Many of my patients would be very nervous when they are lying in the operating room, a few of them would even be trembling a little bit and their palms would be sweating. Some of them would ask me from time to time, “Dr. Chen, where are we now? Has it been cut down yet? How much longer? Then today, we will briefly introduce the whole process of scar surgery to you so as not to cause unnecessary anxiety. In scar surgery, there are generally four main steps: excision, freeing, hemostasis, and suturing. Excision Excision is easy to understand. It’s when the scar and a small amount of surrounding skin is cut off at the expected design line, which is actually the fastest and least time consuming. If the entire surgery takes us an hour, that excision usually takes as little as 5 minutes, and even faster for smaller scars. Then the specimen that is cut off has some dermal and fatty tissue underneath in addition to the surface that we see as the scar. The word “free” is a little strange to the general public. To put it in layman’s terms, it means that the skin on both sides that is going to be sutured is made a little looser, and the looser the skin, the less tension it will have, which is easy for everyone to understand. This process often takes 10-20 minutes. Three Hemostasis Although it’s called hemostasis, there really isn’t a lot of bleeding from the wound in general, and the wounds from real scar surgery are still relatively clean, with only a few small bleeders, which we’ll finish off with a few gentle dabs with an electrosurgical knife. Stopping the bleeding actually takes the most time because we have to take care of every tiny bleeding point, which can be much, much more demanding than normal surgery. Therefore, it will take a lot of time, usually 10-20 minutes. Suture 4 The final suture is the most important part of the procedure. The final suture is the most important part of the entire procedure, and it is usually done with ultra-decreasing fine sutures. That is to say, in the dermis to do distant anchoring points and then use the suture for deep suture, on the site and level of the needle into the line, the line in the tissue travel route, out of the site and level of the needle, the knot tightness and spacing, margins are very careful. These threads, on the other hand, are even more delicate. Generally, 3-0# absorbable sutures are used in the muscle layer, 5-0# absorbable threads are used in the subcutaneous tissue layer, and 6-0# or 7-0# non-absorbable sutures are used in the skin layer. With this type of suture the skin on the surface will easily come together and the final suture will be raised on the surface of the skin. after 3-6 months it will return to a very thin line and will not be noticeable at a normal social distance. This is the basic steps of the surgery, and it takes even less time when it comes to small scars. As long as you find a regular institution and a professional doctor, there is absolutely no need to be nervous and afraid. After the operation, follow the doctor’s instructions for regular review, care, will certainly achieve very good results.