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Scar Management Newcastle

Scar Management Resource Centre

Dr Mistry Plastic Surgery

Specialist plastic and reconstructive surgery with a focus on careful planning, evidence-based care, and comprehensive patient support.

Understanding Scar Healing

Scarring is a natural part of the body’s healing process following surgery, injury, or skin trauma. Every incision heals by forming scar tissue, but the appearance, texture, and long-term quality of a scar can vary significantly between individuals.

Many factors influence scar development, including:

  • Genetics
  • Skin type and pigmentation
  • Age
  • Wound tension
  • Infection or wound complications
  • Smoking and nicotine exposure
  • Nutrition
  • Sun exposure
  • Medical conditions such as diabetes

While no treatment can completely eliminate a scar, modern scar management strategies can help optimise healing and improve scar appearance.

Most scars continue to mature and remodel for 12–18 months following surgery.

The Scar Healing Timeline

✓ Phase 1: Inflammatory Phase (0–2 Weeks)

What Happens?

Immediately following surgery, the body initiates a complex healing response.

During this period:

  • Blood clotting occurs
  • Inflammatory cells remove damaged tissue
  • New blood vessels begin forming
  • Collagen production commences

It is normal for scars to appear:

  • Red
  • Raised
  • Firm
  • Sensitive

Your Priorities

  1. Keep wounds clean and dry
  2. Follow dressing instructions
  3. Avoid tension on incisions
  4. Avoid smoking or vaping
  5. Maintain adequate hydration and nutrition

✓ Phase 2: Early Proliferative Phase (2–6 Weeks)

What Happens?

Collagen production increases rapidly and wounds gain strength.

Once the incision has fully healed and your surgeon confirms it is safe:

  • Silicone therapy may commence
  • Scar massage may be introduced
  • LED photobiomodulation may be recommended

Your Priorities

  1. Begin silicone therapy
  2. Protect scars from UV exposure
  3. Attend follow-up appointments
  4. Follow post-operative activity restrictions

✓ Phase 3: Remodelling Phase (6–12 Weeks)

What Happens?

The body reorganises collagen fibres and begins refining scar tissue.

Scars may remain:

  • Pink
  • Firm
  • Slightly raised

This is completely normal.

Your Priorities

  1. Continue silicone therapy
  2. Perform scar massage if advised
  3. Continue sun protection
  4. Consider adjunctive treatments if appropriate

✓ Phase 4: Scar Maturation (3–18 Months)

What Happens?

Scars gradually become:

  • Flatter
  • Softer
  • Lighter in colour

Final scar appearance cannot usually be assessed before 12 months.

Your Priorities

  1. Continue scar care
  2. Protect scars from UV exposure
  3. Discuss additional treatments if concerns persist

scar management infographics

Evidence-Based Scar Management

Silicone Therapy

Silicone remains the most widely recommended first-line treatment for prevention and management of hypertrophic and problematic scars.

How Does Silicone Work?

Silicone helps:

  • Improve hydration of the scar
  • Regulate collagen production
  • Reduce itching and discomfort
  • Improve scar softness and flexibility
  • Reduce scar thickness

Products Commonly Recommended

Strataderm®

Silicone gel suitable for:

  • Facial scars
  • Breast surgery scars
  • Body contouring procedures
  • Skin cancer surgery scars

Rystora®

Available as:

  • Silicone gel
  • Silicone sheet
  • Silicone tape

May be useful for larger body scars and areas requiring prolonged coverage.

When Should Silicone Begin?

Generally:

  • Once the wound is fully closed
  • No scabs remain
  • No drainage is present

This is usually between 2–4 weeks following surgery.

How Long Should Silicone Be Used?

Most studies recommend:

  • Minimum 12 weeks
  • Often 6–12 months for optimal scar maturation

Scar Massage

Scar massage may be introduced once healing is sufficiently advanced and approved by your surgeon.

Potential Benefits

  • Improves scar mobility
  • Softens scar tissue
  • Improves flexibility
  • May reduce discomfort and sensitivity

Typical Technique

  • Gentle circular pressure
  • Vertical movements
  • Horizontal movements

Typically performed:

  • 5–10 minutes
  • 1–2 times daily

Only commence scar massage when advised by your treating surgeon.

Sun Protection

Sun exposure is one of the most common causes of prolonged scar redness and pigmentation.

Fresh scars are particularly vulnerable to ultraviolet damage.

Recommendations

  1. SPF 50+ broad-spectrum sunscreen
  2. Protective clothing
  3. Hats where appropriate
  4. Avoid prolonged sun exposure

Duration

Protect scars from sun exposure for at least 12 months following surgery.

