The Melanoma Scan doctor and nurse will give you detailed instructions on how to care for your wound to reduce scarring.
With Shave excisions, the best results can be achieved using moist wound healing, using antibiotic ointments such as chloromycetin ointment or otocomb on high risk areas for infection, or using strataderm or stratamed silicone containing gels for areas at risk of keloid scarring. For some areas simple moist wound dressings using Vaseline, antiseptic creams or pawpaw ointment may be a low cost and suitable alternative. Your doctor will recommend the treatment that he believes is most suitable for your particular wound and situation.
With ellipse excisions, taping is an important aspect of wound care to prevent a stretched up scar despite the support of the deep sutures. Equally important is abstaining where possible from exercise for up to 6 weeks following surgery. That may not always be possible with people engaged in manual work, but often with care and getting assistance with lifting and carrying, stretching of the scar can be minimised.
Keloid scarring is a feared outcome for all excisions, however is very uncommon outside of a small group of people who appear to be prone to them. In this group, silicone gels are utilised and the wound is reviewed 3-4 weeks after surgery to see if there is any sign of keloid formation, which can often appear after apparently normal early healing as a raised red itchy and uncomfortable scar. Occasionally steroid injections may be used to halt keloid formation or reduce an established keloid scar, but the results are not always satisfactory in this keloid prone group of patients.