Saying:
Summer has arrived, and everyone is gradually getting cooler in their clothes. Because of the lack of clothing protection in bumps, the wound will always be "heavier" than in winter; Many beauty lovers and friends who do not want to leave scars will think of "beauty sutures" for the first time.
So, what should be cosmetic stitching? Can it be stitched beautifully? Today, Chunyujun invited Dr. Yin Long, Department of Plastic and Aesthetic Surgery, Ji'an Central People's Hospital, to talk to you about this problem:
Do I need cosmetic sutures after trauma?
Focus: caused by falls and collisions in general life; If there is a small amount of oozing blood and exudate, mild redness and swelling (it can be understood as scraping the skin and falling swollen), you can treat it with iodophor or low-irritation disinfectant solution at home.
Compared with alcohol, iodophor is gentler and non-irritating, and is an essential disinfection artifact for home travel. It is recommended that families always have 0.5%~1% iodine, which can be used by the elderly and children. Iodophor can be used directly on wounds. However, people who are allergic to iodine and patients with hyperthyroidism should be used with caution. To use iodophor safely and effectively, know one thing: iodophor and iodine wine are not the same!
Q
Which wounds need to be treated in the hospital?
A
- Deeper skin lacerations visible to the naked eye caused by falls or bumps, with neat or irregular edges, accompanied by more active bleeding, obvious pain, skin and dermis are all torn, and the wound is irregular and irregular.
- Puncture injuries from sharp objects, glass shards, nails, needles, etc.
- Cuts, which are injuries caused by knives, scissors, pieces of glass, or sharp instruments.
- Scratches, crush wounds, animal bites, etc.
The following wounds require cosmetic sutures:
- Avalsion injury: tearing or avulsion of tissues due to large mechanical forces, with defects of soft tissues;
- lacerations: sharp trauma to soft tissues;
- Bites: Bites of humans or animals that contain a variety of aerobic and anaerobic bacteria.
Can cosmetic sutures really leave scars?
Cosmetic suture is a way of surgical suturing, simply put, it is layered and fine suture according to the tissue level, without leaving dead space, trying to maintain a well-organized alignment during the suture process, and the superficial dermis and epidermis layer strive to achieve no tension and avoid scarring.
At present, there is no technology or drug that can completely remove scarring. All scar removal methods only have the effect of lightening scarring. Cosmetic suture requirements: anatomical alignment, layered suture, no dead space. It can make scarring as small and light as possible.
Suturing the wound, whether it grows a scar or not, depends on three factors:
- the technique of the doctor;
- their own physique;
- Choice of stitching material
In addition to the above factors, the timing of wound closure, dressing change after wound suturing, time to wound stitch removal, and scarring prevention measures after wound healing are also important. The best effect of suturing the wound within 6~8 hours, but the parts with rich blood supply, such as the face and hands, have strong antibacterial ability and can be appropriately relaxed.
The treatment of scars is a world problem, and even fine sutures of the skin can not avoid scarring, but plastic and aesthetic surgeons can minimize the chance of scarring through some plastic and aesthetic techniques to make scars as small or less visible as possible.
Postoperative follow-up is a long-term process, usually reminding that outpatient follow-up 1 month, 3 months, and 6 months after surgery is very important, and doctors will find possible problems and intervene and treat them in time. In addition, if the color of the postoperative incision line is red, it indicates that hyperplasia may be heavier, and special attention should be paid to follow-up.
Anti-scarring treatments you can do at home include:
- topical scar removal drugs (silicones);
- Scar patches (skin care, etc.);
- elastic sleeve, photoelectric therapy, etc.;
- Consult a professional doctor for specific combinations.
Finally, it is recommended to do a good job of sun protection and light diet in the process of anti-scarring, so as not to stimulate scar hyperplasia and aggravate pigmentation.