Any surgical intervention brings with it wounds and stitches, which later turn into scars and have an unattractive appearance. Modern medicine is trying to find means and methods that could help people correct skin defects. These include injection, hardware and surgical methods, but they are not available to everyone due to their high cost.
An alternative to expensive methods can be quite affordable products - ointments and creams for healing wounds and postoperative sutures from domestic and foreign manufacturers. The article offers a brief overview of the most effective and affordable means that can be used after surgery.
Medicines available in every home
Products from this group can be purchased without a prescription at the pharmacy, and everyone probably has them at home.
Of course, their effectiveness is quite controversial, since they have weak analgesic properties. But if some time has passed since the operation and the person has been discharged from the hospital, it is possible to use these analgesics to relieve residual mild postoperative pain. Such drugs include Ketanov. There are certain restrictions when prescribing it. For example, it should not be taken by children under 16 years of age, pregnant and lactating women, people suffering from asthma, stomach ulcers and some other diseases. Otherwise, the drug is quite effective.
Analgin has a controversial reputation in modern medicine. It copes well with its main task, but at the same time it affects the hematopoietic system, kidneys, and liver. Modern doctors believe that analgin should be used in extreme cases, as far as possible.
Aspirin and Paracetamol are weak analgesics. They have been used in medicine for a long time and have a number of contraindications. For example, aspirin has a negative effect on the mucous membrane of the digestive organs, and in children - on the liver.
However, any painkiller should be prescribed by the attending physician, especially during the period of postoperative rehabilitation.
One of the important aspects of the postoperative period is proper care of sutures. It will not be a revelation to anyone that it is always easier to prevent than to deal with the consequences. Stitches entail the likelihood of scars and scars, and if you start using something from the rich arsenal of ointments, gels or creams in a timely manner, you can avoid cosmetic defects. Our article will demonstrate the rating of the best ointments for healing sutures after surgery and help you choose the most optimal option for the necessary drug in 2021
Types of antiseptic solutions for external use at home and in the hospital
The antiseptic effect of potassium permanganate is due to its ability to release oxygen to kill germs and infection.
A weak solution of potassium permanganate has an astringent effect and dries out. Saturated – irritates, causes chemical burns.
Used for rinsing for inflammation and infection of the oral mucosa, and for sore throat. Rinse and syringe for gynecological diseases, inflammation of the urethra.
A weak solution of potassium permanganate neutralizes some poisons. It is taken orally to induce vomiting and flush out the stomach in case of food poisoning.
The product has deodorizing properties - eliminates odors.
Narcotic painkillers
One of the most powerful narcotic analgesics is Morphine. An injection of this drug almost completely relieves a person of any pain. Morphine relieves pain in a few minutes and lasts for 5 hours.
Morphine is a powerful analgesic that other drugs cannot compete with. Therefore, usually, immediately after surgery, lighter drugs are prescribed, and only if they are insufficiently effective, Morphine is used. There are serious contraindications for its use:
- severe respiratory and liver pathologies;
- epilepsy;
- severe alcohol intoxication.
Morphine is available in the form of injections and tablets, the effectiveness of which is almost the same.
Morphine, among other components, is included in the composition of a drug such as Omnopon. This drug has the same strong analgesic effect as Morphine. Its difference is in fewer side effects. It is available only in injection form.
Promedol is a synthetic analogue of Morphine. The analgesic effect is somewhat weaker and the duration of action is shorter than that of Morphine. Its side effects are almost the same, with one exception - less depression of the respiratory center. Therefore, Promedol is used in cases where the use of Morphine is impossible, for example, when the patient has severe respiratory failure. Promedol is available in tablets and ampoules for injection.
Another synthetic opiate is Tramadol. It has a strong analgesic effect and has a duration of action of about 8 hours. Available in tablets and solution for injection, they have almost equal effect. A distinctive feature of Tramadol: when used, there are almost no side effects. It is contraindicated only in cases of severe alcohol intoxication and its use is prohibited for pregnant women.
Preparations for wound healing after surgery
It is sometimes possible to determine from a person's first aid kit that he has recently undergone surgery. Because in this case, not only plasters and bandages appear at his home, but also all kinds of solutions, gels and ointments for healing. Some were recommended by a doctor, others were recommended by a neighbor or colleague, and others were purchased as a result of advice from Internet forums. And often half of what is purchased is wasted, because the choice of drug largely depends on the type of wound and the stage of its treatment.
External preparations
A good external agent should have the following properties:
- disinfectant (prevents the formation of harmful microbes and destroys old ones);
- anti-inflammatory (stops and prevents inflammatory processes);
- anesthetic (relieves pain);
- regenerating (promotes speedy healing).
But you don’t have to buy 4 different medications to heal a wound faster. Modern products usually have two, three or even all four properties, which makes their use convenient. So, how to speed up wound healing after surgery.
Primary processing
Caring for the wound and the skin around the wound should be regular. The frequency of dressings or simply applying an external agent not under a bandage is determined by the attending physician. But before using the gel or ointment, the wound must be treated with an antiseptic, which will clean it of dirt and particles of dead skin, preparing the tissue for the main healing agent.
Of these antiseptics, you can use the “good old” cheap remedies: hydrogen peroxide, potassium permanganate solution, furatsilin, chlorhexidine. Depending on the specifics of the wound and its location, the doctor will recommend which drug is best.
The main remedy for rapid wound healing
This can be an ointment or gel. They differ not only in their consistency, but also in their purpose. The ointment is applied to dry wounds that tighten and tear, and therefore do not heal. And the gel is better suited for weeping wounds, because it does not form a film and allows the skin to breathe.
Salicylic ointment
An ointment with antibacterial properties known since Soviet times. Apply under a sterile dressing after pre-treating the wound with peroxide. You can buy salicylic ointment for only 20-30 rubles (25 g).
