The Best Treatments for Fading Tracheostomy Scars

A tracheostomy is a surgical procedure that creates an opening in the neck to provide an airway, often necessary for patients with breathing difficulties or those requiring long-term ventilation. Many patients may be concerned about tracheostomy scars, which might affect their skin health and confidence. Thankfully, these scars can fade thanks to developments in dermatological treatments and premium skincare products. Dr. Azouz, a board-certified plastic surgeon, offers his knowledge on the finest skincare products to reduce scarring after tracheostomies, enhance skin texture, and encourage recovery.

How do scars form?

Scars develop following a tracheostomy as part of the body’s normal healing process when collagen fibers repair the incision in the trachea and neck. Scarring intensity varies according to wound care, infection risk, and skin type. Keloid or hypertrophic scars may form, particularly in those who are prone to excessive scar tissue production. Using skincare products that have scientifically proven ingredients is crucial for accelerating healing and reducing scar appearance.

Skincare Products for Tracheostomy Scars

1. Silicone Gel and Sheets: Silicone-based treatments are regarded as the gold standard for scar removal. They ease scar tissue, control collagen formation, and moisturize the skin. Over time, silicone sheets improve the appearance of tracheostomy scars by applying constant pressure and protection. Board-certified plastic surgeon Dr. Azouz recommends a physician-formulated medical-grade silicone product, Healfast, available online and in our office.
2. Vitamin C Serum: A strong antioxidant, vitamin C promotes collagen formation and lightens the dark pigmentation surrounding scars. Daily use of a high-quality vitamin C serum can enhance skin texture and drastically lessen discoloration.
3. Hyaluronic Acid Moisturizers: The healing process depends heavily on hydration. By keeping the scar tissue pliable and lowering the chance of excessive dryness, which can exacerbate scarring, hyaluronic acid helps maintain moisture. Dr. Azouz recommends Hydrinity Restorative, which helps with healing after cosmetic and aesthetic procedures.
4. Retinol: Retinol promotes cell turnover, which aids in the removal of extra scar tissue and enhances the texture of the skin overall. A moderate retinol formulation can minimize discomfort and encourage skin rejuvenation.
5. Broad-spectrum sunscreen with SPF 50+: Scars can get darker and more apparent after sun exposure. It is crucial to use a high-quality, broad-spectrum sunscreen to shield healed skin from UV rays and hyperpigmentation. Sunbetter by Skinbetter offers various sunscreen formulations, including mineral sunscreen lotion, tone smart compact, sheer compact, and sheer sunstick. Be sure to reapply sunscreen
6. Topical steroids: Topical steroids such as Temovate (clobetasol propionate) can help reduce the redness, irritation, and itching associated with tracheostomy scars. These medications are frequently used to improve scar appearance, especially in instances with hypertrophic or keloid scars.

Tracheostomy Scar Revision

Tracheostomy scar revision techniques aim to enhance the appearance of tracheostomy scars by treating hypertrophic scars, keloids, and uneven skin texture. Dr. Azouz specializes in advanced scar correction procedures and provides tailored treatment plans for the best cosmetic results.

• Hypertrophic scar excision entails surgically removing thicker scar tissue and closing the area using precise suturing techniques to reduce recurrence.
• To avoid excessive regrowth, keloid treatment options include steroid injections, surgical excision, and silicone gel treatments.
• Laser resurfacing uses fractional CO2 or erbium lasers to smooth the skin, eliminate discoloration, and encourage collagen remodeling, resulting in a more natural appearance.
• Microneedling: This treatment uses tiny needles to stimulate collagen production, improving scar texture and gradually fading its appearance with multiple sessions.

Schedule a Consultation with Dr. Azouz

If you want to reduce the appearance of your tracheostomy scar, book an appointment with Dr. Azouz, a prominent expert in plastic and reconstructive surgery, for more knowledgeable guidance on scar care and cosmetic operations. Contact us online or call us at (972) 702-8888 to book your appointment today. Virtual consultations are available for patients who live far from Dallas.

Written by Miriam Al-Hamdani and Rhiya Patel on behalf of Azouz Plastic and Cosmetic Surgery