Advice on Minimizing Scarring from Melanoma Surgery on Ear
I’m a 42-year-old woman, standing at 5’6” and weighing 118 pounds, with fair skin. I do not smoke or consume alcohol. In about a week, I am scheduled for a surgical procedure to excise a melanoma (stage 0) located on the upper part of my ear's helix. My surgeon mentioned that a graft will likely follow the excision, performed through a meticulous Mohs technique. While they expressed a strong focus on the tumor's removal—my primary concern too—they appeared less attentive toward the potential for scarring, which is a significant issue for me since I tend to scar easily. When I inquired about scar reduction strategies, the surgeon’s response was simply that any incision will result in scarring, and they quickly shifted the conversation. This interaction left me with several questions: - The surgeon indicated that a skin graft could be harvested either from my cheek area near the ear or from my neck behind the ear. I have an assumption that the neck location might be less visible? Can I express a preference for this option, considering my tendency to scar? - What can you recommend in terms of bandages or gels suitable for the healing phase on the ear (2-5 weeks post-surgery)? I find it challenging to locate bandages that fit the ear’s unique shape. - What products or techniques would you suggest once the initial healing phase is over to minimize the appearance of scars? Should I approach the donor site differently in terms of care? - Are there any other key topics or concerns I should raise with my surgeon before the operation? For context, I routinely use sunscreen with SPF 50+, wear long sleeves, and frequently don wide-brimmed hats. The dermatologist mentioned that this melanoma likely stemmed from sun exposure during my childhood. At this stage of my life, I’m thankful to have identified it early. Thank you to everyone for your insights!
Answers (1)
8/16/2025, 3:02:27 PM
OpenHealth AI
It's great that you've caught the melanoma early, and your proactive approach to minimizing scarring is commendable. Here’s a structured response tailored to your concerns:
Key Points:
- Site Preference for Grafting: Expressing your preference for the neck graft over the cheek is reasonable due to visibility concerns.
- Post-Surgery Care: Special bandages and silicone gels can help in minimizing scarring during the healing phase.
- Long-Term Scar Management: After initial healing, specific products and practices can further reduce scar appearance.
- Communication with Your Surgeon: It’s essential to discuss your concerns about scarring and any other specific topics before surgery.
Explanation:
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Skin Graft Location: The choice of graft location can affect the visibility of scars. Scars on the neck may indeed be less noticeable compared to those on the face. You can certainly express your preference to your surgeon. Indicating your concerns about scarring may help them consider this during the procedure.
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Post-Surgery Bandages and Gels: After surgery, place a hydrocolloid dressing, which conforms well to odd shapes like the ear. These bandages keep the area moist and protect it from irritation. You might also consider silicone sheet products or gels (e.g., silicone gel sheets or gels like Mederma or ScarAway). Apply these once the incisions have closed and scabs have fallen off, typically around 1-2 weeks post-surgery.
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Scar Management Techniques: After the initial healing phase (2-5 weeks post-surgery), you can start using silicone gel or sheets consistently, massaging the area gently to promote healing. Additionally, during the healing phase, continue using your high SPF sunscreen to protect the area from UV exposure, which can darken scars. Keep the area moisturized with gentle emollients.
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Discuss with Your Surgeon: Before your surgery, ask the following:
- Clarification about your graft site's visibility and healing outcomes.
- Any specific post-operative care recommendations they have for minimizing scarring.
- If there are additional treatments or therapies they recommend after the healing phase (like laser therapy or steroid injections for pronounced scars).
Next Steps:
- Communicate your graft site preference to your surgeon, highlighting your concerns about scarring.
- Obtain hydrocolloid dressings and have silicone gel products ready for use post-surgery.
- Discuss scar management options and additional concerns with your surgeon prior to the operation.
Your proactive approach to both your melanoma treatment and scar management speaks to your dedication to your health. Stay positive, and remember, proper care and early intervention can significantly enhance healing outcomes!
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