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Gallbladder Surgery Scars: 4 Ports, 1 Scar, or None?

July 18, 2025

Gallbladder surgery, or cholecystectomy, is one of the most common surgeries performed worldwide. This procedure is mostly selected by patients who seek to alleviate pain or prevent issues with gallstones or other complications. One major concern that many individuals have after this surgery is the potential for scarring. 

In this post, you’ll get to know about the different methods of gallbladder removal and what you can expect in terms of scarring: 4 ports, 1 scar, or none.

Different Methods of Gallbladder Surgery Scars

Traditional Gallbladder Surgery (Open Cholecystectomy)

Open cholecystectomy is rarely an option in today’s time as it involves making a large incision in the upper right side of the abdomen to remove the gallbladder, typically 4–6 inches in length. Generally, the healing time for this procedure is 4–6 weeks. Due to the large incision, the scar tends to be more visible in this case.

Laparoscopic Gallbladder Surgery: Minimally Invasive with Smaller Scars

Today, most gallbladder surgeries are performed using the laparoscopic method, which is minimally invasive and involves making several small incisions. Typically, 4 small scars are made, each about ½ inch in length. These scars are placed strategically around the abdomen, including one near the belly button. The recovery time is generally around 1 to 2 weeks. These smaller scars typically heal faster and are less noticeable.

Single-Incision Gallbladder Surgery: One Scar, Hidden in the Belly Button

Single-incision laparoscopic surgery (SILS) is an advanced technique where the gallbladder is removed through a single incision, usually hidden in or around the belly button, leaving 1 small scar. This method is a great option for reducing visible scarring. The recovery time for this surgery is typically 1-2 weeks. 

While traditional gallbladder surgery often leaves a more visible scar, modern advancements, such as laparoscopic and single-incision surgeries, offer smaller, less noticeable scars. However, regardless of the surgical method, applying the right scar creams can significantly help reduce the appearance of any scars, improving both their texture and visibility.

The Role of Scar Creams in Post-Surgery Healing

The healing process is different for everyone. But, no matter what type of gallbladder surgery you undergo, scar creams can significantly improve the healing process and reduce the visibility of scars. Here’s how:

  • Silicone Gel Sheets: They help to soften and flatten the scar, and reduce redness and discoloration.
  • Vitamin E: This natural ingredient helps regenerate skin cells and reduce scarring. It’s often found in scar creams and is known to help fade scars over time.
  • Onion Extract (Allium Cepa): A key ingredient in many scar treatments, onion extract helps reduce inflammation and prevent scar tissue from becoming too thick. It is essential when you want to minimize the appearance of scars. 

Tips for Using Scar Creams After Gallbladder Surgery

  • Start early: Apply scar creams only when the incisions have fully healed, usually after 2–3 weeks.
  • Be consistent: Apply the cream or gel twice daily for optimal results, typically for 3 to 6 months.
  • Sun protection: Scars can likely darken when exposed to the sun. Use sunscreen or keep the scar covered when going outside to prevent further discoloration.
  • Massage the scar: Gently massaging the scar with scar creams once it’s fully healed can help break down excess collagen and improve the texture of the scar tissue.

Gallbladder surgery can leave behind 4 small scars, 1 hidden scar. In this case, scar creams can significantly help in the healing process, making the scars less noticeable and improving the skin’s appearance. 

Whether you choose laparoscopic surgery or single-incision surgery, applying silicone gel sheets, Vitamin E, and onion extract-based creams can reduce the scar’s visibility. Follow your surgeon's post-surgery care instructions and apply scar treatments consistently.