Procedure guide

Scar care after mastectomy and reconstruction

Reconstruction can involve breast, drain and sometimes abdominal scars. Silagen’s “Heal With Confidence” guide maps each pattern in four plain steps.

  • Breast and donor-site scars
  • Four-step co-branded guides
  • Guide-specific timing
Three Silagen bottles on a windowsill with a sheer curtain

The guide’s four steps

  1. Begin when closed

    Around 2–3 weeks post-op in this guide, with the incision closed and no scabs, after your surgeon agrees.

  2. Wear consistently

    The guide suggests wearing a strip 10–16 hours a day for 12 weeks.

  3. Keep things clean

    Wash skin daily and strips every few days; replace a strip when it no longer sticks.

  4. Stop if irritated

    Never use on open wounds. Stop and call your team if irritation occurs.

Source: Heal With Confidence post-mastectomy guide — Silagen × LBBC edition

Patterns in the guide

  1. Simple mastectomy or lumpectomy

    Where: Straight or curved scar

    Formats to ask about: 2″ × 8″ strips for longer scars; 1″ × 3″ or 1″ × 6″ for shorter; Pure gel if preferred.

  2. Implant after nipple- or skin-sparing mastectomy

    Where: Scar in the crease under the breast or under the areola

    Formats to ask about: 1″ × 6″ strips along the crease, or 2″ × 8″ if longer; 1″ × 3″ for small incisions or drain scars; Pure gel if preferred.

  3. TRAM/DIEP flap reconstruction

    Where: Oval breast scar plus a hip-to-hip abdominal scar

    Formats to ask about: Breast: 1″ × 6″ strips. Abdomen: 2″ × 18″ or 2″ × 24″ strip; BellaButton Shaper for the belly-button scar; Pure gel if preferred.

Source: Heal With Confidence post-mastectomy guide — Silagen × LBBC edition

Download the reconstruction guides

Two branded editions of the same Silagen guide. Each is attributed to its publishers below.

Heal With Confidence: post-mastectomy scar care (LBBC edition)

Silagen × Living Beyond Breast Cancer · PDF · 1 pages · 3.0 MB

A four-step guide and incision map for mastectomy, lumpectomy, implant and flap reconstruction scars.

Co-branded guide published by Silagen and Living Beyond Breast Cancer (LBBC).

Open the guide (PDF, opens in a new tab)

Heal With Confidence: post-mastectomy scar care (RUSH edition)

Silagen × RUSH · PDF · 1 pages · 3.0 MB

The same four-step mastectomy and reconstruction guide in its RUSH-branded edition.

Co-branded guide published by Silagen and RUSH.

Open the guide (PDF, opens in a new tab)

Practical considerations

Radiated skin

Skin that has had radiation can be more fragile. Ask your radiation and surgical teams before using any adhesive or topical product on it.

Drain sites

Drain openings close later. The guide suggests 1″ × 3″ strips for drain scars once closed.

Two surgical sites with flap reconstruction

Breast and abdominal scars may be ready at different times. Treat each only when cleared.

Questions for your care team

  • When can I start scar care on each site?
  • Does my radiation plan change what I can use?
  • Which strip sizes fit my incisions and drain sites?
  • Should I use a BellaButton after flap reconstruction?
  • Who should I call if my skin reacts?

Frequently asked questions

How long does the guide suggest wearing strips?

10–16 hours a day for 12 weeks. Your care team may advise differently.

Source: Heal With Confidence post-mastectomy guide — Silagen × LBBC edition

Can I use gel instead of strips?

The guide lists Silagen Pure Silicone gel as an option for each pattern if preferred.

Source: Heal With Confidence post-mastectomy guide — Silagen × LBBC edition

Does the guide apply after radiation?

It does not address radiation specifically. Ask your radiation and surgical teams.

Get help with your recovery

Questions about your scar care?

Your surgeon’s instructions come first. A TRC Care Planner can help you organize questions for your surgical team and recovery arrangements.

Educational information from manufacturer materials, not medical advice. Silagen® is a trademark of Newmedical Technology, Inc. Follow your surgeon’s instructions.