Zinc ointment
Despite the fact that this is an ointment, it does a good job of drying wet wounds and healing them. Contains zinc, a useful mineral that promotes cell division and skin regeneration.
Previously, zinc ointment was produced in dark glass jars. Today you can buy it in tubes, 30-40 rubles per 30 g. [flat_ab >
Levomekol
A popular antibiotic ointment that can draw pus and other dirt from the wound. It also has regenerating properties. A must have in the surgical department of any hospital. It is relatively inexpensive: 120-130 rubles for 40 g.
Eplan
Also a fairly well-known external remedy for wound healing, used in pregnant women and children. It has bactericidal, regenerating and anesthetic properties. Costs 100-110 rubles for 30 g.
Solcoseryl
A modern product based on calf blood extract. It heals well and is usually used in cases where cheap drugs do not help. Available in the form of ointment and gel. The approximate cost of a 20-gram tube is 280-300 rubles.
Argosulfan
Or its analogue – Sulfargin. This is an ointment with silver extract, which perfectly disinfects the wound in addition to its healing and regenerating properties. It is especially good for purulent postoperative wounds. For 40 g you will have to pay 350-370 rubles.
In addition to gels and ointments, another type of external preparation is actively used today - powders (powders). They are ideal for wet postoperative wounds because they have not only healing, but also absorbent properties - they absorb excess moisture. This is, for example, Ambulance, Baneocin. Of the powder preparations of the Soviet era, many remember Streptocide. You can buy tablets and crush them, or immediately purchase a package of powder for 30-40 rubles per 2 g.
The human body is a single whole. And in order for a postoperative wound to heal faster, it is not enough just to smear it with a good remedy. You also need to help yourself from the inside, strengthening your immune system and creating all the conditions for rapid healing. Vitamin-mineral complexes will help with this, in which the percentage of vitamins A and C, as well as zinc and omega-3 fatty acids should be increased.
Review of popular ointments for scars and scars after surgery
The following are the most popular remedies among doctors.
"Kontraktubex"
Light brown anti-scar gel with heparin, allantoin and onion extract.
On damaged skin the drug:
- softens and removes the stratum corneum of the skin, softens scars;
- improves blood flow to the scar;
- stops the growth of scar tissue;
- enhances the growth of healthy skin cells;
- suppresses inflammation and allergic reactions.
Contractubex prevents scarring and treats minor injuries. It will help remove post-acne and signs of chickenpox. The gel is applied 2-3 times a day. Treatment lasts a month, but for old scars it can be extended to six months.
Steaming the damaged area or physical therapy improves the effect of the drug.
The gel is safe for children, pregnant women and nursing mothers. Contraindicated only in case of high sensitivity to its components. The treated surface must be protected from cold, sun rays and friction.
"Zeraderm" and "Zeraderm Ultra"
“Zeraderm” preparations are transparent gels in packages of 15 g. They help in the treatment of hypertrophic and keloid scars.
The basis of the products in this line is the silicone compound polysiloxane. It creates a transparent film on the damaged skin surface that does not allow cold and moisture to pass through.
There, special conditions arise in which scars and scars resolve faster.
Also, the products from the “Zeraderm” line help:
- relieve inflammation;
- eliminate burning, itching and redness around the scar;
- improve cell regeneration.
“Zeraderm Ultra” is additionally enriched with vitamins K and E, coenzyme Q-10 and a UV filter with protection factor 15. Cosmetics can be applied over the protective film.
Treatment lasts from 2 weeks to several months. Zeraderm preparations are allowed to be used by children and pregnant women, but they are dangerous to the eyes, open wounds and mucous membranes.
"Dermatix" and "Dermatix Ultra"
"Dermatix" also refers to products containing silicone. The gel treats scars and scars formed after operations and injuries and prevents their appearance. An additional component of the ointment is silicon dioxide.
"Dermatix Ultra" is enriched with vitamin C.
The products help eliminate old damage, hypertrophic and keloid scars, as well as:
- reduce the size of the defect and make it less noticeable;
- smooth and moisturize the skin;
- remove discomfort.
The gel is spread on the washed and dried scar. The ointment dries within 5 minutes, during which time a thin film should form on the skin. If necessary, excess product is removed.
Silicone acts only on the upper layers of the skin, without affecting the entire body.
The gel is safe for people of any age and is approved during pregnancy. Its only contraindication is incomplete wound healing. If you are hypersensitive to the components of the gels, an allergic reaction is possible.
"Kelo-cote"
Manufacturers produce ointment in the form of a gel (tubes of 6, 15 and 60 g) and aerosol (50 and 100 ml). Both options have the same composition.
The aerosol facilitates the treatment of lesions with high sensitivity. Also included in the series is Kelo-cote Solaire gel with a UV filter.
The main components of the drugs are polysiloxane and silicone dioxide.
Ointments will help cure:
- atrophic, hypertrophic and keloid scars;
- burn marks;
- other scars and scars, including those left from plastic surgery and caesarean section.
Treatment lasts at least 2 months.
Kelo-cote gels and sprays are applied like other preparations with silicone. The protective film is renewed once a day, and in places of greatest friction a double layer is applied.
Attention! Manufacturers do not recommend the drug to pregnant women, lactating women and people intolerant to its components.
"Mederma"
Transparent gel in packs of 20 g. Its therapeutic effect is created by allantoin and onion extract. The experience of doctors shows that Mederma gel best treats atrophic scars and stretch marks up to 1 year old.
The manufacturer recommends using the drug for:
- traces of post-acne, acne and cosmetic scars left after removal of tumors and tattoos;
- various burns;
- consequences of aggressive procedures incorrectly performed by cosmetologists.
