Most people recover quickly from scar revision: many return to desk work within a few days, stitches are removed or dissolve within one to two weeks, and normal exercise resumes after two to six weeks depending on the site. The new scar then goes through its own 12 to 18 month maturing process, so the final result takes patience, and aftercare during that time has a real influence on how the scar looks.
The first 48 hours
Most scar revisions are performed under local anaesthetic as a day case, so you will usually go home within an hour or two. As the anaesthetic wears off, mild soreness is common and is typically controlled with simple painkillers such as paracetamol. Keep the dressing clean and dry, and rest the area: for a face scar, sleep with your head raised on an extra pillow; for a limb, keep it elevated when sitting. A little oozing onto the dressing is normal. If you had a general anaesthetic, someone should take you home and stay with you overnight.
Week one
The wound is still fragile, so avoid stretching it, heavy lifting and strenuous activity. You will be told how long to keep the dressing on and when you can shower; typically you can shower after 48 hours, patting the area dry. Swelling and bruising usually peak around day two or three and then settle. Non-dissolvable stitches on the face are often removed at around five to seven days; on the body, stitches may stay for 10 to 14 days, or dissolvable stitches may be used. Adhesive strips or tape are often placed across the wound to support it.
Weeks two to six
Once the wound has closed and any scabs have gone, you can start caring for the scar actively:
- Silicone: apply silicone gel or sheets daily, usually for at least three months.
- Taping: paper tape may be advised for several weeks to reduce tension on body scars.
- Massage: gentle, firm massage with a plain moisturiser, if advised, to soften the scar.
- Activity: build up gradually; avoid exercises that stretch the scar, such as heavy weights across a shoulder or back scar, until your surgeon is happy.
Most people return to desk-based work within a few days, and to physical work after one to three weeks depending on the site. Driving is usually possible once you can move freely and perform an emergency stop comfortably, and you are not taking painkillers that cause drowsiness.
Three to 12 months and beyond
During the first few months the new scar often looks pinker, firmer and slightly more obvious than expected. This is a normal stage of healing. Over the following months the redness fades and the scar softens and flattens. The final appearance is usually judged at around 12 to 18 months. Mr Nassab will review the scar at follow-up and, if it begins to thicken, may recommend steroid injections or a longer course of silicone.
Sun protection and scar care
A new scar can darken permanently if exposed to the sun, so cover it or use a broad-spectrum SPF 50 for at least a year. Avoid sunbeds entirely. Do not smoke or vape nicotine, as this reduces blood flow to the healing skin and increases the risk of wound problems. A healthy diet with enough protein supports healing. Read more in our guide on whether scars tan.
Warning signs and who to contact
- Fever, spreading redness, heat or pus: contact the surgical team the same day, as these may indicate infection.
- Bleeding that does not stop: with firm pressure for 15 minutes, or a rapidly swelling area, contact the team urgently.
- Wound opening: if the edges separate, cover with a clean dressing and contact the team.
- Sudden one-sided leg swelling or calf pain: after a general anaesthetic, seek same-day assessment via your GP or NHS 111.
- Chest pain or breathlessness: call 999 immediately.
Frequently Asked Questions
How long does scar revision take to heal?
The skin usually heals in one to two weeks, but the new scar takes 12 to 18 months to mature fully.
When can you go back to work after scar revision?
Many people return to desk work within a few days. Physical jobs may need one to three weeks, depending on where the scar is.
Why does the new scar look worse at first?
Redness and firmness in the first few months are a normal part of healing. They usually fade gradually.
When can silicone gel be started?
Once the wound is fully closed and any scabs have gone, typically around two weeks after surgery.
Is scar revision recovery painful?
Most people describe mild soreness for a few days that is managed with simple painkillers.
