Scar revision is most commonly done by surgical excision of the scar and putting it back together as either a straight line or a geometric or broken line closure pattern. The type of scar revision used depends on the location of the scar, its size and dimensions and the patient’s skin characteristics.
The following postoperative instructions for scar revision are as follows:
1. Most scar revision have little if any discomfort. Most patients only use Tylenol or Ibuprofen for just a few days after the procedure. You may also feel free to use ice packs on the scar revision area for discomfort relief if you desire as long as they do not directly contact the skin to avoid a thermal injury.
2. In most cases of scar revision, the area will be covered with glued-on flesh-colored tapes. These are to be left on until Dr. Eppley removes them during your first postoperative visit. Some spotting of blood may appear on the tapes and this is normal.
3. In some cases, the area will not be taped and left open. Antibiotic ointment may be used three times a day to keep the sutures soft and moist.
4. Whether you have tapes or visible sutures, it is also ok to have them get wet when you shower. You may shower as normal the following day.
5. If the scar revision is on your face, you may wash your face and get the tapes or suture lines wet. Shaving and make-up application may be done around the area.
6. Physical activities after scar revision depend on where the scar is located. If it is on your scalp, face or neck, you should be able to do any activity that feels comfortable afterwards. If it is on your body, then just think carefully about whatever you are planning does not put undue stress or pulling on the incision lines for up to a month after surgery.
7. You may eat and drink whatever you like right after surgery.
8. The application of topical scar therapies such as ointments and tapes can begin three weeks after the procedure.
9. Avoid extreme sun exposure or the risk of sunburn on the scar revision areas for up to six months after the procedure.
10. If any scar revision redness, increased tenderness, or drainage develops after the first week of surgery, call Dr. Eppley and have your pharmacy number ready.