MediLUX LED Scar Therapy

What is Photobiomodulation?

Photobiomodulation (PBM) uses specific wavelengths of light to stimulate cellular activity and support healing.

Unlike lasers, PBM does not create thermal damage or remove skin.

Potential Benefits

Studies suggest photobiomodulation may:

  • Reduce inflammation
  • Improve wound healing
  • Support collagen remodelling
  • Improve scar quality
  • Reduce post-operative swelling

How MediLUX Works

At Dr Mistry Plastic Surgery, MediLUX LED therapy may be recommended as part of a comprehensive recovery and scar management program.

Common therapeutic wavelengths include:

633nm Red Light

Associated with:

  • Fibroblast stimulation
  • Collagen production
  • Tissue regeneration

830nm Near Infrared Light

Associated with:

  • Deeper tissue penetration
  • Reduced inflammation
  • Enhanced cellular energy production

Typical Treatment Schedule

May vary according to procedure and individual healing.

Examples include:

  • Early post-operative support
  • Weekly scar optimisation sessions
  • Combination treatment with Dermapen 4

Dermapen 4 Scar Management

What is Dermapen 4?

Dermapen 4 is a medical microneedling device used to stimulate the body’s natural wound healing response.

Microneedling creates controlled micro-channels within the skin, encouraging:

  • Collagen production
  • Elastin formation
  • Scar remodelling

What Types of Scars Can Be Treated?

Dermapen may assist with:

  • Surgical scars
  • Skin cancer surgery scars
  • Traumatic scars
  • Acne scars
  • Textural irregularities

When Can Treatment Begin?

Timing depends on:

  • Surgical procedure
  • Scar maturity
  • Individual healing

Many surgical scars are assessed for treatment from approximately 12 weeks onwards, although this may vary.

Typical Number of Treatments

Many patients require:

  • 3–6 treatments

More complex scars may require:

  • 6–12 treatments

Treatment plans are individualised.

Combination Therapy

Dermapen 4 may be combined with:

  • Silicone therapy
  • MediLUX LED therapy
  • Medical skincare

to optimise outcomes.

Lifestyle Factors That Influence Scar Healing

✓ Nutrition

Adequate protein intake supports:

  • Tissue repair
  • Collagen synthesis
  • Immune function

Key nutrients include:

  • Protein
  • Vitamin C
  • Zinc
  • Iron

✓ Smoking and Nicotine

Smoking is associated with:

  • Delayed wound healing
  • Increased wound complications
  • Poorer scar quality

Complete nicotine cessation before and after surgery is strongly recommended.

✓ Weight Stability

Significant weight fluctuations can place tension on scars and affect long-term outcomes.

Download Dr Mistry’s Cost of Surgery Guide

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Downloadable Resources

This information is based on current international scar management guidelines, systematic reviews, and peer-reviewed scientific literature relating to scar prevention, silicone therapy, photobiomodulation, and scar remodelling. References are available upon request.

Disclaimer: This information is intended as general educational guidance only and should not replace personalised advice from your surgeon. Recommendations may vary depending on your procedure, wound healing progress, medical history, and individual circumstances. Always follow the advice provided by your treating specialist.

Frequently Asked Questions

Will my scar disappear completely?

No. All scars are permanent, however most become significantly less noticeable over time.

Why is my scar red?

Redness is a normal part of healing and may persist for several months.

Is itching normal?

Yes. Mild itching commonly occurs during scar maturation.

When can I start silicone therapy?

Once the incision is fully healed and your surgeon confirms it is safe.

When can I start scar massage?

Only when advised by your surgeon.

Can I use Bio-Oil?

Bio-Oil may help moisturise the skin, but current evidence generally supports silicone as the preferred first-line scar therapy.

Can I have Dermapen on a surgical scar?

Potentially, yes. Suitability depends on scar maturity and clinical assessment.

How long does scar maturation take?

Most scars continue to remodel for 12–18 months.

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Please Note: Information provided on Dr Mistry’s website is provided as a basic guide, it does not constitute a diagnosis and should not be taken as medical advice. Any surgical or invasive procedure carries risks.

A Newcastle Surgeon That Cares

“I care because it’s my job as a surgeon, as a plastic surgeon, to do the appropriate thing. I want to leave knowing that I can tell a patient, hand on heart, that I did the very best I could and that I looked after them, so when I see them post op later that day or the next morning, that they feel they were in good hands.”

– Dr Yezdi Mistry

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