Clinical Case

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Karol A Guto, M.D., F.A.C.S Board Certified Plastic Surgeon, Chicago, IL

Clinical Case Summary: Early Improvement in Post-Surgical Facial Scarring Using Silicone Ointment

Background
Silicone-based products are widely recognized for their effectiveness in the prevention and treatment of post-surgical scars. This case highlights the early outcomes of using Silicone Ointment following facial skin cancer excision and reconstruction.

Patient & Protocol
A 46-year-old woman presented with a non-healing cheek lesion, diagnosed via shave biopsy as basal cell carcinoma. Mohs micrographic surgery was performed, creating a 12 × 15 mm full-thickness defect, followed by a complex repair.

• Sutures removed: Day 7 post-op
• Scar treatment initiated: Day 8
• Protocol: Silicone Ointment applied twice daily

Clinical Results
At 7 weeks post-procedure:

• The scar appeared flat, thin, and minimally erythematous
• The patient reported satisfaction with the cosmetic outcome
• The scar could be easily concealed with minimal makeup
• The patient found the ointment easy to use and non-irritating

Discussion
Facial excision procedures often provoke significant anxiety due to the visibility of postoperative scarring. While most scars improve over time, proactive scar management can significantly enhance cosmetic outcomes—particularly in socially sensitive areas like the face.

Education on post-op scar care is vital. All patients should be informed that:

• Any excision will result in some visible scarring
• Early intervention using techniques such as silicone therapy, sun protection, and scar massage can reduce long-term scar prominence

Improved patient compliance can be achieved by providing:

• Written instructions on scar care
• Product samples and availability at follow-ups
• Routine scar care discussions during post-op visits

Conclusion
This case demonstrates that integrating Silicone Ointment into a standardized post-excision protocol can lead to significant cosmetic improvement—even in high-visibility areas like the face. Providing patients with clear, proactive scar care strategies can help alleviate fears of disfigurement and support optimal healing outcomes.

Seven days after wound closure. Silicone ointment started