The gel is used only on surfaces with healed wounds. It is applied 3-4 times a day, and then gently rubbed in 3-5 times.
Stretch marks and small scars disappear within 3-6 months. The minimum treatment period for major injuries is six months.
Mederma gel has no contraindications, except for high sensitivity and individual intolerance to the ingredients.
Ointment for scars after surgery will help tidy up your skin.
"Kelofibrase"
This cream is available in tubes of 25 and 50 g. It is a combination of urea, sodium heparin and D-camphor.
The product moisturizes the skin, improves blood circulation and relieves inflammation. All this speeds up the process of cell renewal, makes the protruding parts of the scar less noticeable and reduces swelling around the damage.
The ointment is recommended for the treatment of a wide variety of defects: from scars and scars after surgery to post-acne and other traces of skin diseases. Manufacturers also recommend using it to prevent stretch marks.
However, patient experience shows that the cream is only suitable as a prophylactic. It has little effect on formed defects.
The product is used 2 to 4 times a day. A thin layer of cream is applied to the entire damaged surface and a light massage is performed. For small scars, it is enough to repeat the procedure 2 times a day.
For old and hardened defects, 3-4 repetitions and compresses with cream are necessary, for example, at night.
"Fermenkol"
The consequences of a long-standing operation will be cured by an ointment for scars made in Russia. Available in the form of gel and powder for electrophoresis.
Thanks to collagenases (enzymes that break down collagen), it can cope with scars up to 2 years old.
Collagenase breaks down the amino acids that make up the protein base of the scar, and it gradually dissolves. The drug also reduces itching and pain.
Experts believe that it gives the best results in patients with keloid and hypertrophic scars, burns, deep wrinkles and inflammation. It is better to choose another remedy against atrophic formations.
Procedures with the gel are carried out for 1 month, 2 times a day. It cannot be rubbed in; you must wait until it dries completely.
Fermencol should not be used if the main component is intolerant and electrophoresis should not be done at an early age (up to 3 years). Those with sensitive skin may experience redness. When the treatment is completed, it will disappear.
"Scarguard"
Scarguard cream is a colorless liquid in 15 ml bottles.
The main substances in its composition:
- hydrocortisone - anti-inflammatory, stops cell proliferation;
- Vitamin E - moisturizes the skin and makes it more elastic. Accelerates cell regeneration;
- silicone.
The ointment will heal scars and scars. After the operation, its layer is renewed twice a day from 1 month to six months. The drug is applied with a brush. When it dries, a thick protective film forms on the scar.
Manufacturers warn about contraindications:
- Skin or cancer diseases near the affected surface;
- Intolerance to the components of the drug;
- Treatment of unhealed wounds;
- Pregnancy and lactation period;
- Age less than 12 years (not a strict contraindication; a doctor’s prescription is required).
"Scar Esthetique"
Scar Esthetique ointment will help with scars and scars after surgery, burns, injuries and the need to remove stretch marks.
This is a cream with polysiloxane, enriched with natural ingredients:
- vitamins A and C;
- onion and grape seed extracts;
- calendula;
- arnica;
- coconut oil
If you combine the cream with RejuvaSil gel, its effectiveness will increase. Scar Esthetique is applied 3-4 times a day to the scar area.
The minimum use time is 72 hours, the maximum is 3 months.
The product is dangerous for unhealed wounds and mucous membranes.
"RejuvaSil"
The gel smoothes scars of various origins and prevents their appearance. Has an anti-aging effect. Sold in packs of 4, 10, 15 and 30 g.
The main ingredient is silicone, it is complemented by vitamin C, Emu oil and squalene.
The layer of the preparation must be renewed 2-3 times a day. When the film is dry, you can use decorative and sunscreen cosmetics.
The duration of gel treatment is 2 months or more.
General recommendations for operated patients
There are typical instructions that presuppose the norms and rules of patient behavior described for the speedy recovery of a postoperative wound. They should be followed by every patient at home. They consist of the following points, described in the table below.
| Type of load | Rules for caring for postoperative sutures |
| General recommendations | · eat properly, follow the diet prescribed by the doctor; |
| · Use only water and baby soap to wash the wound; | |
| · maintain hygiene of the wounded area, rinse and clean every day; | |
| · do not use ointments, creams, gels, or rubs without consulting a specialist. | |
| Shower | You should only take a shower when the wound begins to heal, becomes dry and gradually heals. The duration of the procedure should not exceed 10 minutes. The water in the bath or shower should not be too hot or cold. |
| Physical exercise | In the first 2-3 months you should adhere to the following recommendations: |
| · do not stand in one place for more than 15 minutes, do only light homework; | |
| Increase the load gradually; | |
| · take daily walks in the fresh air; | |
| · try not to load the area where the seam is located; | |
| · It is worth including daytime sleep in therapy if there are minor loads; | |
| · Perform exercises only with your own weight, avoid lifting weights; | |
| · Only walking is considered acceptable. | |
| Sex | Doctors recommend waiting until complete recovery before starting sexual activity. You should not experiment and take risks when intimacy brings shortness of breath, excessive sweating, and fatigue. This indicates the need to temporarily abstain from sex. |
| After recovery, you should gradually pick up the pace and rhythm in sexual relationships. | |
| Trip abroad | Travel abroad can be carried out after agreement with the attending physician. |
| Diet | After surgery it is recommended: |
| · exclude unhealthy foods (smoked, overly salted, fried, canned); | |
| · plant foods should predominate in the diet; | |
| · take additional vitamins; | |
| · include bran in the menu; | |
| · meat and fish – low-fat varieties. | |
| Emotions | All negative emotions are contraindicated. They will adversely affect the state of the nervous system, which will lead to long-term recovery. |
All recommendations are intended for general use. It must be borne in mind that any wound has its own characteristics, which should be discussed with the attending physician. Proper therapy will help you quickly get rid of unpleasant physical and mental symptoms.
