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Suggest Treatment For Soreness And Hardness At An Incision Site Post A Thyroidectomy
Question: Hi
Was wondering why my surgical site in my neck is still very sore & tight & hard & lumpy 5 weeks post total thryroidectomy and feels like it still has surgical tape on. Hope you may have an answer thank you
Was wondering why my surgical site in my neck is still very sore & tight & hard & lumpy 5 weeks post total thryroidectomy and feels like it still has surgical tape on. Hope you may have an answer thank you
Brief Answer:
There are some local treatment that help healing the scar.
Detailed Answer:
Hello,
I can understand your concern.
Neck scars are unpredictable. In some cases, the scars heal as a thin line while in other cases, they may be extremely thickened. One of the reasons why neck scars do not heal as well is because we cannot completely immobilize the neck during the healing phase. Thus, the body deposits more collagen in the area in order to prevent the incision line from dehiscing.
Most scars should start settling down at 2-3 months.
The goals of therapy are to modulate the scar early on, in order to decrease the chance of its thickening; the massage is impossible do to pain, as you mentioned. Other options include application of silicone sheeting, injection of cortisone, and laser treatment is suggested some times to reduce the redness and make it flatter. It may be started after the first month of surgery.
So i would recommend to consider speaking to a plastic surgeon about the above mentioned options in order to prevent a permanent scar.
Hope the information will help.
Best wishes,
Dr.Mirjeta
There are some local treatment that help healing the scar.
Detailed Answer:
Hello,
I can understand your concern.
Neck scars are unpredictable. In some cases, the scars heal as a thin line while in other cases, they may be extremely thickened. One of the reasons why neck scars do not heal as well is because we cannot completely immobilize the neck during the healing phase. Thus, the body deposits more collagen in the area in order to prevent the incision line from dehiscing.
Most scars should start settling down at 2-3 months.
The goals of therapy are to modulate the scar early on, in order to decrease the chance of its thickening; the massage is impossible do to pain, as you mentioned. Other options include application of silicone sheeting, injection of cortisone, and laser treatment is suggested some times to reduce the redness and make it flatter. It may be started after the first month of surgery.
So i would recommend to consider speaking to a plastic surgeon about the above mentioned options in order to prevent a permanent scar.
Hope the information will help.
Best wishes,
Dr.Mirjeta
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank you for your advice. Was wondering if the hard tight sore lumpiness on the surgical site 5 weeks post total thyroidectomy may also possibly Be due to undissolved internal stitches and when are they likrly to dissolve & when should i get them checke
Thank you d
Thank you d
Brief Answer:
You should not wait but see an aestetic surgeon.
Detailed Answer:
Welcome back!
I would suggest to see an aestetic surgeon assap in order to start treatment to prevent as much as possible a permanent scar.
After a detailed examination of the scar he will give treatment as discussed above and give opinion for the outcome.
Best wishes,
Dr.Mirjeta
You should not wait but see an aestetic surgeon.
Detailed Answer:
Welcome back!
I would suggest to see an aestetic surgeon assap in order to start treatment to prevent as much as possible a permanent scar.
After a detailed examination of the scar he will give treatment as discussed above and give opinion for the outcome.
Best wishes,
Dr.Mirjeta
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Above answer was peer-reviewed by :
Dr. REMY KOSHY
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