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Hydrogen Peroxide on incisions?

Dr. Hochstein answers your questions on breast augmentation, and all other breast surgeries including breast lifts, and breast reduction. Dr. Hochstein also specializes in tummy tucks.

Hydrogen Peroxide on incisions?

Postby shoewife » Wed Jul 02, 2008 10:56 am

Hi there!!

I had a breast reduction on June 25th. I am thrilled with my results so far but I have one quick question.

At my post op visit yesterday, my surgeon recommended that I use a solution of half hydrogen peroxide half water to clean my incision sites, twice a day for a week. I talked to my sister about it (she is a nurse but not in plastics) and she thought it was odd that he suggested this. She mentioned the hydrogen peroxide breaks down skin and that makes her worried that my incisions may split. I know that all surgeons have different procedures but can you explain to me why I should or shouldn't use HP? Thanks so much for your time!
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Postby Dr.Hochstein » Wed Jul 02, 2008 5:22 pm

Hydrogen peroxide does not break down skin. What it does is lyse or destroy red blood cells. It simply is a good way to clean off dry blood. It has no healing or anti-healing properties. It is for cleaning purposes only. Once clean you should do something for the scars themselves. I like scar guard or a good moisturizer. Remember scars cannot create their own moisture so they need help to look good. Don't let them dry out.
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Postby shoewife » Wed Jul 02, 2008 5:44 pm

Thank you so much for your quick reply. My PS did give me a script for Diprolene cream but per his instructions, I am not supposed to start using it until next week. Would something like Eucerin cream be okay on the scars until I can get some scargaurd? How long do you suggest using the creams? One last question... :? My Dr. suggested I use a large bandaid on the T spot. Would micropore tape be an acceptable replacement. The bandaids hhurt so bad when I have to take them off. Thanks!!
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Postby Dr.Hochstein » Wed Jul 02, 2008 5:57 pm

If you use scarguard you do not need a cream. You should choose one or the other. You should use something until the scars are completely healed which can be 1-2 years. The T junction is an area where there is typically a little bit of breakdown meaning it is an area which will have some moisture after the scab falls off. You want to dry this area out. For this reason any kind of gauze (ie bandaid) is a good idea. Anything which will trap the moisture in is a bad idea(tape). Sorry they hurt but this mechanical cleaning is worthwhile.
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Postby shoewife » Wed Jul 02, 2008 6:00 pm

Man you are fast! Thank you so much for offering your advice and expertice on this website. It's so nice to get a "second opinion" without having to leave the house! :)

I will continue to use the bandaids. Whatever works best is what I will do. I don't mind a little discomfort.

Again, thank you. Have a great night!
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Postby smallersoon » Thu Jul 03, 2008 4:08 am

Hi Dr.
How soon can I start putting the scarguard on a lower body lift incision?
Thank you so much for your answers!
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Postby Dr.Hochstein » Thu Jul 03, 2008 7:40 am

You can start applying scarguard on all closed wounds. After major lifts there are always a couple of areas which do not seal immediately and are moist. You should not use scarguard on thos areas until they completely dry out and use it in the interveneing segments. Usually within a month everything is sealed and then you can use it on the entire incision.
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