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What properties should a good cream have?
Properties that every anti-scar cream should have:
- Elimination and prevention of inflammation;
- Preservation of moisture, preventing its evaporation;
- Fast regeneration of skin cells;
- Lightening and cleansing damaged skin;
- Returning the firmness and elasticity of the skin.
When choosing a cream, you should carefully study the composition of the cosmetic product, test it for the presence of an allergic reaction, so as not to get a negative effect from its use.
Carefully! The return of collagen to the epithelium can be dangerous if colloidal scars have already formed. In such a situation, the production of additional protein is contraindicated.
A good anti-scar cream should include the following ingredients:
- Heparin – helps restore the skin, moisturizes and softens scars;
- Panthenol, allantoin help heal various injuries and relieve pain;
- Collagen and elastin help give elasticity and elasticity to long-lasting scars;
- Hyaluronic acid helps maintain normal water balance;
- Onion extract protects against the formation of new scars;
- Urea allows you to resolve even the most old scars;
- Silicone is high-molarity and protects damage, while at the same time allowing necessary moisture and air to pass through.
It is important to remember that for a speedy recovery it is necessary to hide scars and scars from the sun's rays under clothing
Drugs for rapid healing
Experts advise using other medications to combat scars. An effective scar treatment should contain onion extract. This component is able to penetrate deeply into the skin elements, soothe and relieve inflammation.
Antiseptic ointments are most often used:
- Vishnevsky ointment is a remedy that promotes wound healing.
- Vulnuzan is a natural drug.
- Levosin is an antibacterial agent.
- Naftaderm is a pain reliever.
Healing ointments for treating sutures
Emollient, anti-inflammatory ointments for healing postoperative sutures have a local superficial effect and do not affect the general condition of the body, so they can be used immediately after surgery. They soften dried edges, accelerate regeneration and eliminate infection of the wound by various microbes. Therefore, healing occurs faster and the scar is formed more evenly.
Depending on how deep the penetration of the wound is, different types of ointments are used to resolve postoperative sutures: for healing and softening of superficial sutures and for treating deep injuries, when ointments with hormonal components are used.
When treating a suture, the depth of the wound, the degree of healing and the side effects of drugs are taken into account:
- the gel product is applied to wet, open wounds, while the active components quickly reach the damaged areas;
- ointment for healing postoperative sutures - it is better to use for dried sutures at the stage of fusion of the skin edges, since ointments contain fatty substances that create an invisible film and slow down healing.
The most effective wound-healing drugs that are prescribed to lubricate sutures after surgery:
- Baneocin - in powder or ointment form, contains bactericidal antibiotics bacitracin and neomycin, which stop the spread of infection. The powder solution is recommended to be used to treat the wound in the first 2-3 days, then Baneocin ointment can be used. Analogues: Sintomycin, Fusiderm.
- Actovegin is available in the form of an eye gel and as an ointment. Contains components of the blood of calves, improves trophism and tissue regeneration. Analogs: Algofin, Kurantil.
- Solcoseryl - in the form of ophthalmic gel, dental adhesive paste, external gel and ointment. It also contains calf blood extract, but the cost is higher than Actovegin. Solcoseryl gel is applied to fresh, unhealed wounds, to wet, non-healing tissue. Solcoseryl ointment is used after epithelization of the wound surface, for further healing of dried sutures, and promotes the formation of smooth, elastic scars.
- Levomekol is a traditional drug with local antibiotics, widely used in home and hospital settings, and is available to almost every patient. This combination drug has anti-inflammatory (dehydrating) and antimicrobial effects. Active against gram-positive and gram-negative microorganisms (staphylococci, Pseudomonas aeruginosa and Escherichia coli). Penetrates without damaging biological membranes and stimulates regeneration processes. Contains chloramphenicol, methyluracil and auxiliary substances, effective in purulent and necrotic processes. Analogues: Levomethyl, Levomycetin, Chloramphenicol.
- Methyluracil is a drug with a regenerating and anti-inflammatory effect, used to accelerate the regeneration process during sluggish epithelization of wounds and burns. Analogues: Bepanten.
- Eplan is a universal, effective remedy for the treatment of burns, cuts, and surgical sutures. It has an analgesic and disinfecting effect, promotes rapid restoration of damaged tissues. The ointment contains: glycolan, ethylcarbitol, triethylene glycol. Analogues: Kvotlan.
- Naftaderm is a drug with a disinfectant, wound-healing and antipruritic effect, promotes rapid healing and uniform resorption of scars. Active ingredient: refined naftalan oil. This cream for sutures after surgery is also used to treat dermatitis and bedsores.
- Vulnuzan is a cream for healing sutures after surgery based on natural ingredients, active ingredient: mother liquor of Lake Pomorie. It has antibacterial, anti-inflammatory properties, improves the regeneration of damaged tissues.
- Mederma is a scar smoothing gel used to smooth out scar tissue a month or two after healing. Analogs: Contractubex is an effective modern cream for resorption of postoperative sutures.
Features and principles of action of quick healing ointments
The composition of such ointments is always varied; usually the main components contain the following substances:
- vitamins and minerals;
- surfactants;
- essential oils of plants;
- hormonal agents.
They each work according to their own principle, exerting a local effect and without penetrating the body, without affecting its functioning. The purpose of the drugs is to minimize the height and size of scars , make them less noticeable to the eye, soften and eliminate tightness in the scar area. With fresh wounds and stitches, you can stop the growth of scar tissue, reduce itching and remove redness on the skin.
