
With the arrival of summer and increased exposure to the sun, scar care begins to require special attention, especially for those who have recently undergone plastic surgery. Ultraviolet rays and even visible light can interfere with skin pigmentation and compromise the quality of healing. Recent studies also support the effectiveness of therapies like using silicone to improve the appearance of marks. In a scenario of high temperatures, higher light incidence and outdoor routine, skin protection is essential to ensure a healthy and aesthetically satisfying result.
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It is with this in mind that plastic surgeon Chreichi L. Oliveira, full member of the Brazilian Society of Plastic Surgery, brings together practical guidelines aimed especially at post-operative patients, with emphasis on the protection and optimization of scars during the hottest days of the year.
1. Avoid direct sun exposure on scars
UV rays stimulate melanocytes and can cause permanent hyperpigmentation, in addition to worsening redness and irregularities in the scar. Avoiding the sun in the early stages reduces the risk of spots and contributes to a better aesthetic result. It is recommended to cover the area with light clothing or bandages when going outside and to favor less sunny periods, before 10 a.m. and after 4 p.m.
“In addition, apply a physical (mineral) photoprotector SPF 50+ to the scar and reapply every two hours in case of sun, sweating or swimming in the sea/pool. A filter based on zinc oxide or titanium dioxide is recommended for post-procedure protection,” advises the specialist.
2. Invest in physical protection and appropriate clothing
Clothing and physical bandages act as an additional barrier against radiation, as sunscreens do not always block 100% of light. It is recommended to invest in wide-brimmed hats, shirts with UV protection or tightly woven fabrics on the operated area. For scars on the chest or abdomen, lightweight pieces that do not cause friction on the incision are ideal. In exposed areas, such as the face, visors, sunglasses and sunscreen remain essential.
3. Silicone is a proven ally in healing
Meta-analyses and scientific reviews indicate that silicone gels and patches help reduce the thickness, redness and discomfort of hypertrophic scars when used continuously. “Follow your surgeon’s advice on when to start and how long to use daily. Different products (gel or tape) have different protocols. Therefore, always confirm with your doctor,” says the specialist.
4. Avoid excessive heat, heavy sweating and saunas early in the process
Heat and sweat increase local inflammation, promote irritation and can compromise the maturation of the scar, in addition to creating an environment conducive to friction and maceration of the dressing. Studies on the effects of light and temperature highlight oxidative stress mechanisms that interfere with the quality of healed skin.
It is recommended to favor air-conditioned environments on very hot days, to avoid wearing wet clothes and to suspend saunas and intense physical activities until professional authorization.
5. Pay attention to pool and sea water and signs of infection
Chlorinated or marine water can irritate fresh wounds, and early exposure to aquatic environments increases the risk of contamination. Infections directly compromise healing and aesthetic results. It is important to observe signs such as increased local heat, progressive pain, generalized redness, purulent discharge, fever or suture opening. In the event of a change, it is advisable to contact the responsible professional immediately. Swimming in the sea or swimming pool must only take place after medical approval.
According to specialist Chreichi L. Oliveira, in summer the attention must be even greater: “Protecting the scar from the sun and heat, using an appropriate photoprotector after epithelialization and adopting therapies such as silicone when indicated are measures that make a difference in the final result.”