Help Needed for Sensitive Surgical Scar on Knees, Options? (photo)

Question

Had bilateral total knee replacement 7 weeks ago. Doctor suggested massaging the scar to help with sensitivity and said that I could use any lotion or cream. I have only used normal moisturizers so far. Sensitivity is improving but not fast enough to wear normal clothes yet without getting massively irritated. Is there anything that I can do to help with the sensitivity faster? What is the best lotion or cream for big scars? What will help with the tightness?

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. 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 decide whether early subcision should be started.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

John P. Di Saia, MD · Answer

Hello,

	This scar is early in its process of maturing. Keep it out of the sun and consider silicone sheeting products. You might also want to get an evaluation by a good plastic surgeon to tailor your management further. In a year, when the scar is mature you can consider other therapy if the scar has not improved to your liking.

	 

	Best Regards,

	 

	John Di Saia MD

Beverly Johnson, MD (retired) · Answer

The scars in this photo look rather new so I wouldn't risk irritating them with any strong products. I would have you get some Aquaphor Healing Ointment, over the counter, and apply as often as needed. Washing with plain white unscented soap, avoiding hot hot water, will also help.

	As you are able to loose weight and the knees will feel better and as your exercise tolerance increases, the scars will gradually improve.

	Hope you get better soon!

Help Needed for Sensitive Surgical Scar on Knees, Options? (photo)

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Help Needed for Sensitive Surgical Scar on Knees, Options? (photo)

Answers (3)

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