Let's take a look at the case first
Laser treatment for two courses of effect
Laser triple effect
Laser triple effect
The full text is as follows: Remember to pay attention!
Dot matrix laser is one of the more advanced instruments in the treatment of scars, it can be aimed at fresh scars, but also for old scars, the treatment parameters and courses of the two are not the same. Fresh scars early treatment effect is better than old scars, fresh scars generally a course of treatment will have obvious effects, children's repair ability is stronger than adults, so children's scar recovery effect is also better than adults, but do not repair because it is a child, such as a scratch can be years or even decades to leave traces, as shown in the following figure:
The main reason for this is that the dermis layer is injured when the injury is made, so it is impossible to fully recover on its own, and if only the epidermis is damaged, it is possible to achieve traceless healing. So leaving a scar is to see if the depth of the injury reaches the dermis layer?
How to prevent scars in the first place?
1. What should I do with the injury as soon as possible?
After the injury, the first time should find a plastic surgeon, check the condition of the wound, if you need cosmetic sutures, you should carry out content brief treatment, so that the postoperative wound, with the recovery of time, will not be widened, so this is the necessity of cosmetic tension reduction.
Picture description: The left is a sheet reduction suture, and the right picture is a vertical mattress suture
2. Stitch removal time:
After suture, the general facial stitch removal time is 3 to 5 days, so the debridement time is very important when suturing, the rubbed tissue on both sides of the wound is debridement, the necrotic tissue is removed, at the same time, the two sides of the wound can be subcutaneous separation, mainly to facilitate the reduction of tension and suture, the tension of the wound is reduced, the tension of the wound should be reduced, the reduction line should use slow absorption line, if the wound debridement is not complete, the wound will heal poorly.
3. Postoperative care
After debridement and suturing, antibiotic ointments such as chlortetracycline ointment can be used externally to prevent postoperative wound infection, and after the stitches are removed, scar cream can generally be applied externally on the third day, at the same time, it can be used externally to reduce posting to prevent wounds from being widened, and scar cream and posting reduction are recommended for use for 3 to 6 months.
4. Is laser intervention required? When is it better to start laser intervention?
Is laser intervention required after wound surgery? This issue is currently a matter of debate, but now there is basically a consensus, that is, the earlier the scar laser intervention, the better the treatment effect, our case can start laser intervention from two weeks after surgery, generally every one month to three months, the dot matrix laser intervention is to start the in situ regeneration function of the skin, and it takes multiple lasers to achieve satisfactory results. For example, just like we have a crack in the wall, we will repair this crack needs to be repaired by scratching porcelain powder many times, and the same scar repair also needs multiple lasers to achieve satisfactory results, so the treatment of scars focuses on persistence.
5. If the recovery of the first stage of suture poor scars is not satisfactory, can surgery be performed?
If the first suture wound is poorly aligned, or the skin necrosis occurs in the postoperative wound, the scar will be relatively wide, and some will even have hyperplasia, at this time, after waiting for the scar to stabilize, you can perform surgery again, when you perform surgery again, you must estimate that the skin has a certain elasticity, can meet the conditions of tension reduction and suture, and then start surgical repair, if the surrounding skin laxity is not enough, you can push it by hand, and then consider surgery after the skin is relaxed, so that the postoperative recovery will be better. After the wound is reduced and sutured, a new round of scar repair is initiated, and a relatively satisfactory effect will be achieved after surgery.
6. If there is scar hyperplasia or keloid formation, can I perform surgery?
If there is scar hyperplasia after surgery, or the formation of local scars, that is, the wound is red and swollen, combined with itching, the scar continues to expand and grow, at this time consider the possibility of scar hyperplasia or even scar bumps, this situation, should be sought in time, you can first soften the scar, and then consider further treatment.
7. What are the treatment options for softening scars?
1) Hormone therapy: Timely and effective method is to inject scars, commonly used are hormone drugs, so that the proliferation of scars can be controlled quickly, but hypertrophied scars will recur again, so it is necessary to carry out a variety of programs to control.
2) Physical therapy: There is currently compression therapy, that is, our physical therapy, you can use elastic bands or elastic stockings topical external use, this pressure treatment is very effective, and is reliable, but if the pressure is too large, local patients often feel uncomfortable, for the joints in the case of large range of motion is not very good, because the activity of the joints will make the elastic sleeve displaced.
3): Medication
A: Oral drugs: oral drugs currently mainly have centella asiaticide tablets, generally recommended oral for 3 to 6 months, short-term oral has no obvious effect, so it must be adhered to.
b: Topical drugs: At present, there are many scar creams used on the market, some domestic, some imported, some plasters, and some tablets. Generally is a silicone gel preparation, here is not convenient to recommend the brand, when necessary to consult a professional doctor.
8: Is the treatment of scars important?
Scar repair follows a certain law, so it is very important to follow the doctor's medical advice, to review regularly, according to the professional doctor to make the correct treatment plan, must follow the doctor's instructions for regular treatment and follow-up.