Scar Gazing

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auricula

Active member
Joined
Jan 15, 2011
Messages
28
Location
Maryland
At 14 weeks post-surgery I am uncomfortable with my scar, and when I look down at it I have flashbacks to some of the scariest aspects of my surgery. My skin is very pale and the scar is extremely red and rather crooked at the bottom. My chest was stapled and there are vertical rows of very bumpy big red dots on either side of the incision, which has widened in recent weeks, and there are parallel lines on my breasts from the retractor. I wonder if a cemented incision would have healed better? I don't want to attract stares at my pool so I wear a T-shirt under my bathing suit.

I bruise easily and recover slowly, so I think healing and fading will be very tedious. Bruising from the surgery lasted over a month, extending from my chest to my abdomen in garish shades of orange and magenta embellished with bright red petechiae. After the cardiac cath test I had a massive attack of itchy hives, so it seems that my skin is super-sensitive.

When I asked a friend whose husband was a plastic surgeon about care of the scar, she said that keeping it well moisturized is very important because scar tissue does not make oil like normal tissue does. When stretched, the tissue develops tiny fractures and this slowly results in more scar tissue. This can be minimized by keeping it lubricated. I have a small collection of products that I use in rotation—cocoa butter, shea butter, vitamin oils, and Vanicream. I have read that massaging along the length of a scar several times a day may help soften it and reduce its volume, and that using sunblock when the chest will be exposed to the sun can lessen the likelihood of having the scar darken or redden permanently.

Today an article appeared in my local paper in which various remedies to prevent or lessen scarring after surgery are discussed and it seems that petroleum jelly can be more effective than many of them. Studies have shown that silicone gel sheeting and silicone gel are promising but expensive. Scars can take 6 months to 2 years to heal. Antibiotic ointments are not recommended because they don’t help healing or reduce infection and do increase the risk of antibiotics resistance.
http://www.baltimoresun.com/health/la-he-scars-20110417,0,4933302.story

A sidebar that appears in the newspaper was not printed online and this includes the suggestion that one to two weeks before surgery you should stop taking anything not medically necessary that thins the blood and increases bleeding. Only do this with the approval of your surgeon. Increased bleeding leads to more bruising and swelling, which can make the scar larger. This list includes aspirin, ibuprofen, vitamin E, fish oil, garlic, ginger, ginko and alcohol. Pat
 
I understand what you are saying about your scar. I did not have the staples, so am guessing mine was cemented. It is still red and ropey. I have been using Mederma on it, but not sure it is making any difference. Thinking I might try your newspaper article's suggestion of petroleum jelly. I was told that using two fingers and massaging across the scar would help soften and reduce the ropiness of the scar.

Getting ready to be out on the lake a lot, and worried about best way to protect the scar, while still getting some tan. Thanks for sharing this info!
 
I did the silicon sheet thing for the first three months post-op and it made an amazing difference to the top half of my scar. However the bottom half has gone hypertrophic and seems quite painful - originally I thought it was the sternum but my surgeon thinks it's the actual scar. I am back to the silicon sheet now and within a couple days the constant pain and occasional mad stabbing decreased massively.

So, that's one vote for the silicon stuff! It's called Scar FX and it's not cheap in Australia, but can be bought for a reasonable price in the US. And if it works, it's worth it!!!
 
Just a quick note to add that most surgeons give instructions to put nothing on our incisions until they are fully healed. It was stressed to me after both my surgeries. You must take care to not cause infection if using various scar reduction products. Please check with your doctors before using.

My scar had healed quite nicely though was noticeable, of course. When I learned it had to be reopened four years later, I was sure it would heal gnarly and ropey and would be awful but shockingly it looks even better now than after only my first surgery. Give the scars time. In my case, parts of it are almost invisilble. It truly amazes me.
 
"Scar Gazing" -- great headline, Pat! :smile2: All I can offer is that six years post-op, my scar is barely visible. There is a lot of info out there about helping it along, but one perspective is that time heals all wounds. Personally (maybe I am a bit of an exhibitionist), I've enjoyed having it to show off, or at least threaten to show off. :p
 
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