How to Heal Scars | How Can I Make My Scar Heal Better? - Ask Dr Schulman

hey everybody I'm dr. Matthew Schulman

board-certified plastic surgeon welcome

to another episode of ask dr. Shulman

today's topic is something I know you're

gonna be interested in it has to do with

scars how do you prevent bad scars how

do you make your scar after surveyed

look as good as possible so one thing I

just want to clear up is scars are

inevitable after surgery there's nothing

we can do about it nobody's created

scarless surgery you know as Plastic

Surgeons we do lots of things during the

operation to try to promote as good a

scar as possible we use special

instruments we use special sutures we'll

use special special techniques which

don't traumatize the skin these are all

things that's part of our training we

also know how to hide scars pretty well

so we know that there's certain areas of

the body that if you put a scar you

can't really see it however we can't

overcome your body's healing ability and

and we can we can't prevent your body

from making a bad scar that's just

something that is

you know one of the big mysteries of

surgery but there are things that you

can do to help your scar heal and help

give yourself the best chance of having

a good scar so let's talk about those

easy things that you can do in order to

to help yourself after your surgery so

the first thing you can do is avoid sun

exposure to your scar

we know that fresh scars are very

sensitive to the Sun to ultraviolet rays

or UV rays from the Sun UV rays will

make a fresh scar look red and look

angry now a scar

always looks a little red and angry

after surgery probably for the first

three or four months and I always tell

my patients this isn't normal

it gets better but doesn't look great

run away if you have exposure to the Sun

that scar will look even more red and

even more angry so you want to make sure

you put some sunscreen some sunblock on

your fresh scars now I know what you're

thinking you're thinking I just had

surgery I'm not going to be laying out

on the beach in a bikini I'm wearing

clothes so I don't need to put sunblock

on but that's not true because that UV

rays will get through your clothes and

that scar is so sensitive to the UV rays

that even that little exposure through

your clothes will make that scar look

more red and more angry so put sunblock

on top of your fresh scars that's gonna

go a long way in helping you have a nice

scar the other thing that you should do

which is the number one most important

thing that you can do after surgery is

invest in a silicone gel scar treatment

so we know that silicone is really good

at making scars heal better they help

get the red out they help flatten scars

and they help make them fade over time

so you want to make sure you have a

silicone product that you're going to be

using you know religiously every day the

silicone products come in a variety of

different different formulations one

formulation that that's really popular

is in a gel form so the silicone product

comes in

comes in a pump and there's several

different brands and I'm you know I'm

not saying one brand is better than the

other as long as it's a silicone product

it's gonna be good for you so the way

you use that is you put a little pump on

the scar and you massage it in the good

silicone gel will feel really smooth it

won't be tacky it doesn't smell and it

doesn't really get sticky or anything

like that so you massage it into the

scar you do this twice a day and you're

probably gonna want to do this for about

four or five months and you'll find that

this is gonna make the scar do better

the other silicone product that's really

popular is silicone sheets so the way

the silicone sheets work let me get this

little sample I have it looks like a

band-aid and it's really a silicone

sheet and it has a has a sticky side and

what you do is you put that on your scar

just like that and it sticks on just

like a band-aid

these sheets come in a variety of

different shapes and sizes so they'll

come along so you can put on a tummy

tuck they'll even come in a circle so

you can put it on your your breast scar

they come in often in big sheets that

you can cut to to fit your scar you know

so you can customize it yourself but the

main thing about this and the key to

using this sheet is you have to wear it

all the time we tell people to wear that

wear it for 23 hours a day so the one

hour you're not wearing it is really

just when you're you're showering so you

want to wear this all the time the

better you are about wearing it the

better result you're gonna get some

people love this some people hate it

because they find it annoying and it's

it's maybe hard for them to be to wear

all the time so they're not really


you know if that's the case then the gel

formulation is really good and most of

my patients will use both because

they'll use they'll use the gel when

there's a situation where they can't

leave the sheet on so a silicone product

whether it's a gel or a sheet is

something that's really important you

definitely should invest in that and

start using it as soon as you're a

board-certified plastic surgeon says

it's okay to put on your scarf the other

things that you can do is look into

laser treatments there are lasers that

are really good at reducing the

appearance of scars and what we find is

early use of the laser can help prevent

bad scars most people think that use

lasers when a scar is bad when it's

thick or when it's dark but the real key

with all of these products or all these

lasers is to treat the scar before it

gets bad because you're trying to

prevent it from getting bad it's almost

impossible to make a bad scar look good

but it's much easier to treat the scar

wot's healing so it continues to look

good and doesn't look bad so there's

laser treatments that you can speak to

your port certified plastic surgeon

about there's also some injections that

can be given in the event of your scar

starts to look a little darker a little

thick so there's steroid injections that

we can put into the scar

so there's treatments available so the

whole key is be aggressive with treating

your scar early on and hopefully that

start will heal as thin and as flat and

as invisible as possible thank you for

joining me for this segment if you found

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