Scar formation is a normal part of healing after any surgical procedure. What patients most commonly want to know is how long it takes, what changes to expect, and whether scar management makes a difference.
How long does scar tissue take to form and heal?
Surgical scars typically evolve through several healing stages over 12 to 18 months. Healing timelines vary depending on the type of surgery, skin characteristics, and post-operative care.
The scar at six weeks is not the final result. Many surgical scars change gradually between months three and eighteen. The extent of change varies between individuals.
| Stage | Time | What to expect |
|---|---|---|
|
Formation
|
Days 2–3 | Wound closes. Scar tissue begins forming. |
|
Active
|
Weeks 2–8 | Scar is red, raised, firm and sometimes itchy. This is normal. |
|
Remodelling
|
Months 2–6 | Scar may begin to soften and change during this phase. |
|
Maturation
|
Months 6–18+ | Colour fades. Maturation may continue for 12–18 months or longer. |
The active stage (weeks two to eight) is when patients notice the scar most. A red, raised, firm scar during this phase is normal and expected — not a sign of a problem.
Practical management options
Silicone therapy
Silicone gel or sheets are the most evidence-supported non-surgical option available. They should be worn for 12 to 24 hours per day over three to six months. Consistent use is generally recommended when silicone therapy is used as part of scar management.
Scar massage
From around four to six weeks post-operatively, gentle massage is commonly recommended to support scar flexibility and comfort during healing. Apply firm, circular pressure for five minutes twice daily using a plain moisturiser. Continue for three to six months through the active phase.
Sun protection and compression
Active scars are prone to pigmentation changes with UV exposure. Use high-SPF sunscreen on any exposed scar until it has matured — typically over 12 to 18 months. For abdominal and breast procedures, compression garments may help reduce tension on the healing wound.
Frequently asked questions
Does scar tissue go away after surgery?
Scar tissue does not disappear entirely. However, many surgical scars may change gradually over 12 to 18 months. The way scars develop varies between individuals.
How do you break down scar tissue after surgery?
Scar massage from four to six weeks post-operatively is commonly recommended as part of scar management. The specific approach should always be discussed with your surgeon.
Further reading on scar tissue management
- Why wear compression garments after surgery – markhanikeri.com/why-should-you-wear-compression-garments-after-surgery/
- Tips for a successful recovery after surgery – markhanikeri.com/tips-for-a-successful-recovery-after-surgery/
- Breast reduction scars – markhanikeri.com/what-to-know-about-breast-reduction-scars/
- Surgery risks and complications – markhanikeri.com/surgery-risks-and-complications/
| Written by Dr Mark Hanikeri — Specialist Plastic Surgeon, Perth WA. FRACS (Plastic and Reconstructive Surgery). Consulting at accredited facilities in Subiaco and Murdoch. Last reviewed: March 2026. |
