How to Care for Your Skin After a Surgical Procedure

May 26

After skin surgery, you’ll be given an aftercare leaflet tailored to your specific procedure. Proper post-operative skin care is essential for optimal healing and the best cosmetic result. While individual instructions may vary, here are the general principles I recommend to my patients.

Cleaning

Begin gentle wound cleaning 24-48 hours after surgery.
Use mild soap and cool water- avoid harsh cleansers or scrubbing.
Moisturise the wound with a thin layer of petroleum jelly (Vaseline) or the prescribed antibiotic ointment (if given).
Why? Keeping the wound moist prevents scab formation and promotes faster healing. The common belief that wounds should be kept dry is outdated.

Dressings

Initial dressing: Leave in place for 24-48 hours, or as advised.
Changing the dressing: After removing the initial dressing you can reapply a fresh dressing daily — or sooner if it becomes wet or dirty.

Swelling & Discomfort

Some swelling and bruising is normal in the first few days.
For pain, use paracetamol. Avoid aspirin, ibuprofen, and other NSAIDs unless advised, as they may increase bleeding risk.
Avoid strenuous activities for 1-2 weeks, depending on the surgical site.

When to Contact Your Doctor

Seek medical advice if you notice:

Increasing redness, warmth, or swelling.
Discharge or bleeding that doesn’t stop with gentle pressure.
Fever or chills.

Scar Care (Once the wound has fully healed)

Sun protection: Apply SPF 50 daily to prevent the scar from darkening.
Silicone products: Gel sheets or silicone-based creams can help improve the scar over time.
Massage: Once healed, gently massage the scar for a few minutes daily to improve texture and appearance.

Post-Surgical Skin Care: Do’s & Don’t’s

✔ Do:

Keep the wound clean with mild soap and cool water after 24-28 hours.
Apply petroleum jelly or prescribed ointment to keep it moist.
Change dressings daily or when wet/dirty.
Use SPF 50 on healed scars to prevent darkening.
Use silicone gel or sheets to help soften scars.

✖ Don’t:

Let the wound dry out or form thick scabs.
Pick at the wound.
Use harsh cleansers or alcohol.
Do strenuous activities.
Take aspirin or ibuprofen immediately after surgery (unless prescribed).

Key takeaway: Following wound care instructions carefully and keeping the area clean, moist, and protected, will help ensure your skin heals quickly and with the best cosmetic result possible.

Angelos Zacharia