Skip to main content

Understanding Scarring: How to Achieve Optimal Results After Surgery

For most of us, it’s challenging to find one person we’re acquainted with who doesn’t have some type of scar on their body. Each year, millions of surgeries and traumatic skin lacerations are treated worldwide, and many of these procedures will result in scarring. Scarring can have lasting emotional, physical and social effects. While some scars are minimal and can remind someone of a positive experience they had, like a sporting adventure or vacation, other types of scars may result from injury, traumatic surgery or physical abuse and can have a significant psychological impact. Similarly, in some cases, visible scars can result in feelings of low self-confidence or embarrassment, causing many to avoid wearing certain articles of clothing or to forgo participating in social activities.

Scarring is a part of the body’s natural healing process and occurs when excess collagen is formed to close an incision, cut or laceration. Scar formation can happen following an injury, a surgical procedure or an elective, aesthetic procedure.

[See: 10 Ways to Prepare for Surgery.]

As a plastic surgeon, on any given day, I see patients who are considering changing or improving aspects of their appearance. A recently published study revealed that nearly a quarter of Americans are interested in undergoing cosmetic surgery. And studies also show that nearly 10 percent of Americans have already had some type of cosmetic surgery.

We live in a world where we are often judged on our appearance, and everyone who steps into my office has a different perspective on what they want to change and why they want to change it. But regardless of the requested procedure, all of my patients want a great outcome with minimal scarring — in other words, they want to achieve their desired results without looking like they’ve had surgery.

Some of the most common requests I receive focus on removing excess or unwanted fat from the body. For a majority of these concerns, I perform liposuction, which is designed to remove fat and reshape parts of the body. Other popular procedures I perform are designed to reshape, augment or enhance parts of the body, like abdominoplasties (“tummy tucks”), breast augmentations or buttock enhancements. Although the list of additional procedures I perform is lengthy, the one thing that all of the procedures have in common is that they require one or more incisions, and all have the potential to result in scarring.

In my practice, most patients I see are hesitant about having surgery because of the potential scars that may result following the procedure. I believe that the closure of surgical incisions is one of the most important steps to reduce the appearance of scars. But in addition to the technical aspects of a meticulous closure, the post-operative scar management process significantly affects the appearance of scars, as well.

[See: 7 Reasons to Call Off a Surgery.]

During my initial consultation with each patient, I do a thorough medical history and physical to understand any details about their health that may affect their results or the way that they heal.

Depending on what procedure they ultimately decide to undergo, I make sure all of my patients start a scar treatment regimen following surgery to ensure the best possible outcome. Embrace Active Scar Defense is a scar therapy system that I recommend to all my patients because it’s the only Food and Drug Administration-cleared scar therapy system clinically proven to offload the tension around an incision by gently holding it together to prevent the formation of excess collagen. The tension involved in the body’s natural healing process is the primary cause of raised, visible scars. The most effective way to prevent scar formation is to reduce this tension immediately after an incision is closed. Treating scars within six months of an injury or a procedure presents the best opportunity to prevent scarring.

Embrace is a clear silicone dressing that reduces the tension, or pull, on the incision, plus stabilizes and protects the scar from movement that may result from clothing irritation or general activity. The occlusive and moisturizing effects of silicone can also reduce the discoloration and the texture of scars. When incisions are properly treated with a meticulous closure and proper post-operative scar treatment, they are usually thinner, smoother and less visible. Embrace is applied just once every 10 days. It can be worn during everyday activities, like showering or exercise, and it’s comfortable and discreet — something my patients appreciate as they’re trying to heal. This product is also appropriate for injuries or other types of surgery and can be used on all skin types and people of all ages, even children.

[See: Your Guide to Over-the-Counter Pain Relief.]

Plastic surgery, like any surgery or major injury one may experience, is serious, and thoughtful time and consideration should be taken to identify the right surgeon. For example, your plastic surgeon should be board certified in plastic surgery specifically. And although surgery can correct or improve many things, it’s important to realize that sometimes there’s scarring or damage that cannot easily be repaired. As a woman and a mom, I understand how the body changes after childbirth or with age. I also recognize that every patient is different, and I take special care in understanding the concerns of each patient so he or she feels comfortable in my care. I prioritize obtaining the best possible results for each patient.

