Best Intervention Moment
The timing of the intervention depends on the type of procedure that is planned and the presence of functional deficiencies. Review after 8 to 12 weeks in adults and 6 months in younger children may be appropriate [10]. If fibrosis has formed uneventfully and presents only an aesthetic concern, then the time will depend on the planned intervention and the maturation of the fibrosis [11].
In this context, non-surgical options can be performed earlier, while surgical revisions are best performed when scars have matured. Some lasers can be performed immediately after suture removal [12,13]. Dermabrasion is often performed 4 to 12 weeks after the injury [14]. Surgical revisions can be competently performed after a period of 3 to 6 months, although many advocates postponing surgical revisions until 6 to 12 months to allow complete maturation of the fibrosis [5,9,11].
Finally, if the surgeon is to perform a surgical revision before 6 months, it is prudent to perform massages on the fibrosis, avoid the sun, intense hydration, silicone covering, and steroid injections, to accelerate the maturation of the fibrosis and minimize the erythema. adjacent tissue or edema [3,4].