Scar Management

This is a 2 step process which commences after all wounds have healed. In general this will be at the 2 week mark for face and neck scars but could be longer for flaps, grafts or other sites that may be slower to heal.

Scar massage

Why is it important?

  • There is a lot of evidence that pressure applied to early wounds results in flatter, less pink scars
  • Scars remodel as long as 12 months or more out from surgery and therefore early pressure application can encourage their remodelling in the desired fashion

What should you use for scar massage?

  • Scar massage should be performed using a moisturiser such as sorbolene, vit E cream or Bio-Oil.
  • This should be applied with firm pressure enough that the scar and the skin around it blanches due to that pressure. Pressure should be applied in circular motions along the scar.
  • Just gently applying the moisturiser to the scar will make the area feel nicer as it will be well hydrated but erhaps not aid in remodelling the scar.

How long should you spend?

A few minutes should be spent on every few cm of scar, with pressure becoming firmer as the wound matures weeks from surgery.

How often should it be done

In general the more often it is done the better, but most of the time we find patients will remember to do it twice and this is a good frequency for most scars

What else do I need to do?

  • After massaging you can wipe the skin dry and then apply silicone (see below)
  • You should also keep early scars, flaps and grafts out of direct sun as these can pigment
  • If you are not keen on using silicone, there is evidence that taping of scars can also improve outcomes, probably from ongoing sustained gentle pressure.

Silicone Therapy

Why is it important?

There is a lot of evidence to show that scarring is improved through the use of silicone. In fact this is probably the only product that has solid evidence in many trials to show its beneficial effect for scarring.

We therefore recommend for the best results, that silicone is step 2 of the scar management process, after scar massage. We will certainly, always recommend its use for any scars that are visible, for example those on the face and neck.

How does silicone work?

It is not completely known how silicone works.

It is probably due to a host of effects including:

  • Pressure from silicone taping
  • Trapping moisture
  • Trapping oxygen
  • Active effects of silicone ions

What should you use for silicone therapy?

Silicone is available as a gel or as a sheet

Gel

  • We recommend the use of 100% silicone gels.
  • These are available as tubes of 5g, 10g, or 20g depending on the size of the wound.
  • A common product is Strataderm, and this is available for purchase in our rooms.

Sheet

  • This is an adhesive sheet which can be cut to the size of the scar
  • A particular piece of silicone can be applied, removed and reapplied for 3-4 weeks meaning that a large sheet can last for a long time
  • It does however become less sticky with reapplication and may be secured with micropore tape to the scar
  • A common product we recommend is Cica Care, by Smith & Nephew.
  • The sheet is probably best for hidden scars on flat surfaces.

How is it employed?

  • After scar massage is performed in the morning, the skin is wiped dry.
  • A drop of silicone gel is smeared which dries as a clear film, or silicone sheet with micropore tape applied.
  • If using silicone gel it can then be covered by sun block or cosmetics (the first layer must be silicone however)
  • In the evening the silicone is removed (if this was a gel, by washing the site)
  • The process of scar massage is repeated, skin wiped dry and then the silicone reapplied before going to sleep.

How often should it be done?

  • In general both step 1 of scar massage and step 2 of silicone gel or sheet application should be done twice daily
  • However it is important that the silicone is in contact with the skin for most of the day (ie. Over 20 hours per day)

What else do I need to do?

  • You should also keep early scars, flaps and grafts out of direct sun as these can pigment
  • If you are not keen on using silicone, there is evidence that taping of scars can also improve outcomes, probably from ongoing sustained gentle pressure.

Meet Dr Aggarwal

Dr Aggarwal is a well regarded, respected, highly skilled and experienced Specialist Plastic Surgeon. Graduating at the top of his class throughout his training, Dr Aggarwal has completed fellowship training at some of the world’s most prestigious reconstructive and cosmetic plastic surgery institutions. He continues to publish research is prestigious plastic surgery journals, and is actively involved in the training of future plastic surgeons.

What sets Dr Aggarwal apart from others is his personal, affable and warm nature. Not only does he pay attention to detail, to producing natural, beautiful results but he ensures that the patient’s journey is just as special as their outcome. Dr Aggarwal looks after patients at two of Sydney’s most prestigious public hospital campuses (RPA and POWH/RHW), and operates privately on the North Shore.

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Why Choose Us

Highly Skilled

Highly skilled Fellowship Trained Plastic surgeon – know you are in the safest of hands with a Plastic Surgeon who is experienced, highly respected, and appointed at premier Sydney hospitals- including the SAN, RPA, POWH and RHW.

Safety

If sedation or general anaesthetic is required, it is delivered by an accredited anaesthetist

Accommodation

Have your surgery at premier, accredited Sydney private hospitals

Upfront Costs

We provide written quotes, so there are no surprises.

Patient Centered Care

We make you our top priority. Need to ask a question, worried about dressings or something else post op? We will always be at your beck and call.

Reviews

Our patients love us! Feel free to read our reviews online on independent websites, or you can speak to some of our existing patients who will gladly speak about their plastic surgery journey.

Affiliations & Associations

Latest News

New Consulting Locations

In addition to our Hornsby and Camperdown locations, in 2018 we bring you:

  • Hunters Hill (Lower North Shore) – conventiently located near one of Dr Aggarwal’s operative locations at Hunters Hill Private Hospital, Hunters Hill offers the convenience of accessing Dr Aggarwal in the lower north shore.
  • Gordon (North Shore) – set to be our primary practice, our flagship rooms will be open for trading in August 2018. Follow our blog to see an update on progress.
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Consulting Locations

Gordon (Flagship)

Suite 13, Level 3, 924 Pacific Highway, Gordon NSW 2072

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Hornsby

85 Burdett St, Hornsby NSW 2077

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Camperdown

Level 2, Clinic D, Chris O’Brien Lifehouse, Camperdown NSW 2050

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Hunters Hill

Level 1, 6 Ryde Road, Hunters Hill NSW 2110

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Phone:

1300 80 9000

info@modeplasticsurgery.com.au

Suite 13, 924 Pacific Highway
Gordon NSW 2072, Australia

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