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  • Plastic surgery scar management

Plastic surgery scar management

This advice aims to provide you with information about the management of your scar following your surgical procedure or injury.

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Plastic Surgery Nursing
Date of issue: May 2024
Review date: May 2025

This information has been developed to supplement the information the doctor or healthcare practitioner has already given you.

If the review date has passed, the content will apply until the next version is published.

Scars

  • A scar is a mark that is left on the skin after a wound or injury to the surface of the skin has healed.
  • They are very common, and most people will have one on their body.
  • They are a natural part of the wound-healing process.
  • Scar tissue will continue to develop over many weeks and months.
  • Scars can be unpredictable in appearance.
  • They can be red/pink and raised/rough initially.
  • Your scar should fade and flatten over time (this may take up to 2 years) but will never completely disappear.

Moisture and massage

Scar tissue has no self-lubricating properties, so we advise that you add moisture to your scar using a non-perfumed moistening cream.

Massaging your scar can help to soften and flatten scar tissue, resulting in the best cosmetic appearance. 

Scars may feel sensitive, tingle or hurt when touched, but regular massage can help this, and eventually the sensitivity should settle down.

Begin your moisture and massage as soon as your wound has fully healed - do not massage an open wound.

How to massage

Step 1: Wash the area with a gentle soap and pat dry

Step 2: Apply moisturiser to the scar

Step 3: Place the pad of your thumb or finger on the scar

Step 4: Massage using a circular motion so the skin moves over the scar

Step 5: Use firm pressure without causing discomfort

Step 6: Continue this process across the entire scar

It is recommended that you massage your scar 2-3 times daily for 5-10 minutes each time and continue until it is paler, flatter and softer.

Sun protection

  • Scars are very sensitive to the sun, so it is important that they do not get sunburnt.
  • Wear clothing that covers your scar, such as a hat, clothing or sunglasses.
  • Don't forget to apply a high-factor sunscreen with SPF 30 or higher.

Potential problems

  • Your scar may remain raised, feel hard or itchy and restrict your movement. Treatment in the form of specialised silicone dressings or cream may be required.
  • Your scar may become sore, blistered or re-open. If any of these symptoms occur, then stop your moisture and massage.

Please contact your GP or Plastic Surgery Nurse for advice and/or treatment if either of these occur.

Contact details

Plastic Surgery Nursing Team
Queen Margaret Hospital
Monday to Friday, 8.30am-4.30pm
01383 623623 extension 25757

Alternatively, contact your own GP or, if you are out-of-hours, please contact NHS 24 on 111.

If you would like to share your experience, you can fill out our survey form or provide feedback at careopinion.org.uk.

Accessible formats

If you require this information in a community language or alternative format such as Braille, audio, large print, BSL, or Easy Read, please contact the Equality and Human Rights Team at: email: fife.EqualityandHumanRights@nhs.scot or phone 01592 729130. For people with a hearing or verbal impairment you can also contact the team through the NHS Fife SMS text service number on 07805800005.

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