The main components included in ointments and gels help improve blood circulation, maintain the necessary water balance in the skin, and improve collagen synthesis. Such products have a good antibacterial effect. The choice of ointment will depend on the type of scars and scars, they can be:
- hypertrophic;
- atrophic;
- keloids;
- normotrophic.
It is always easier for any of the remedies to deal with fresh scars on the skin, since metabolic processes are still taking place there, unlike the old ones, where everything is almost suspended.
Non-narcotic analgesics
These drugs relieve pain much less effectively than their narcotic counterparts. Therefore, they are not used for the first time after surgery. Initially, opioid injections are prescribed, and then, after some time, tablets are used.
Diclofenac painkillers take effect in about 30 minutes. The drug has good absorption capacity, due to which its analgesic effect can manifest itself in any organ. The gold standard is how this product is rightfully called among its analogues.
Usually, injections of the drug are first prescribed, and a gradual transition to the tablet form of the drug is made.
Diclofenac has one serious drawback - a wide range of side effects. If it is used for a long time, the mucous membrane of the digestive tract is affected, and a stomach or duodenal ulcer may occur.
Nimesulide has fewer side effects. This is a more modern tool that is more secure. The analgesic properties are almost equal to Diclofenac, but Nimesulide has a longer duration of action. But the drug is not available in injection form, but only in tablets. Therefore, its use immediately after surgery is unjustified. If you use the product for a long time, the risk of side effects increases.
The most modern, reliable, safe and convenient of painkillers is Rofecoxib. In addition to tablets, it is also available in ampoules. Therefore, it is often used in the first days after surgery. A huge advantage of the drug is that it is practically safe. It does not affect the digestive system, so even patients with peptic ulcers can take it without fear. It has a long-lasting effect and reduces pain well.
Top 10 ointments for resolving scars and scars
Ointments for scars only deal with superficial changes in the skin. For deep-seated deformities, aesthetic surgery is indispensable. If scars have appeared recently, then regenerating preparations for external use will come in handy. With their help, it is possible to eliminate postoperative scars, residual traces of acne, and the consequences of superficial burns. These drugs act locally, preventing the proliferation of connective tissue and improving tissue metabolism.
Indications for use of ointments
Not all drugs are universal, so you should consult a dermatologist before using the ointment. If the ointment is used incorrectly, the skin condition may worsen. General indications for the use of anti-scar ointments are:
- stretch marks caused by weight gain or sudden loss;
- post-traumatic tendon contractures;
- prevention of scarring after surgery;
- keloid (colloid) scars;
- atrophic and normotrophic scars;
- hyperpigmentation and post-acne;
- fresh hypertrophic scars.
Review of anti-scar medications
It is more reliable to entrust the choice of a remedy to a doctor, especially after the appearance of surgical scars - with appendicitis, hernia, etc.
Thus, retinoic ointment is effective for acne and post-acne, but in the case of traumatic scars it is powerless.
The silicone-based drug "Strataderm" copes with scars and scars, eliminates stretch marks, but is expensive. Moreover, one tube is not enough to carry out a treatment course.
Let's consider a list of popular products for scars that are effective and do not put a strain on the family budget.
Name of ointmentActionMethod of application
| Contractubex | The German drug contains heparin and allantoin. These components help break down scar tissue and improve regeneration. The drug has a positive effect on the skin structure, softens pathological tissue and makes the epidermis elastic. The ointment contains onion extract. This ingredient has an anti-inflammatory effect, improves blood microcirculation and inhibits the proliferation of connective tissue. | Contractubex is applied to the affected area three times a day for a month. The drug is prescribed at the early stage of scarring and for prevention. The drug is ineffective against old scars. |
| Dermatix | A Dutch-made drug in the form of a gel-like mass. It is used immediately after the wound has healed to prevent scarring. The product eliminates pigmentation, improves blood supply to epidermal cells, and saturates the connective tissue with moisture. | Dermatix is applied twice daily. The drug is quickly absorbed and leaves no traces. Duration of therapy is 2 months. The drug will not help with deep skin damage. But it is safe and suitable for use by children and pregnant women. |
| Fermenkol | Active collagen preparation made in Russia. Stimulates the resorption of existing scars and prevents new ones. Makes convex formations flat and elastic. At the same time it has an analgesic and antipruritic effect. Side effects to the ointment are rare, so the product is recommended for use in children. | Use the product twice a day for a month. Fermenkol removes hypertrophic scars on the body. To increase the effectiveness of therapy, the drug is used as part of medicinal electrophoresis. |
| Solcoseryl | The drug improves cell regeneration and nutrition. It is applied to the face for acne and post-acne. The ointment will be useful for dry wounds, frostbite, burns, and cuts. Zinc ointment works similarly. It is cheaper and suitable for the treatment of dermatitis, bedsores, dry and weeping wounds. Both drugs do not have a pronounced anti-scar effect. But using them early will prevent scarring. | The ointment should be used twice a day. At the stage of scar formation, the drug is used under a bandage. |
