Scar Management (2024)

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A resource for our network of referring physicians.

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Immediately After Repair

Follow instructions provided by your team for care and follow-up.

When to Call

  • Call for fever greater than 101.5 degrees, and child not otherwise sick.
  • Call for redness outside the incision (photo A).
  • Call for any drainage that is thick and yellow.
  • Concerns for abnormal scar (photo C).

Activity

  • Avoid contact sports/vigorous activity/direct trauma to surgery site until released to activity by your team.
  • Your cut/incision will be as strong as it will get at six weeks.
  • The scar will then continue to change for several months.

Contact Information

Nursing Line

  • Weekdays 7:30 a.m.-3:30 p.m.
  • 412-692-6845

Plastic Surgery On-Call

  • Emergency
  • Nights/Weekends
  • 412-692-5325

Scar Process

  • It will take six to 18 months for the scar to have its final appearance.
  • Your scar should gradually soften and fade over these six to 18 months, but will look pink initially (photo B).
  • Some scars never fade. If your scar stays pink after 12 to 18 months please call to discuss options.
  • If your scar becomes raised and rubbery instead of flat, this could be an abnormal scar process (photo C). Please call if noticed.

Massage

  • Start scar massage with favorite moisturizer when approved by your team. You can do massage without moisturizer as well.
  • Massage often. Several times a day for several minutes is OK.

Sunscreen

  • Sunscreen should be used as soon as approved by your team. This will be once the cut/incision is healed.
  • Sunscreen will help protect the scar from permanent hyperpigmentation or "tattooing," a permanent darker color that can result from sun exposure and will not fade.
  • You should apply the sunscreen frequently and use a barrier (hat or clothes) to cover if anticipating prolonged, direct sun exposure.
  • This is most important while the scar is pink and changing.

Scar Products

  • SUNSCREEN!
  • If you are going to use a scar-management product, we prefer silicone-based materials. There are several different brands, such as ScarAway®, Mepiform®, and Biocorneum®.
  • You can use a silicone tape and massage directly over the tape.
  • You can also choose as silicone gel and do your massage with the gel.

Revisions

  • We try to wait 12 to 18 months before revision in order to see the final scar result.
  • We cannot 'remove' a scar but would be happy to assess to see if it could be improved.

Photo A: Signs of Infection

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Photo B: Immature, normal scar

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Photo C: Red Ropey Scar

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Locations & Directions

Children's Hospital's main campus is located in the Lawrenceville neighborhood. Our main hospital address is:

UPMC Children’s Hospital of Pittsburgh
One Children’s Hospital Way
4401 Penn Ave.
Pittsburgh, PA 15224

In addition to the main hospital, Children's has many convenient locations in other neighborhoods throughout the greater Pittsburgh region.


Contact Us

MyCHP: Manage your child's health information online - on your time!

With MyCHP, you can request appointments, review test results, and more.

  • Log-In to MyCHP
  • Sign Up: Parents, legal guardians, and patients may sign-up online. Parents, legal guardians, and patients may also sign-up in person during a hospital stay, at a clinic appointment, or by visiting the UPMC Health Plan Connect Service and Sales Center at your local mall. Learn More.

Pay My Bill

Hospital Billing

For questions about a hospital bill call:

  • UPMC Patient Financial Services Center: 1-800-371-8359
  • UPMC Customer Service: 1-844-591-5949

Online Bill Payment

To pay your bill online, please visit UPMC's online bill payment system.

Donate

UPMC Children's Hospital Foundation

Interested in giving to Children's Hospital? Support the hospital by making a donation online, joining our Heroes in Healing monthly donor program, or visiting our site to learn about the other ways you can give back.

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