Scars are permanent, and they change
Every incision leaves a scar. Over time it usually flattens, softens and fades, but this takes many months, and it often looks worst, red and raised, at the three-month mark before improving. Full maturity can take a year or more. No product removes a scar.
Start after the wound has closed
Do not put anything on the incisions until Dr. Jaberi says the wound is healed. Then, depending on your instructions, these steps are commonly used.
- Silicone gel or silicone sheets, worn consistently for several months
- Paper tape or gentle taping to reduce tension on the scar, if advised
- Gentle scar massage once cleared, to soften the tissue
- Keep a good supportive bra on, since tension can widen scars
Protect from the sun
New scars darken in sunlight. Cover them or use a broad-spectrum sunscreen with high SPF for at least the first year.
Things that affect your scars
Your genetics and skin type matter most, and some people form thicker scars. Smoking and nicotine harm healing. Infection, wound separation and heavy tension on the closure can all worsen scarring. Keloid and hypertrophic scars are more common in some skin types and in certain body areas, including the chest.
When to ask for help
If a scar becomes thick, raised, itchy, painful or keeps growing, tell us. Options may include silicone, steroid injections, laser or other treatments, and in some cases scar revision. These are discussed at your visit.