Following surgery that requires an incision of any kind, there are several post-operative issues to be concerned with, including care of the incision site. Preventing infection while the incision properly heals is the main objective of surgical wound care. While healing is good, itching is a normal and often bothersome effect of healing skin. An itchy incision is a sign that the skin is healing normally and, while possibly uncomfortable, controlling the itching may be as simple as diligent and thorough post-operative care.

An itchy incision might not be noticeable at first, with itching beginning anywhere from a few days to a few weeks after the operation. The type of incision and type of closure used may have some impact on the severity and duration of itching, but in truth, everyone’s experience will be slightly different. It is important to follow your doctor’s instructions regarding post-operative incision care, but there are ways to treat and care for an itchy incision.

One of the reasons why the skin may become itchy around an incision is dryness. As new skin grows and becomes taut over the incision site, it has a tendency to itch. Hydration and moisture in the skin decreases the itching during new growth. If you know you are having surgery, spend the days or weeks prior applying moisturizing lotion to the proposed surgical site, as this may help reduce itching during post-operative healing. Do not apply moisturizing lotions to open wounds, but instead opt for regular use of the antibacterial cream or gel your doctor provides or recommends.

Once the stitches, staples or adhesive strips are removed from the incision, apply a moisturizing antibacterial ointment or lotion several times each day. Regular washing of the incision area with a mild soap and warm water is good for keeping the site clean and sloughing off the dead, crusty layers of skin, which promotes healing, but can increase dryness. Regular incision care and application of a moisturizing ointment after each bath or shower will help reduce itching. Once the incision can be fully submersed in water — usually seven to ten days — it is probably acceptable to apply anti-itch cream to the area around the incision. Ask your doctor for approval of any skin product you wish to use. Never apply any lotions, creams or powders to an open wound and always follow the doctor’s orders regarding incision care.

You should avoid scratching an itchy incision if at all possible. If the itching becomes overwhelming in terms of discomfort or the incision site actually becomes red, inflamed or hot to the touch, call your doctor immediately. Some itching is normal and expected, but profuse or intolerable itching along with pain, discomfort, inflammation or redness may be a sign of infection or improper healing, which requires medical attention. Keep in mind that while an incision may appear to be healing normally, an itchy incision may not present for several weeks post-op. Proper care from the beginning can help minimize or eliminate any future irritations.