Conservative management of scars at home

Recently I was asked about home remedies for scars. I usually don't suggest any. Some of my patients describe the benefits of certain types of oils. I do not promote or recommend the use of any particular type of medication on settled scars. Also, I do not caution them against the use of any particular oil. 

But there is a definitive role of certain conservative measures that can help improve scars. They are not advised in all cases. The effect of these measures should be understood by those using these. They should be carried out as per the guidance of the treating doctor. Some of the commonly advised measures for scars include the following,

1. Application of silicone sheet. Continuous application of silicone sheets is useful in individuals prone to develop prominent scars. Prominent scars include hypertrophic scars and keloids. It is common for patients to be advised to apply a silicone sheet for up to 3 months. For individuals who can't use silicone sheets, silicone can be applied as a topical gel. 
   
2. Pressure garment or band. This is also useful in individuals prone to develop prominent scars. They should be applied continuously for maximum benefit. Pressure garments may be advised for periods up to 18 months in certain situations.
   
3. Massage. Indications of massage vary. In certain situations, they can be useful. In others, we advise them not to massage the scars. Gentle massage is advised after injuries to limbs. When carried out properly they can help improve the pliability of tissues and range of motion. We usually advise against massage in the face. Facial scars can get stretched out after massage in certain situations.  
   
4. Sunscreen and sun protection. Most of us tend to tan easily when exposed to the sun. The scars can also become dark when exposed to sunlight. This can be prevented to some extent by the use of sunscreen and avoiding direct contact with sunlight. The use of goggles, caps, or protective clothing is recommended. 
   
5. Taping. Surgical tapes are sometimes used to reinforce a wound closure. They are commonly used in highly mobile areas. Scars associated with lower eyelids are often taped during the postoperative period. This helps avoid scar stretching and reduces secondary deformities. Tapes also have a role in reducing swelling. Tapes can be easily applied by patients.
   

Certain other non-surgical measures are carried out to help improve a scar. Examples would include laser and intralesional injections. But these are carried out by a doctor. Even though home remedies may not have many roles for optimizing scars, certain conservative measures are frequently advised. Most of them help in scar remodeling. 

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