| Clearvin | This cream softens the skin, activates cellular metabolism, and improves blood circulation. Contains natural ingredients and belongs to Ayurvedic preparations. Effective against comedones, stretch marks, age spots, skin microdamages. Suitable for treating acne, smoothes the skin, eliminates signs of chronic fatigue. | The skin is lubricated morning and evening for several weeks. Doctors consider the drug as a cosmetic product, but the natural base and safety of the cream distinguish it from other drugs. For minor disorders and for their prevention, the product will be effective. |
| Imoferase | The cream is intended directly for the removal of scars and scars. Hyaluronidase, which is part of the cream, inhibits the growth of connective tissue and reduces swelling. During a course of treatment, convex formations decrease in volume, the level of pigmentation decreases, and elasticity increases. Imoferase cream acts on old scars and scars, reducing their density. | The effect of treatment is noticeable after 3 weeks, the full course of therapy is 8 weeks. It is recommended to use the cream after operations, burns, cesarean section and in case of traumatic skin damage. |
| Heparin ointment | The drug improves blood microcirculation, which allows it to be used for stretch marks, hematomas, localized infiltrates and ulcerative lesions. It will not be possible to get rid of scars with heparin ointment, but prophylactic use of the product will prevent pathological growth of connective tissue. | Heparin ointment is applied up to 3 times a day for 2 weeks. |
| Methyluracil | Forces regenerative processes, improves renewal of epidermal cells. The ointment heals wounds by speeding up epithelization. It has a protective property, restores the integrity of the skin, and prevents degenerative changes in the epidermis. Used after burns, including radiation. Bepanten cream works in a similar way. The list of indications for the drugs is comparable. | The duration of therapy is 1-4 months. An analogue of the drug is called Levomekol ointment. This is a combination drug based on methyluracil. |
| Vishnevsky | The ointment resolves seals and activates restoration processes. The drug is distinguished by its dark color, pungent odor, and affordable price. The drug is not able to get rid of scars and rough scars. But it is used to eliminate the consequences of chickenpox, acne, and dermatological diseases. Compresses with Vishnevsky ointment are effective. | The drug is mixed with honey in equal proportions, applied to the skin, covered with a cabbage leaf, then with film and left for an hour. Ichthyol ointment works in a similar way. |
| Hydrocortisone | The ointment has anti-inflammatory properties and inhibits the growth of connective tissue. It is used after blepharoplasty and eyelid pathology. Hydrocortisone ointment is a glucocorticosteroid, which explains the impressive list of contraindications and side effects. | The ointment is used for 2 weeks, treating the skin surface up to 4 times daily. |
Wound treatment prognosis and possible complications
The process of regeneration of damaged tissue is influenced by the patient’s age, immunity, history of illness, the presence of infection, and the nature of the operation. The correct way to treat an injury with ointments, maintaining sterility, and regularity are factors that contribute to skin renewal. If you follow the doctor's recommendations and aseptic rules, the healing process occurs faster. Epithalization depends on the location and nature of the wound.
Pathologies that increase the resumption time:
- oncological diseases;
- diabetes;
- anemia;
- skin diseases affect the healing process;
- the presence of neoplasms near the wound - atheromas, lipomas, moles;
- inconvenient localization - ear, mucous membranes, face.
Chemotherapy after surgery increases the duration of wound healing. To regenerate the damaged area, special ointments are prescribed.
Possible complications:
- traumatic shock;
- the appearance of exudate, suppuration;
- hematomas;
- necrosis of nearby tissues slows down the wound healing process;
- infection;
- sepsis.
When treating wounds after surgery, daily monitoring of the process is carried out. With prolonged granulation, therapy is adjusted. Monitor microbial and bacteriological contamination. To speed up the healing process, use special ointments as prescribed by a doctor.
The article has been verified by the editors
The effectiveness of ointments for postoperative sutures
The rate of healing of postoperative sutures is influenced by a number of factors:
- Age . In younger patients, the healing process occurs at a faster pace.
- Weight . The presence of excess subcutaneous fat contributes to poor circulation, which leads to prolonged healing.
- Diet . Unbalanced nutrition and lack of fluid reduces the rate of tissue regeneration.
- Immunity . Disturbances in the functioning of the immune system negatively affect the healing process of postoperative wounds.
- Level of blood circulation at the wound site . Incisions located in areas with large concentrations of blood vessels heal faster.
- Oxygen supply . Tissue ischemia resulting from strong tightening of sutures, hypoxemia, low blood pressure or vascular insufficiency impairs the supply of oxygen to tissues and, as a result, prevents rapid wound healing.
- Presence of chronic diseases . Diseases of the endocrine system and diabetes mellitus have the worst effect on the healing of sutures and often contribute to the occurrence of complications.
- Suppuration or secondary infection . These problems lead to deterioration of the wound and inhibit the healing process.
- Type of scar . Normotrophic, atrophic, hypertrophic and keloid scars are distinguished. The scars of the first two groups heal the fastest.
- Diseases of the endocrine system affect the rate of healing of sutures
- With regular treatment, the healing time depends on the location of the wound:
- on the face – 3–5 days;
- on the stomach – 7–13 days;
- on the back – 10–20 days;
- on arms and legs – from 6 days.
The use of anti-inflammatory drugs in the first days after surgery, the use of steroid and corticosteroid drugs, chemotherapy or X-ray irradiation also significantly slow down the healing of sutures.
