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Scar-Free After Surgery? 7 Ways to Avoid Hypertrophic Appendectomy Scars

July 11, 2025

Is it possible to prevent hypertrophic scarring after an appendectomy? While a scar may still form, the good news is that you can take steps to keep it small, flat, and less visible over time. To minimize the risk of scarring, it is important to follow all post-operative care instructions.

7 Essential Tips for Avoiding Hypertrophic Scarring Post-Appendectomy

The chances of hypertrophic scarring post-appendectomy can be reduced if you follow these instructions: 

1. Keep the Incision Clean and Dry 

It is imperative to maintain proper hygiene post-healing. Gently clean the incision site as directed by your provider. You should avoid applying any unapproved ointments or lotions, and ensure the area stays dry throughout the day. Providing proper wound care in this initial stage can reduce the risk of infection, which can lead to delayed healing and increased scar formation.

2. Avoid stretching or straining in the area 

Excessive tension on the wound can lead to widened or thickened scars. Refrain from doing daily activities such as bending, twisting, or lifting heavy objects for some time. If you wear loose, non-restrictive clothing, it can help protect the treated area and promote smooth healing.

3. Use Targeted Scar Creams as Healing Progresses 

Once your incision is fully closed, applying a dedicated scar treatment can significantly improve healing. Products that promote hydration and support gentle skin renewal are ideal during this phase. Options like those from Scar Protocol are designed specifically to reduce the appearance of surgical scars and support smoother, flatter healing over time. 

4. Massage the Scar Gently (With Medical Approval)

Once your provider confirms that the incision has healed completely, gentle massage of the scar can support collagen remodeling and improve the scar’s texture. Using clean hands and a scar cream, apply light circular pressure across the scarred area for several minutes, one to two times daily. This can help soften the tissue, prevent stiffness, and reduce the risk of prominent scarring. You should avoid massaging if the skin is still open, scabbing, or irritated. 

5. Protect the Area from Sun Exposure

UV radiation can darken newly formed scars and make them more visible over time. To avoid discoloration, apply a sunscreen with SPF 30 or higher to the incision site daily, even if you’re staying indoors. When going outdoors, consider wearing protective clothing or covering the area completely. Protection from the sun is especially important for the first 6 to 12 months after surgery. 

6. Monitor for Early Signs of Hypertrophic Scarring 

To prevent a minor scar from becoming raised or problematic, it is essential to detect it early.  Look for signs such as itching, redness, and increased firmness around the incision site. These may indicate the beginning of hypertrophic scar development. If you notice any of these signs, you should contact your healthcare provider immediately.

7. Seek Professional Treatment If Needed 

If the scar has thickened, become painful, or does not improve with time, you can choose medical treatments. In this case, your options are laser therapy, microneedling, or PRP (platelet-rich plasma) therapy. These procedures are typically done by cosmetic surgeons. 

Final Thoughts 

Hypertrophic scars can be minimized with the right care at the right time. By following post-operative guidelines, protecting the incision, and using targeted treatments like those from Scar Protocol, you will be able to achieve smoother, flatter healing along with reduced long-term scar visibility.