Basic Scar Information

• All cuts and incisions in the skin heal with a scar; scars are permanent.

• All scars will mature from red, possibly raised scars to flat, lighter pigmented scars. This process takes one year and up to 18 months.

• To promote early healing, we recommend using an antibiotic ointment, such as Polysporin, Bacitracin, or Double Antibiotic Ointment once or twice daily to the wound. Avoid use of Neosporin or Triple Antibiotic Ointment due to an increased risk of developing an allergic reaction. We also advise avoidance of Vitamin E cream or high doses of oral Vitamin E during the first three weeks following you incision. Vitamin E acts as an anti-inflamatory drug and may prolong the initial healing process.

• After three weeks, it is alright to apply a moisturizer to the scar by massaging (applying pressure to) the scar four times daily for five minutes each session. This will help tp soften and flatten the scar over time. If desired, Vitamin E may be used at this time.

• Avoidance of sun ezposure during the healing process will reduce the possibility of increased pigmentation to the scar and will promote healthier skin overall. If you are going to be exposed to the sun's rays, we advise using the highest SPF block available to the scar's area or wearing sun protective clothing to shield the sun's rays.

• Call your doctor if the scar has become increasingly itchy, painful, wide, or thickened. It may be hypertrophic (thick scar) or a keloid scar. Your doctor may then refer you to the Plastic Surgery Clinic for further evaluation.

Information and recommendations provided by the Department of Plastic Surgery, Kaiser San Rafael.

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