Review of the best ointments for healing sutures after surgery
Consider the list of the most effective ointments used for wound healing:
| Name | Operating principle | Rules of use, duration of therapy | Contraindications | Price, rubles |
| Levomekol | It has a bactericidal and antimicrobial effect, accelerates the process of cell regeneration. Used in the treatment of purulent wounds | Apply to a bandage or cotton wool, apply to a suture that is not healing after surgery. Course of treatment – up to 7 days | Fungal skin diseases, eczema, psoriasis, intolerance to chloramphenicol and methyluracil | 135 |
| Mederma | Hypoallergenic gel that helps smooth out scars. Has an antibacterial effect, improves blood circulation, accelerates skin cell renewal | Rub into the healed wound until completely absorbed. Most often it is used a month or 2 after healing. Repeat treatment 3-4 times a day. Allowed to use until the scar is completely eliminated. Only used to remove fresh scars | Hypersensitivity to cepalin and allantoin | 632 |
| Solcoseryl | Activates tissue metabolism, increases collagen production | Apply an even thin layer to the wound that has been previously washed and cleaned with a disinfectant solution. Allowed to use if the seam gets wet. Duration of therapy – no more than 1 month | Allergy to parahydroxybenzoic acid | 308 |
| Ichthyol ointment | Characterized by antiseptic and anti-inflammatory effects | Apply a thin layer to damaged tissue 2-3 times a day, do not rub in, cover with a sterile bandage. The duration of use is determined by the doctor | Hypersensitivity to ichthammol | 96 |
| Vitamin E | Improves blood circulation, reduces the risk of thrombosis, saturates the skin with moisture, increases its elasticity | Take 1 capsule 2 times a day. Rub the contents of the capsule into the seam daily. Use until scar removal | Allergic reaction to tocopherol acetate, myocardial infarction, thyrotoxicosis, age under 12 years | 154 |
| Heparin ointment | Analgesic, anti-inflammatory and anticoagulant agent, prevents the formation of blood clots. Used to remove stitches after hemorrhoid surgery | Rub into damaged tissues 2-3 times a day. Course of treatment – from 3 to 7 days | Open infected wounds, ulcers, hypocoagulation, thrombocytopenia, hypersensitivity to heparin and benzocaine | 78 |
| Bepanten | Characterized by anti-inflammatory and regenerating effects | Apply a thin layer to the seam area 3 times a day. The duration of use is calculated individually and depends on the severity of the wound | Intolerance to dexpanthenol | 436 |
| Contractubex | Prevents the development of thrombosis, slows down the growth of scar tissue, has a regenerating, softening and anti-inflammatory effect | Apply a thin layer to the seam 2-3 times a day, rub until completely absorbed. The duration of therapy for resorption of fresh scars is up to 4 weeks. Duration of use against old scars and scars is from 3 to 6 months | Atopic dermatitis, trichomycosis, intolerance to sodium heparin and allantoin | 612 |
| Vishnevsky ointment | It has antiseptic, bactericidal, immunomodulatory and anti-inflammatory effects, stabilizes blood circulation. Effectively eliminates suppuration and inflammation of postoperative sutures | Apply directly to the seam or to a sterile dressing 3 times a day. Apply until the wound is completely cleansed and healed. | Impaired kidney function, increased sensitivity to tar, castor oil and xeroform | 42 |
| Zinc ointment | Used for rapid healing of wounds, has anti-inflammatory, disinfectant and antiviral effects | Hypersensitivity to zinc oxide, purulent-inflammatory diseases of the skin | 39 | |
| Methyluracil ointment | Suitable for treating wounds in adults and children. Characterized by anti-inflammatory and immunostimulating effect | Apply the ointment up to 4 times a day on a sterile bandage, then apply to the damaged area. Duration of treatment – from 2 weeks to 1 month | Individual intolerance to methyluracil | 78 |
| Zeraderm | Helps get rid of itching and burning in the scar area, accelerates the regeneration process, saturates the tissue with moisture | It is recommended to use immediately after the wound has healed. Apply a thin layer of gel to the scar 2 times a day. Course of treatment – from 2 weeks to 3 months | Infected wounds, intolerance to drug components | 2580 |
| Dermatix | Used for better healing of scars, reduces redness, relieves allergic reactions | Hypersensitivity to silica and polysiloxane | 1360 | |
| Kelofibrase silicone cream | Has an anti-inflammatory and analgesic effect, eliminates blood clots, reduces swelling, stimulates the regeneration process, moisturizes rough areas of the scar | Apply a thin layer to scars 2 to 4 times a day, rub in with massaging movements until completely absorbed. For the treatment of fresh scars, the cream is used for 4 to 6 weeks. Duration of therapy for old scars – up to 6 months | Allergy to D-camphor, sodium heparin and urea, breastfeeding, age under 1 year. Not recommended for use on facial scars in children | 1448 |
| Fermenkol | Anti-scar gel, effective for eliminating hypertrophic and keloid scars | Apply a thin layer to pre-cleansed skin 2-3 times a day, do not rub. Duration of use – 1 month. If necessary, you can repeat the course of treatment after 15 days | Increased sensitivity to collagenase, hypotrophic and atrophic scars | 722 |
| Vulnuzan | Effective for the treatment of purulent and infected wounds, has a pronounced anti-inflammatory effect, stimulates the immune system | Apply once a day to affected tissues. After signs of healing appear, reduce use to 1 time every 2 days. Average duration of use is 2 weeks | Intolerance to the drug components | 188 |
| Levosin | Has an anti-inflammatory and regenerating effect. Eliminates suppuration that occurs after removal of sutures in a short time | Soak a gauze bandage in ointment and apply to the wound. Apply dressings daily until the wound is completely clean. | Allergy to chloramphenicol, methyluracil, trimecaine and sulfadimethoxine | 90 |
| Eplan | The ointment is characterized by bactericidal, regenerating, analgesic and wound-healing effects | Apply to the wound or cover with a sterile gauze bandage soaked in the medicine. Use daily until complete healing | Hypersensitivity to glycolan | 191 |
| Actovegin | Destroys harmful bacteria, improves oxygen absorption and tissue regeneration | Apply a bandage to the ointment and apply bandages up to 4 times a day. The duration of therapy depends on the severity of the injury | Intolerance to deproteinized hemoderivate from calf blood | 132 |
Why do you need a consultation with a dermatocosmetologist?
Before moving on to listing the rating positions, you need to remember that rarely will a scar disappear completely without any traces. The success of treatment is considered achieved if the scar or scar has become less noticeable on the skin, it has lost its shine, the range of motion in the affected joint has increased, or the feeling of tightness has disappeared. If the scar is fresh, then eliminating the surrounding inflammation and stopping its growth will be a big plus.
You need to understand that those scars that do not protrude above the surface of the skin are most affected by local remedies. If they protrude significantly upward, or, conversely, look sunken and flabby, then the professional participation of a cosmetologist is necessary.
