How to manage the scar on back after cyst removal? (photo)

Question

I had a 1.5cm cyst removed from the middle of my back. Post-op directions were to moisturise and massage with thumb pressure for few weeks. Unfortunately, the scar is in a difficult to reach spot, I can't put enough pressure to massage it. Are there any tools I can buy or is the massage not really necessary in this case? My surgeon didn't answer my questions about how to make the scar cosmetically nicer, she said there's not much I can do, but I think it's not true?

Raffy Karamanoukian, MD, FACS · Answer

Your scar is still in an active phase II of scar formation and should be treated early to prevent permanent scars. I would use combination HIDEF lasers and RF to help reduce scar tension contour problems, widening of the scars, and redness. Application of Plato's Scar Serum is also vital.

Best,
DR. Karamanoukian

Best, 
DR. Karamanoukian

Jason Emer, MD · Answer

​​I recommend getting a formal evaluation with a cosmetic dermatologist for after care. I recommend Silagen + Bioshield to promote healing. Scars like these can generally be improved with lasers (BBL, ProYellow, Excel V, VBeam) and microneedling with PRP. See an expert. Best, Dr. Emer​

Daniel Zelac, MD · Answer

The site of your excision is a challenging one as it experiences a great deal of movement and pull. Scars can often widen and/or thicken when on this section of the back. Time tends to improve the overall appearance of most scars, and it was unclear on how recent you underwent the surgery. When the scar has had time to mature, one can consider a number of approaches to improve the appearance including pulse dye laser, or radiofrequency microneedling. In the meantime, if you or some one else could place either a silicone pad or silicone based gel on the site daily, that would help the condition of the scar. I would encourage you to be patient and see how it may improve with time. If ultimately, after making attempts to improve the scar, one could consider a re-excision of the scar. This type of work is typically performed by a dermatologic surgeon or plastic surgeon with experience in scar revision. Always remember, undergoing another surgery doesn't change the location of the wound which was a major contributor to the acute appearance. Good luck.

How to manage the scar on back after cyst removal? (photo)

Answers (3)

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