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Prevention of scarring after lip and perioral surgery

author:Department of Plastic Surgery, Third Hospital of Beijing Medical University

  Lip plastic surgery generally involves the lips, people, corners of the mouth and other parts, most of these plastic surgery requires external incision, and the healing process of the incision is also the process of scar growth, some beauty seekers often have concerns about postoperative scarring.

  How can we better reduce the visibility of postoperative incision scarring?

  This requires the joint efforts of our beauty seekers and doctors, and one of the most important links is the prevention of scarring during and after surgery.

  1. First of all, the doctor needs to perform fine operations during surgery

  During the operation, professional doctors should try to protect the tissues of the surgical site, including the incision method and direction of the incision, gently stretch the tissue during the operation, protect the mucosal surface or skin surface of the incision, and prevent unnecessary damage; In addition, the suture treatment process is also the most critical factor in the prevention of scarring, pay attention to subcutaneous detension in place, good skin margin alignment, surface with the finest suture for minimally invasive suture, a professional plastic surgery cosmetic suture is the most effective measure to prevent scarring.

  2. Then there is the postoperative incision care, we need to follow the doctor's advice and follow the following tips:

  ★ Before stitching removal

  Keep the lips/people/corners of the mouth as still as much as possible, and reduce unnecessary lip activities (including laughing, pursing the mouth, opening wide, licking the lips, etc.);

Prevention of scarring after lip and perioral surgery

  The incision is cleaned daily with a disinfectant swab, if there is bleeding, you can use gauze to gently press for 5 minutes to stop bleeding, old blood scabs can be wet with wet gauze for 15 minutes and then gently wiped to remove, if the blood scab is tightly adhered to do not need to be forcibly removed, to be removed with the sutures can be cleaned together.

Prevention of scarring after lip and perioral surgery

  Try to keep the wound moist before removing the stitches, and apply growth factor ointment after the incision is clean, followed by a wet saline gauze or lip mask.

Prevention of scarring after lip and perioral surgery

  ★ Remove the stitches at the right time

  If there are no special circumstances, shortened in person, mouth corner lift, lip red margin plastic surgery 5 days to remove stitches, red lip surgery 7 days to remove stitches; The stitches shall not be removed in advance, and if the stitches cannot be removed in time under special circumstances, the delay shall not exceed 24 hours at the latest.

Prevention of scarring after lip and perioral surgery

  ★ 3 days after stitch removal

  Start topical anti-scarring products (emulsions, patches) for at least 3 months.

Prevention of scarring after lip and perioral surgery

  ★ Lip rehabilitation is performed from 2 weeks after surgery

  In people, it is recommended to wear it as much as possible at other times except when sleeping.

Prevention of scarring after lip and perioral surgery

  Corner of the mouth and red lip surgery do stretching exercises, at least three times a day, each time for 1 minute.

Prevention of scarring after lip and perioral surgery

  ★ Follow-up 1 month after surgery

  If the scar is significantly raised, the first scar removal injection will be performed, and the examination will be repeated regularly every month for six months. Flat, slightly depressed scars are not treated.

Prevention of scarring after lip and perioral surgery

  ★ After more than half a year of stabilization

  The bulge continues to be treated with scar removal needles; Those with mild depressions undergo CO2 fractional laser treatment. If it is still noticeable after several of these treatments, the scar is removed again surgically.

Prevention of scarring after lip and perioral surgery

  ★ For hypertrophic scars that have been produced by previous surgical incisions and require surgical resection, pulsed dye lasers can be prophylactically used after surgical stitch removal.

  ……

  The above are some preventive measures for scarring after lip and perioral surgery, it can be seen that the prevention of scars runs through the entire surgical operation and postoperative recovery process, and it is necessary to strictly follow the doctor's advice during this period to help you have a satisfactory lip as soon as possible.