My 3-year-old daughter has had her third facial laceration on her left eye, above her eyebrow. The first doctor told us to apply neosporin on the stitches to reduce scarring and this morning, another doctor instructed us not to use anything. What is the best way to minimize the scar that will develop?
Best Way to Minimize Developing Scar?
Doctor Answers 5
Optimizing a scar on a child - Los Angeles
Optimizing local tissue will help in the long and short term treatment of a scar on the face. I would error towards using the creams, rather than not. Raffy Karamanoukian Los Angeles
Scar on the face
Unfortunately anytime the skin is cut, there will be a permanent scar if it is a full thickness cut. I find that paper tape or steri-strips that are left on for at least 6 weeks often lead to the best scars. I prefer a good sun screen afte everything has healed to both moisturize the skin and protect it fromt he sun.
I can almost guarantee that the first physician was not a dermatologist. We have seen way to many allergic reactions to Neosporin, especially if used on traumatized, or eczematous skin.
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I agree that neosporin can have about a 10% chance of an allergic reaction. Aquaphor is much better. In rare cases when Aquaphor causes allergy (especially after peels), I use crisco. I only use this for the first 7 days until sutures come out because it can macerate the wound over the long run. In the short run, the moisture provides better epidermal healing.
Early scar treatment
I agree that aquaphor is a good post injury ointment to promote healing, and as soon as the laceration has sealed (usually 5-7 days in that area) once a day application of 1% hydrocortisone cream once a day for a week or so will likely prevent a thickened scar. After that a silicone cream may be helpful.
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