I’m 2 weeks post breast lift with implants and got the ok to remove steri strips and begin scar treatment per Md. He recommended Pro-sil, a glide on silicon therapy with SPF. It seems like I should be doing more. I’m still wearing my post surgical bra for support. Will using the medipore tape over the silicon gel and sheets help relieve more tension on the suture lines? Or could I risk widening the scar line if not placed correctly?
December 3, 2018
Answer: Scar management Dear LovelyLadies24,for scars, I close all of my incisions in 5 layers and do not use absorbable sutures because they cause inflammation and worse scarring. I tape all of my incisions in the office visits once a week for six weeks after surgery to improve the appearance. After taping, I start my patients on a scar gel therapy for 3 months that they have to put on their incisions twice daily. But every plastic surgeon has his own postoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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December 3, 2018
Answer: Scar management Dear LovelyLadies24,for scars, I close all of my incisions in 5 layers and do not use absorbable sutures because they cause inflammation and worse scarring. I tape all of my incisions in the office visits once a week for six weeks after surgery to improve the appearance. After taping, I start my patients on a scar gel therapy for 3 months that they have to put on their incisions twice daily. But every plastic surgeon has his own postoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful 1 person found this helpful
December 3, 2018
Answer: Is using silicone gel covered by silicone sheets covered by medipore tape overkill for scar treatment? Thank you for your question. In short, the answer is yes. Adding additional bandages with silicone on top of other silicone bandages is defeating the purpose. One layer of silicone in contact with the skin and the scar is sufficient for scar management. Also, I would not be fooled into thinking that the silicone sheets are offloading tension, as they are not. The only device on the market that I trust to do active tension offloading is called Embrace. You can look into that as an option if you want to do the most possible for your scars as they heal. Discuss your options with your plastic surgeon.Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery
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December 3, 2018
Answer: Is using silicone gel covered by silicone sheets covered by medipore tape overkill for scar treatment? Thank you for your question. In short, the answer is yes. Adding additional bandages with silicone on top of other silicone bandages is defeating the purpose. One layer of silicone in contact with the skin and the scar is sufficient for scar management. Also, I would not be fooled into thinking that the silicone sheets are offloading tension, as they are not. The only device on the market that I trust to do active tension offloading is called Embrace. You can look into that as an option if you want to do the most possible for your scars as they heal. Discuss your options with your plastic surgeon.Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery
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