Treatment of post-operative and other scars
In a simple division, such scars can be divided into atrophic and hypertrophic. Sometimes we deal with both forms even within one scar. They are usually quite unsightly so they are not accepted by patients.
They can also be divided according to their origin – e.g. post-operative scars, post-accident scars, post-acne scars, post-burn scars, etc.
The treatment technique, preparations used and devices used are always adjusted depending on the needs and are always individual. We often use lasers, platelet-rich plasma, fat tissue transplants and, if necessary, corticosteroids.
Very often, a combination of several therapeutic methods in appropriate combinations should be used.
Treatment of post-operative scars can be divided into two main groups:
- Conservative treatment, which involves the use of natural or medical methods aimed at improving the appearance and properties of the scar.
- Surgical treatment, which involves the removal of the scar or part of it.
Conservative treatment
Conservative methods are the most commonly used methods of treating post-operative scars. They are safe and non-invasive, so they can be used at any age and for any type of scar.
The most popular conservative methods include:
- Scar massage – scar massage is intended to relax the connective tissue and reduce scar tension. It can be performed independently or with the help of a physiotherapist.
- Scar taping – taping the scar with special plasters or dressings is intended to reduce scar tension and accelerate its healing.
- Application of medications and ointments – medications and ointments can be used on scars to reduce redness, itching and pain.
- Cryostimulation – cryostimulation involves irradiating the scar with cold. This reduces its redness, itching and pain.
- Laser therapy – laser therapy involves irradiating the scar with a laser. This reduces its thickness, redness and visibility.
Surgical treatment
Surgical treatment is used for scars that are very visible, impede movement, or cause pain.
Surgical procedures that can be performed to remove or reduce a post-operative scar include:
- Excision – the procedure involves cutting out the scar and stitching the edges of the wound.
- Z-plasty – the procedure involves making Z-shaped incisions to reduce the tension of the scar.
- W-plasty – the procedure involves making W-shaped incisions to reduce the tension of the scar and improve its appearance.
- Flaps – the procedure involves moving a piece of skin from another area of the body to cover the scar.
Selection of treatment method
The selection of a post-operative scar treatment method depends on many factors, including the size and location of the scar, its appearance and properties, as well as the individual preferences of the patient.
In the case of small scars that are not visible or do not cause pain, conservative methods can be used. In the case of large or visible scars that cause pain or impede movement, surgical treatment may be necessary.
Post-operative scar treatment – Post-operative scar care
In addition to treating the post-operative scar, it is also important to take proper care of it. This can reduce the risk of complications such as infection or scar hypertrophy.
In the period immediately after surgery, the scar should be protected from trauma and contamination. This can be done by applying a dressing or covering it with clothing.
After removing the dressing, the scar should be washed regularly with mild soap and water. You can also apply ointments or creams to the scar that are intended to reduce redness, itching and pain.
The scar should also be massaged regularly. The massage is intended to loosen the connective tissue and reduce the tension of the scar.
If complications occur, such as infection or scar hypertrophy, you should consult your doctor immediately.