Post thyroidectomy scar - what treatments can I get to prevent it from becoming visible? (Photo)

Question

Is this normal for a 1-week post total thyroidectomy scar? What are the treatments I can get to prevent the scar to become visible?

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

Hello,
Thank you for your question and for sharing your concern about your post-thyroidectomy scar. It's quite common to be concerned about the appearance of scars following surgery.

At one week post-surgery, your scar is still in the early stages of healing. It's normal for it to appear red, raised, and possibly a bit swollen at this stage. Over time, the scar will typically become less noticeable.

Here are some treatments and tips to help minimize the visibility of your scar:

Silicone Gel or Sheets: These can be applied to the scar to help flatten and soften it. They are usually worn for several hours a day or overnight, depending on the product instructions.

Sun Protection: Protect the scar from sun exposure. UV rays can darken the scar, making it more noticeable. Use sunscreen with at least SPF 30 on the scar if it's exposed to the sun.

Massage: Gentle massage of the scar area can help improve circulation and reduce scar tissue build-up. You can start massaging the scar once the incision is fully closed and healed.

Topical Treatments: There are various over-the-counter and prescription creams that can help with scar healing. Products containing ingredients like onion extract (e.g., Mederma) or vitamin E are popular.

Laser Therapy: In some cases, laser treatments can help reduce the redness and improve the texture of the scar. This is typically done by a dermatologist or plastic surgeon.

Steroid Injections: For more severe or hypertrophic scars, corticosteroid injections can help reduce inflammation and flatten the scar.

Microneedling: This procedure involves tiny needles that puncture the skin to promote collagen production and improve the appearance of scars.

It's important to follow your surgeon's recommendations and give your body time to heal. If you have concerns about your scar, consider consulting a dermatologist who can provide personalized advice and treatment options.

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