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Dear 0306 frd,every plastic surgeon has his own postoperative protocol which he recommends to his patients. We specialize in minimal scars. Its starts with a peri-areolar incision that hides the scar at the border of the areola. Next, I close my incisions in 5 layers and take stitches out week one and week two. I don't recommend absorbable sutures because they cause inflammation that worsens scars. Then we tape your incisions once a week for 6 weeks. Lastly we start you on a 3 month topical scar management protocol with a scar gel thats FDA approved. I would suggest you to discuss this with your plastic surgeon.Daniel Barrett, MD, MHA, MS Certified, American Board of Plastic Surgery Member, Am. Society of Plastic Surgery
There are a number of ways of helping incisions heal well. First and foremost, healing is best in persons who are at an ideal weight, don't smoke, don't have diabetes, and don't have peripheral vascular or coronary artery disease. All of these issues decrease the available blood supply to the incision line and cause poor wound healing. Nutritional supplements can be helpful, but nothing beats good nutrition from fruits and vegetables. Talk to your plastic surgeon about their scar protocol. I usually have my patients start massaging the incision line with a good, heavy moisturizer. Scar creams that are made of a medical grade silicone are excellent - like BioCorneum or Silagen - and are massaged into the incision daily for six weeks. Silicone tape or even paper tape has shown to improve the incision. Anything that helps remove the tension from either side of the incision is helpful.Good luck!
