Scar Care After Breast & Abdominal Surgery

TAPE — MOISTURISE — PROTECT

Discover the three-step approach to optimal scar healing and minimising visibility over time.

Emergency Contact Details

Main Line: 0131 376 3785
After-Hours: 07405 322689
Email: hello@waterfronthospital.co.uk

Contact us immediately if you notice signs of infection, excessive swelling, or unusual symptoms.

Scar Care at a Glance

Week 1

Healing begins with wound protection

Week 2

First dressing change and wound assessment

Weeks 2–4

Ongoing wound monitoring and early taping

Month 1+

Begin tape-moisturise-protect cycle

Months 2–6

Continue tape protocol with consistent moisturising

6+ Months

Ongoing fading with maintenance moisturising and sun protection

Understanding Your Scars: The 3 Healing Phases

Inflammatory Phase

Duration: 0–3 weeks

Redness, swelling, and possible bruising are normal as your body initiates healing. The wound is most vulnerable during this phase.

Proliferative Phase

Duration: 3 weeks–3 months

New collagen forms as tissue strengthens. Scars typically appear raised and reddish during this phase. This is when taping is most effective.

Maturation Phase

Duration: 3 months–2 years

Scars flatten and fade. Continued moisturising and sun protection optimise final appearance. Some redness may persist beyond 12 months.

Week-by-Week Guide

The Tape-Moisturise Cycle

Starting from week 2–4, this protocol is the cornerstone of optimal scar healing:

1

Apply 3M Micropore Tape

Clean and dry the scar area. Cut tape into strips that cover the entire scar with a small overlap on each side. Apply tape smoothly, avoiding air bubbles.

Why: Medical-grade tape reduces tension on the scar, supports collagen alignment, and minimises redness and thickness.

2

Leave Tape On for 3–5 Days

Keep the tape in place continuously for 3–5 days. You can bathe or shower with tape on—allow it to dry naturally afterward.

Tip: Avoid getting the tape too wet frequently, as it may loosen prematurely.

3

Remove and Moisturise

Gently remove the tape. Wash the area with mild soap and water, pat dry, then apply moisturiser generously (see recommended products below).

Why: Moisturising prevents the scar from drying out and becoming rigid, promoting flexibility and appearance.

4

Reapply Tape

Once moisturiser has dried, apply fresh tape. Repeat this cycle every 3–5 days.

Duration: Continue this protocol for 4–6 months. Many patients see significant improvement by months 3–4.

Recommended Products

Tapes

3M Micropore Tape

Medical-grade, hypoallergenic, breathable. Available from pharmacies and online retailers.

Silicone-Based Tape

Gentle alternative for sensitive skin. Examples: Mepitac, Leukotape, ScarAway.

Moisturisers

CeraVe Moisturising Cream

Rich, ceramide-based formula. Excellent for sensitive or damaged skin.

Aveeno Eczema Therapy

Colloidal oatmeal-based. Soothing and non-irritating.

E45 Cream

Affordable, hypoallergenic, and widely available in the UK.

Bio-Oil

Lightweight oil formula. See FAQs for more information on Bio-Oil.

Protecting Your Scars

Sun Protection

UV exposure darkens scars and delays fading.

  • Use SPF 30+ sunscreen on scars daily
  • Reapply after bathing or swimming
  • Wear protective clothing if possible
  • Avoid direct sunbathing for at least 12 months

Avoid Chemicals

Chlorine and other chemicals can irritate healing scars.

  • Avoid swimming in chlorinated pools for 6–8 weeks
  • If swimming, cover scars with waterproof tape
  • Avoid harsh soaps or fragranced products
  • Do not apply makeup or perfume directly on scars

Avoid Stretching

Tension on scars increases width and thickness.

  • Avoid underwired bras for 4–6 weeks (breast scars)
  • Wear soft, supportive clothing
  • Avoid strenuous exercise for 6–8 weeks
  • Sleep on your back or the opposite side initially

Prevent Irritation

Minimise friction and irritation at the scar site.

  • Avoid tight seams or bands over scars
  • Do not scratch or pick at scars
  • Use hypoallergenic products only
  • Avoid sauna and steam rooms for 8 weeks

Special Instructions

Know When to Contact Us: Traffic Light System

✓

Green: All Good

  • Slight redness or pinkness (normal)
  • Minor swelling (normal in first 4–6 weeks)
  • Mild itching (sign of healing)
  • Scar appears to be progressing normally

Continue your care routine and attend follow-ups as scheduled.

!

Amber: Check In

  • Excessive swelling beyond 6 weeks
  • Persistent redness after 3 months
  • Unusual hardness or raised appearance
  • Scar appears to be widening
  • Prolonged itching (beyond 4 weeks)

Contact us within 1–2 weeks to discuss and adjust your care plan.

⚠

Red: Contact Immediately

  • Signs of infection (fever, pus, warmth, increasing redness)
  • Wound opening or separation
  • Excessive bleeding or fluid drainage
  • Severe pain or sudden increase in pain
  • Allergic reaction to tape (severe rash, blistering)
  • Any other concerning symptoms

Call 0131 376 3785 or 07405 322689 immediately. Do not wait for an appointment.

Frequently Asked Questions

Scottish NHS Information

This guide follows best practices aligned with Scottish NHS post-operative wound care protocols. For additional support, you can:

  • Consult your GP for ongoing wound care reviews
  • Ask for a referral to specialist wound care if needed
  • Speak to a dermatologist if scars remain concerning after 12+ months
Download Scar Care Guide (PDF)

Questions About Your Scar Care?

Our team is here to support your recovery and help you achieve the best possible scar appearance.

Call: 0131 376 3785 (Main) or 07405 322689 (After-Hours)

Email: hello@waterfronthospital.co.uk