Those who are prone to excessive scar tissue, keloids, should avoid unnecessary skin damage. In addition to surgical scars, these include piercings and tattoos. However, those who have the necessary propensity to undergo appropriate surgery should discuss the wound treatment and further procedures with their doctors - with the surgeon as well as with the general practitioner or dermatologist.
It also depends on the surgeon
Depending on the area of operation, special techniques or sutures may help to leave the wound as fine and irritating as possible, reducing the likelihood of later proliferation.
Often, pressure bandages are also recommended for prevention after the first healing phase. The scar is usually for several weeks or months as possible around the clock by compression bandages, bodices, Ohrringklipps o.ä. compressed. The recommended pressure is about 25 to 40 mm Hg. Sanitary houses, doctors and pharmacists can advise here. Frequently, to prevent keloid formation, it is also recommended to use layers of silicone gel or polyurethane film, which are also placed on the scar for a long time. This is probably less the silicone itself is effective, but rather the air density and the pressure caused by wearing below the firmly adhered to the skin slides.
Silicone plaster, pressure bandage, massage ... and a little self-discipline
In almost all cases, the regular massage with special scar creams can also be helpful. Again, it probably depends less on the exact drugs. The effect is probably more of favorable accompanying factors, such as the improved circulation through the gentle friction, through the optimal humidification etc.
Unfortunately, all these preventive measures require some discipline and commitment. However, those who know from their own experience or family history of such an inclination, are worth the prophylactic scar treatment, because: If an existing scar has already formed a keloid, ie an excessive scar, then treatment is usually difficult and in some cases Cases also unsuccessful.
Author: Dr. med. Monika Steiner