Most people who have experienced surgery will care about and worry about the scar problem left after the surgery, and they all hope that there will be no scars after the surgery.
First of all, we need to understand that no matter how good the tailor is, if he splices two pieces of cloth, there will be seams. By the same token, no matter how good the doctor is, there will be traces after surgery. However, some traces are not obvious and are almost close to normal, so most patients can accept it. For some patients with scar constitution, even if the operation is successful, once scar hyperplasia or keloid occurs, it is a pity that it is necessary to take comprehensive treatment specifically for scar hyperplasia and keloid in the later stage. On the contrary, ① The human body's mucosal tissue is very fast, and the scars are not very obvious after the incisions in this area are healed; ② Scars such as incisions such as the oral and nasal cavity, behind the ears, in hair, and in the eye bags are hidden and unaware; ③ The thin scars extending the skin lines are similar to fine lines of the skin, making people feel that there is no scar, but it looks like there is a shallow wrinkle. Therefore, can there be no scars after the operation? I believe everyone can understand.
mentioned above that scars can also be treated with repair. Let’s take a look at how scars are minimized in clinical practice.
Pre-operative treatment
First of all, it has a certain relationship with the surgical site, trauma size, morphology, etc. For example, the chance of scar hyperplasia near the neck and moving parts will increase; the volume of the removal tumor is larger, the larger the defect area, the greater the tension; in addition, some irregular tumors need to be extended accordingly after removal to eliminate the "cat ears", etc.
During surgery, experienced plastic surgeons will design corresponding surgical incisions based on the location, shape, etc. of the need for surgery, combined with the direction of the skin pattern, special location, etc., thereby designing corresponding surgical incisions, or using personalized surgical plans such as local flap methods. The purpose is to ensure the beauty after surgery as much as possible while maintaining the surgical effect.
In addition, the intraoperative suture technique is also essential to reduce postoperative scar expansion.
Selecting appropriate surgical cosmetic sutures can also reduce needle-eye scars, etc.
Postoperative nursing
Secondly, postoperative nursing is very important. After the operation, the wound should be carefully cleaned until the stitch removal . If there are secretions, blood scabs, , etc., clean them up in time, which will help the wound recovery and prevent scars to a certain extent.
Avoid spicy and irritating diet, avoid tobacco and alcohol, etc. You can eat some foods containing high-quality protein .
reduces the activity of the surgical site. For example, for surgery around the lips, you can eat some liquid or semi-liquid food, reduce lip chewing exercise, reduce laughter, facial expression, etc., which can also slow down activities in the surgical area.
avoids sun exposure in the surgical area and can reduce the chance of pigmentation and other occurrences.
linear surgical suture can assist in the reduction of tension stapler, reduction tape, etc., thereby reducing scar widening, which has been confirmed in many domestic and foreign studies.
Later repair
Generally speaking, after half a year to one year, you can judge whether it needs to be repaired according to the situation. First, it is the patient's own wish, whether he wants to have another surgery; second, it is the doctor's judgment, whether he can repair it, choose which repair method such as surgery or laser, and the expected results. Through joint communication and exchange between doctors and patients, it is decided whether later repair surgery can be accepted.
I hope every patient will receive postoperative scars calmly. This is a normal and inevitable physiological phenomenon in the natural healing process of human tissues. The goal of scar repair is to minimize the scar with the joint efforts of both doctors and patients. Even if it cannot be traced, it can still be approached infinitely.
Chen Xia (attendant physician) Zhang Ruhong (chief physician) (Secondary of Rehabilitation Surgery, Ninth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine)
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