How long does it take for surgical scars to flatten?

In time, some collagen breaks down at the site of the wound and the blood supply reduces. The scar gradually becomes smoother and softer. Although scars are permanent, they can fade over a period of up to 2 years. It's unlikely they'll fade any more after this time.
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Do surgical scars flatten over time?

Scars take time to settle. The lumpiness, puckering and thickening in the scar take 2-3 months to diminish, whilst the redness and pigmentation can take up to 9-12 months to fade. Most scars become flat and pale after 12 months.
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How long does it take for a surgical incision to flatten?

In the first few months, they may be pink and raised (hypertrophic) and then soften, flatten and lighten over the remaining 9–10 months. Scar tissue is not as strong as normal skin, and therefore, depending on location, direction and tension, it may widen over time, no matter how carefully the wound was closed.
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How do you flatten scars after surgery?

Cryotherapy: Cryotherapy uses extreme cold (liquid nitrogen) to freeze and slowly destroy scar tissue, which helps flatten the raised tissue. This treatment may be combined with the other injection treatment options to further reduce the scar.
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How long does it take for a surgical scar to mature?

Most surgical incisions will take approximately 2 weeks to heal and be considered closed. However, the overall length of time for the scar to heal is 9-12 months. This is the time it takes for any scar to mature into a pale and flat scar.
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Surgical wound healing



Will a raised scar flatten?

A minor wound like a cut will usually heal to leave a raised line, which will gradually fade and flatten over time. This process can take up to 2 years. The scar will not disappear completely and you'll be left with a visible mark or line.
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How long does scar tissue stay hard?

Initially, the scarring may look minimal, but over 4–6 weeks, the scar may get bigger or become raised, firm, and thick. Over the next 2–3 months, the scar will become smaller and blend in more with the person's skin tone.
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How do you smooth a bumpy scar?

Pressure and massage: One of the cheapest and most effective ways to help heal the scar is to apply pressure and massage to the area. You can use bandages or tape to apply pressure. Over time, it can help weaken the scar tissue and improve the appearance of the scar.
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How do you smooth out a bumpy scar?

Treatments include the following:
  1. Corticosteroid shots. The medicine in these shots helps shrink the scar.
  2. Freezing the scar. Called cryotherapy, this can be used to reduce the hardness and size of the keloid. ...
  3. Wearing silicone sheets or gel over the scar. ...
  4. Laser therapy. ...
  5. Surgical removal. ...
  6. Pressure treatment.
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Can massaging a scar make it worse?

If a patient massages their scar prematurely it could cause the wound to tear or reopen, risking an infection. It's therefore important to advise them to not begin massaging until the wound is fully healed.
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How do you know when a scar is fully healed?

“Usually the scars will heal rather quickly - within the course of a few weeks to one or two months - but you may not see final results for up to a year. Individual factors also influence how quickly your body is able to recover from a wound.” In older patients, or where the skin is more lax, scars settle more rapidly.
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Do indented scars fill in over time?

In most cases, acne scars do improve over time without treatment. That's particularly true of discoloration. Indentations may be more stubborn and less prone to disappearing on their own.
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How do you fade surgical scars naturally?

Baking soda
  1. Mix distilled water — a little at time — into 2 tablespoons of baking soda until it forms a paste.
  2. Wet your scar with distilled water and then apply the paste to the wet scar.
  3. Hold the paste in place with a warm compress for 15 minutes.
  4. Rinse the area and repeat daily.
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Why is my scar puckered?

When the skin is scarred down to deeper tissues the scar may be pulled in giving a puckered appearance. This may be because a wound healed this way or because the deep layers were not repaired. This is often seen with abdominal scars such as caesarian section scars.
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How do you hide surgery scars?

Loffredo recommends the following to help you minimize scarring after incisions have healed shut:
  1. Smooth a silicone-based cream over the incisions(s). ...
  2. Stay out of the sun. ...
  3. Always use sun block.
  4. Wear wide-brimmed hats for scars on the face.
  5. Vitamin E and steroids have been shown to minimize scars.
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What reduces the appearance of scars?

How to Make Scars Less Visible
  1. Medicated Creams or Gels. 1/12. Over-the-counter skin medications such as creams or gels can help. ...
  2. Silicone Gel. 2/12. ...
  3. Zinc Supplements. 3/12. ...
  4. Scar Massage. 4/12. ...
  5. Injections. 5/12. ...
  6. Chemical Peel or Dermabrasion. 6/12. ...
  7. Laser Therapy. 7/12. ...
  8. Microneedling. 8/12.
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How do you break up scar tissue after surgery?

To break down scar tissue we first lubricate the affected area with baby oil, lotion, or vitamin E oil. Then we'll perform different massage techniques including cross friction massage and myofascial release which help improve the alignment of collagen fibers and improve movement.
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How long does it take for a hypertrophic scar to flatten?

Hypertrophic scars are benign and not harmful to a person's general health. They do not develop into skin cancer. A hypertrophic scar will often regress completely between 6 months and 3 years after it first appears.
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When should you massage surgical scars?

You should start massaging your scars two weeks after surgery. Wait until the sutures have been removed and all scabs have fallen off by themselves. Do not pull your scabs off.
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Why is my scar raised?

Most scars are flat and pale. However, in cases when the body produces too much collagen, scars can be raised. Raised scars are called hypertrophic scars or keloid scars. Both of these kinds of scars are more common in younger and dark-skinned people.
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Will scar tissue lump disappear?

Not exactly. While some scar tissue will never go away, oftentimes, if treated properly, the injured tissue can be remolded to resemble normal, healthy tissue. This can reduce any pain ​and restore normal tissue behavior in any area of the body, even pelvic muscles following the birth of a baby.
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How often should I massage scar tissue?

Massage the scar for 5 minutes, 2 to 3 times a day. Keep doing these massages every day for 6 months to 1 year after surgery. You may feel some pulling or burning. Loosening the scar may be more comfortable to do while the skin is warm (e.g., after a shower).
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How do you flatten thick scars?

Medical treatments

Corticosteroid treatments: Corticosteroid injections are considered a first-line treatment for hypertrophic scars. Injecting a steroid into the scar every six weeks may help flatten and soften the scar.
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What helps surgical scars heal faster?

Here are some easy steps you as a patient can take to help reduce scarring after surgery:
  • Gently massage the area. ...
  • Massage the scar with silicone gel or vitamin E. ...
  • Avoid Sunlight. ...
  • Avoid putting stress on your wound. ...
  • Take the advice of your surgeon and avoid the gym. ...
  • Avoid smoking cigarettes and drinking alcohol.
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How do you make scars fade faster?

While existing scars cannot be waved away via magic wand, you can speed up the fading process by regularly applying certain topical creams, lotions, and gels to them. Some common ingredients in these scar treatments include aloe vera, cocoa butter, Vitamin E, honey, and other hydrating materials.
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