How to properly care for cesarean section scar hyperplasia?

Hyperplasia of cesarean section scars is a lingering problem for many women. The raised red scars not only affect the appearance, but may also be accompanied by itching and stinging. Why do scars proliferate? This is due to the excessive synthesis of collagen during wound healing. When the entire layer of skin is incised, the body will start the "repair mode," and fibroblasts will secrete a large amount of collagen fibers to fill the wound. If the local tension is too high, infected, or improperly cared for during the healing period, collagen synthesis will be out of control, forming hyperplastic scars.

When is the golden age of wound care?

Clinical observations have found that scar hyperplasia is most common 3-6 months after surgery, but prevention should start immediately after stitches are removed. Traditional thinking holds that it is safer to "wait for the scab to fall off naturally," but scabs are actually the product of dry healing and may delay the repair process. Modern wound care advocates "moist healing," which means using sterile dressings to keep the wound moist and reduce scab formation. Scar management can begin 24 hours after stitches are removed if there is no exudate or redness in the wound.

Why has silicone gel scar dressing become the clinical first choice?

This type of dressing has multiple functions through "hydration": forming a protective film on the surface of the scar, reducing water evaporation, and softening the collagen structure; at the same time, it inhibits the activity of fibroblasts through electrostatic action and blocks the scar proliferation pathway. Studies have shown that continuous use of silicone gel for 6 months can reduce scar thickness by 40% and itching by 65%. However, it should be noted that silicone gel must be used after the wound is completely closed, and premature use may cause infection.

How to use silicone gel scar dressing correctly?

Cleaning the wound is the first step. Wipe it gently with warm water and avoid rubbing it vigorously. After the skin is dry, squeeze out a soybean-sized amount of silicone gel and apply it thinly on the surface of the scar in a "circular" manner. The thickness should be 1 mm. The application range should exceed the edge of the scar by 1 cm to form full coverage. Use it twice a day, once in the morning and once in the evening, for at least 3 months. If the scar is located at the joint, it is recommended to use it with a tension-reducing patch to reduce the pulling of skin tension on the scar.

What other key details are there in daily care?

Sun protection is very important. Ultraviolet rays can stimulate scar pigmentation, causing redness and darkening. It is recommended to choose physical sunscreen (SPF30+) or use clothing or parasols to block the scars. In terms of clothing, avoid tight clothing that rubs against the scars, and choose cotton, loose underwear, and belts. The diet needs to control spicy and stimulating foods, but there is no need to avoid excessive diets. Balanced nutrition is more conducive to repair.

What should I do when scar hyperplasia is serious? If scars continue to thicken, harden, or spread like crab feet, you need to seek medical attention in time. The doctor may recommend combined treatment, such as a pulse dye laser to seal blood vessels and local injection of glucocorticoids to inhibit inflammation. However, it should be noted that medical intervention should be performed during the scar stabilization period (6-12 months after surgery), and premature intervention may affect healing.

How long does it take for scar care to be effective?

Individual differences determine the speed of recovery. Usually, it takes 3-6 months of continuous use of silicone gel to observe significant improvement. Some women may be left with light white linear scars due to their physical constitution, which is a normal healing result. Scars cannot disappear completely, but scientific care can make them soft, flat, and close to skin color. Starting from the first drop of silicone gel after the stitches are removed, give your body time and give yourself patience. For more information on Innomed®Silicone Scar Dressing, refer to the Previous Articles. If you have customized needs, you are welcome to contact us. You Wholeheartedly. At longterm medical, we transform this data by Innovating and Developing Products that Make Life easier for those who need loving care.

Editor: kiki Jia