My plastic surgeon has instructed me to use a silicone mixed scar cream to massage into my incisions. What's the best thing to do for scar care? I love my results and want to heal as fast as possible.
What's the Best Thing to Do Fade my Scars?
Doctor Answers 9
I would normally wait 3-4 weeks after surgery before using silicone sheets or scar cream. However, you should follow your plastic surgeon's postoperative scar management. As you can see, we tend to differ slightly on timing.
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I generally recommend starting scar massage therapy approximately 4-6 weeks after your surgery. There is published evidence supporting the report of Silicone topical therapy to help soften and fade scars. However, we still don't know exactly why silicone helps. There are ample theories. I really believe its the mechanical massaging motion that really helps with scars. Remember, it can take 6-12 months for your scars to mature and fade. Glad to hear you love your results already! It will only get better.
Scars after Mommy Makeover
There are many scar creams on the market today and most have no data backing their effectiveness. However, silicone based gels/creams/sheets do have some data supporting their use in improving scars. Follow the recommendations of your surgeon as he/she knows your history the best. Good luck!
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We find that the rubbing of the scar does more than what you are rubbing on it. The scar creams, cocoa butter, and vitamin E are good to use. Your Plastic Surgeon should guide you to recovery.
Scar care after tummy tuck
Pablo Prichard, MD
Lighten scars from a mommy makeover or tummy tuck - Los Angeles
After mommy makeover, I would use a combination of pulsed dye laser and Melarase creams to lighten the scars. Raffy Karamanoukian Los Angeles
Silicone based gels and tapes are very helpful at optimizing scars following a tummy tuck. Steroid injections may also be helpful for thicker scars.
Best thing to Fade My Scars
This answer depends on exactly what you are trying to achieve and at what stage (time period) we are referring to in your healing process. If your scar is the result of a trauma or an elective surgical procedure may also influence the process as well as the location of the scar. If the area is exposed to the sun then avoidance of sun and sun blockers are indicated. If the area in question is under stretch then taping it or splinting it or compressing it in a manner that minimizes the stretch or expansion in the early phase of healing is a good idea. If the area is in a place that gets rubbed and irritated (bra line, belt line) then padding that area will minimize irritation and if you decorate the area (earlobe repair) leaving out the jewelry for 2-3 months will improve your results. If trauma is the cause of the scar with road tattoo in the wound then an early dermabrasion to remove the foreign dirt would be indicated. A keloid or hypertrophic scar already established would require anything from silicone sheeting to steroid injections to radiation treatments. Finally if the scar looks good but is pink it may require some bleaching cream such as hydroquinones or a combination with silicone, retin A and hydrocortisone. In the end most scars will heal well if they have been closed appropriately by a plastic surgeon without the need of any of these.
William Aiello, M.D. Newport Beach CA