informative videos:
First, it is too early to evaluate the quality of the scar. More than likely you should wait a year before making any sort of conclusions about it. But, a scar revision may not be appropriate until the child is older.
At what age to do scar revision on a baby
Several considerations here before determining the age at which to do scar revision:
- A scar continues healing for a year after trauma or surgery, so if the scar is improving it may be worth waiting to see the end result.
- Doing a scar revision at a young age usually requires putting a child under general anesthesia as it is impossible to do the surgery on the face with the baby awake. It would cause a great deal of anxiety as the child has to be kept absolutely still, so it is not done.
- Children's skin heals remarkably well and while it's true that sometimes the scar widens as it heals during baby's growth, most of the time scars tend to heal better on a baby than on an adult.
Unless the scar is definitely changing for the worse, I would wait until the child is older and is able to tolerate the procedure better. However, what you can do in the meantime is consult a board-certified plastic surgeon regarding the scar revision.
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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.
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