Scar development
Scars form individually and require time to fully mature. Scars are initially red and raised and gradually mature over the course of one to two years. Sometimes scars can overshoot (hypertrophic scar) or even spread beyond their boundaries (keloids) due to increased fibroblast activity, especially in darker-skinned individuals. In such cases, special interventions and proactive measures can be used to prevent and alleviate excessive scarring.
Why is it important to care for the scar?
Caring for your scar after cosmetic surgery is important for several reasons. Proper scar care can significantly improve the appearance of scars over time, making them far less noticeable and increasing your well-being and self-confidence. After all, the goal of cosmetic surgeons is to improve your appearance! In this article I will give you some valuable advice on how to effectively treat your scars to achieve the best possible result.
How do board-certified plastic surgeons create the best scars?
Mastering a beautiful suturing technique is an important part of a plastic surgeon’s training. By selecting the best suture materials, careful tissue handling and strategic placement of incisions, we ensure that the surgical wound is prepared for optimal scar healing. Most plastic surgeons have extensive training in dealing with the most delicate tissues.
UrgoTouch®
UrgoTouch® laser treatment is a groundbreaking method of scar treatment. UrgoTouch® is administered in a single session during a surgical procedure and influences the inflammatory phase of scar healing. By subtly increasing skin temperature, this laser treatment modulates the inflammatory process, promotes balanced collagen synthesis and significantly improves the final appearance of scars.
How to improve your scars after cosmetic surgery
Medical needling and radiofrequency microneedling
Medical needling and microneedling with radiofrequency energy are minimally invasive treatments that are suitable for different skin types. Its effect is to model the natural process of new collagen formation in scars. If these procedures are carried out carefully, the healing of micro-injuries to the skin ensures stimulation of collagen production at a proper level. This can result in less scarring and improvement in skin tone and texture. In addition, home needling devices with a lower penetration depth (up to 0.5 mm) offer an additional option for regular use, usually one to three times a week.
Combination therapy
Nanofat, PRP and stem cell exosomes can be incorporated into needling treatments to increase their effectiveness.
Stem cell exosomes
Stem cell exosomes help protect skin cells from external toxic substances by providing antioxidants and growth signals. This protection helps ward off oxidative stress and promotes repair of damage, resulting in improved skin quality, improvement in scar quality and a reduction in excessive scarring.
PRP
PRP, also known as platelet-rich plasma, provides high concentrations of growth factors that accelerate healing and regulate inflammation. This procedure is straightforward and requires a small blood sample from the patient.
Nanofat
Nanofat grafting has become an innovative method of scar treatment, resulting in significant improvement in skin texture and aesthetic appearance. The high level of safety and minimally invasive nature make it an attractive option in scar treatment.
Scar massage
Scar massage plays the central role in daily scar care. I recommend starting scar massage approximately two weeks after surgery, gradually increasing pressure until the scar pales or reaches a tolerable pain threshold. Any non-irritating oil, ointment or cream can be used during the massage. Near bony areas, scars can be safely pressed against the bone and massaged for optimal results. Scar massage promotes the softening and flattening of scars while preventing excessive scar formation.
Silicone gel and scar tape
Silicone gel and silicone scar patches or tape have been shown to be effective in keeping scar tissue moist during the healing process. I recommend starting to use these products approximately two weeks after surgery and continuing for at least three months. By providing moisture, these products contribute to better scar healing by reducing fibroblast activity and promoting scar flattening and flexibility.
Cortisone injection and radiation therapy
Cortisone injections and radiation therapy offer treatment options for hypertrophic scars and keloids. Initially, the scars may appear raised and firm and may be red to purple in color during the early healing phase, approximately three months.
Sunscreen
It is important to apply sunscreen with an SPF of 50 or higher to all scars, especially in the first year, to avoid hyperpigmentation. Even fully developed white scars remain vulnerable to UV light. UV exposure persists year-round, even on cloudy days, with levels being higher at higher elevations, in summer, and on sunny days in the snow or on the water.
If you choose to do your cosmetic surgery at REDEKER AESTHETICS, you will receive comprehensive scar treatment. I will advise you thoroughly on the most effective products and treatments to “design your scar”.