How Soon After Surgery Can I Start Scar Treatment?

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.

The general recommendation for starting scar treatment after a tummy tuck is around 2-4 weeks post-surgery once the incisions are fully closed and healed. At this stage, most patients can begin using silicone-based scar treatments such as silicone sheets or gels, which help improve the appearance of scars by preventing excess scar tissue formation. It's crucial to consult your surgeon before beginning any treatment to ensure your incisions are fully healed.
Here is a general timeline for after-surgery care:
0-2 Weeks: Focus on wound care (keeping the area clean and dry).
2-4 Weeks: After a follow-up with your surgeon, you can start using silicone products (if the incision is fully closed).
4-6 Weeks: Topical treatments like scar creams and massage can be added if your surgeon approves.
Beyond 6 Weeks: Continue using silicone products, and consider professional treatments if needed. Remember that scars continue to remodel over a year, so it is important to keep it out of the sun or exposed to UV. If you are unhappy with the scar appearance, you can discuss PRP, microneedling, lasers, or surgical revision.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

I generally start my patients on scar treatment at about 2-3 weeks after surgery. Once the incisions are fully closed, due to the risk of infection with a small skin opening. Traditionally silicone sheets were recommended, and many physicians still recommend silicone sheeting. However, I a silicone-based scar cream (more patient friendly than silicone sheets) and daily scar massage to help smooth and minimize the appearance of the scar. Please discuss with your surgeon before starting a treatment, this is generally advice.