If you’re considering surgery, it’s important to do your homework to ensure you’re selecting a qualified doctor and that you talk to him or her about details related to everything from pre-operative to post-operative care that may affect your outcome. Post-operative self-care is also an important way to improve the healing process and achieve optimal results, including: following a healthy diet that incorporates foods rich in antioxidants to promote healing, obtaining proper rest and leveraging friends and families for support.

More from U.S. News

10 Lessons From Empowered Patients

The Most Common Patient Complaints

How to Be a Good Patient Wingman

Understanding Scarring: How to Achieve Optimal Results After Surgery originally appeared on usnews.com

Don’t Settle for Student Loans to Pay for Online Education

Online college programs are becoming a more popular choice for prospective students, with one study finding that more than 6 million students enrolled in at least one online course in fall 2015. The popularity of these courses can be attributed in part to their flexibility with working adults' schedules, students' ability to progress more quickly through online programs and, oftentimes, cheaper tuition. [See 10 low-cost online bachelor's programs for out-of-state students.]Online degrees can be beneficial to many college students, but some studies have shown online learners complete their programs at lower rates than students at traditional brick-and-mortar campuses. Individuals with student loans but no degree comprise two-thirds of defaulted borrowers. Though these numbers are not encouraging, just like for traditional programs, there are ways to reduce how much you'll need to borrow for an online program to ensure you won't become one of these statistics. Don't just settle on borrowing student loans to cover the whole cost of your program and living expenses. Instead, start thinking about how to cut costs and cover your balance in different ways, such as the following. -- Grants and scholarships: Even though you are taking an online course, you can still apply and receive grants and scholarships. But your first step should be to complete the Free Application for Federal Student Aid, commonly referred to as the FAFSA, which will allow you to receive a Pell Grant if your expected family contribution is low enough. The EFC criteria and award amounts are adjusted annually, but the 2017-2018 academic year awards range from $606 to $5,920, which could significantly lower the amount you borrow annually. Your next step is to apply for scholarships. You can start by checking online scholarship search engines, such as the Salt Scholarship Search, College Board's BigFuture and Peterson's. But don't forget to take advantage of local organizations and your school's financial aid office. Both may offer scholarships that you can't find with a national scholarship search. [Review these 10 sites to kick off your scholarship search.]For instance, organizations like the Elks Club, Knights of Columbus or the Rotary Club typically offer scholarships annually to local students. Just because you're going to school online doesn't mean you're ineligible. Visit your local library for scholarship listings, and ask around town. You might be surprised how many local organizations offer scholarships. While these scholarships typically aren't large, every little bit counts. Each dollar you receive in a scholarship is a dollar you don't have to borrow and pay interest on. -- Work-study: Another option for online students may be work-study awards. Not all students enrolled in online programs are eligible, but students at some schools -- including, for example, SUNY Empire State College and Liberty University -- are. Work-study awards are not given upfront like scholarships and grants. In most cases, they are an offer to earn up to the awarded amount if you secure an eligible work-study job. While there is a misconception that all work-study jobs must be on campus, students can work for off-campus, nonprofit or public employers as long as the work is in the public's interest. You may be able to work for a for-profit employer if the job is relevant to your course of study. No matter who the outside employer is, it will need to have an established agreement with your college for you to receive work-study funds. Remember, to be eligible for federal financial aid, you must be enrolled and pursuing a degree or certificate. If you're not working toward a credential, Pell Grants and work-study won't be option, but you may still be able to take advantage of private scholarships -- just be sure to read the eligibility criteria carefully. [Explore what to know about financial aid in online programs.]-- Pay as you go: One of the great benefits to enrolling online is the flexible schedule, which can allow you to complete your college coursework around your responsibilities. But prospective students often overlook using their part- or full-time job earnings as an option for paying for college. Almost 80 percent of college students in 2015 worked at least part time while attending classes, according to the National Center for Education Statistics. By budgeting and thinking strategically about your college costs, you can likely reduce your dependence on student loans by paying a portion out of pocket. Many -- but not all -- online programs are less expensive than traditional programs and often have shorter payment periods. Six, eight or 10 weeks are common course durations. Because of the frequency of payments in an online setting, you may be well-placed to pay as you go and possibly avoid borrowing altogether. Attending college online and avoiding student loans may be challenging, but if you are willing to put in the effort, you can limit the amount you need to borrow. More from U.S. News Q&A: Understanding Student Loan Discharge Eligibility Student Loan Refinancing Isn't Right for All Borrowers
Read Next Story