In addition to the usual keloid scars that occur at the site of various skin injuries, burns or operations, these remedies are used for fresh stretch marks, as well as for various small focal scars that arise at the site of pustular skin lesions: carbuncles or boils. However, it is advisable to begin treatment with a consultation with a dermatocosmetologist. This is necessary, since some of the remedies listed in the rating are more suitable for prevention, and are more helpful in preserving the wound without secondary microbial infection and promoting its normal healing. Other remedies are indicated when a scar has just begun to form, but this moment is easy to miss with an inexperienced eye.
The rating of real drugs for the treatment of scars includes those products that can be bought in domestic pharmacies at a reasonable price. Online reviews often mention products that are expensive and can only be purchased in a few pharmacies in Moscow and St. Petersburg, or in specialized clinics or beauty salons.
Types of scars
Medicines have additional effects. The selection of ointments for speedy recovery is carried out by the attending physician. The remedy is selected on an individual basis, taking into account all the characteristics of the disease and the operation performed. The type of scar formed after the intervention also plays an important role in the choice of ointment.
There are several types of scars:
- Normotrophic scar - the most common type, remains after shallow surgical procedures. It does not stand out much from the background of the surrounding fabrics, since the edges of the seam have the same skin tone.
- Atrophic scars form after removal of deep formations (warts, moles). The scar stands out on the skin, leaving a scar in the form of a pit.
- Hypertrophic elements appear after complications, wound infection (suppuration, trauma).
- Keloids appear on the skin in areas of poor blood supply or after fairly deep surgical interventions. It is quite difficult to notice such scars: they have a whitish or pink tint and protrude above the skin level.
Narcotic analgesics
Such painkillers are used for pain after surgery when other means do not help. Only in rare cases are they prescribed immediately. Narcotic analgesics relieve pain by acting on the parts of the central nervous system responsible for receiving pain impulses. They replace unpleasant sensations with drowsiness and euphoria. Such medications depress the functioning of the central nervous system and are addictive, so they are used strictly as prescribed by a doctor.
Narcotic analgesics are the most powerful painkillers in tablets. After operations they are often used, especially if other means do not help. Narcotic analgesics include drugs based on morphine, codeine, opium or fentanyl. All these products are sold only with a doctor's prescription. They are used for very severe pain.
- "Tramal" is quickly absorbed by the blood, so it relieves pain almost immediately. It has a long-lasting effect, so it is often used after operations.
- Promedol is an opioid analgesic based on trimeperidine. The drug increases the sensitivity threshold and changes the psychological perception of pain. These are the strongest painkillers after surgery, lasting at least 4 hours.
- Fentanyl is a synthetic analogue of morphine. Has a stronger and faster effect. Causes euphoria and drowsiness.
- Nalbuphine is prescribed more often after operations, as it has fewer side effects. Has an effect similar to morphine. This drug is often prescribed immediately after surgery.
Suture healing mechanism
- Connective tissue with fibroblasts is formed. These are the cells that accelerate recovery and eliminate tissue defects.
- Epithelium forms on the wound, which prevents the penetration of pathogenic microorganisms.
- Tissue contraction: the wound contracts and closes.
Many factors influence the healing process:
- Age. At a young age, recovery is faster and much easier, and the likelihood of complications is less. This is due to the body’s immunity and its resources.
- Weight factor. The wound will heal much more slowly in overweight or thin people.
- Nutrition. Recovery will depend on the amount of substances supplied with food. After operations, a person needs proteins as building materials, vitamins and microelements.
- Water balance. Dehydration negatively affects kidney and heart function, slowing healing.
- Weak immunity can lead to complications: suppuration, various discharges, skin irritation and redness.
- Presence of chronic diseases. Diseases of an endocrine nature, blood vessels and tumors are especially affected.
- Function of the circulatory system.
- Restriction of oxygen access. Under its influence, recovery processes occur faster in the wound.
- Anti-inflammatory drugs slow down recovery.
Instructions for use
Solcoseryl gel and ointment for scars are intended for topical use. The products are applied pointwise for chickenpox or acne. For burns, ulcers, wounds of various etiologies, cover the entire damaged area with liniment several times a day. Efficiency and speed of healing will depend on:
- size, depth of lesion;
- the nature of the occurrence of skin and tissue damage;
- how long ago the wound or scar was present;
- individual characteristics of the body;
- correct use of the drug;
- regularity of drug use.
The gel form of the drug, according to the instructions, is applied to the wound, previously cleaned of necrotic tissue and purulent accumulations. Cleaning and disinfection of the wound surface is carried out using solutions with an antiseptic effect. Then the required amount of jelly-like product is squeezed out of the tube and evenly distributed over the affected area in a thin layer. The treatment procedure must be repeated daily 2-3 times a day until granulation appears in the wound and the release of exudate stops.
The use of the drug in the form of an ointment should be started after the formation of granulation tissue on the affected surface. The cream can be applied to the wound or used as a wound dressing. The damaged area must be disinfected and cleared of necrotic debris. The ointment is applied 1-2 times a day. Treatment continues until the wound is completely healed, soft tissue and skin are regenerated. The ointment will ensure the formation of elastic, smooth scar tissue while maintaining the necessary moisture content.
Solcoseryl has found application in the cosmetology field. The gel is used to solve problems with the presence of defects on the skin that appear as a result of damage to its integrity.
Girls and women apply this product from the pharmacy to their face as a nourishing, rejuvenating mask. Solcoseryl, which has generative properties, is often combined with the anti-inflammatory drug Dimexide in a ratio of 1:10. The composition of the mask will allow you to achieve healthy skin, saturate it with oxygen, get rid of redness, and smooth out fine wrinkles in 10 procedures for 1 hour a day.
