Patient: description of the condition (onset time, main symptoms, hospital, etc.): Hello doctor: year ago fell forehead, now more than a month, leaving a longitudinal wound of 3 cm, in the local hospital stitches, wait until after the removal of stitches to see, the wound side of the stitching is not well sewn, from the middle of the wound to the two sides of the long open, nearly 0.4cm wide, the two sides are not the same height, how not to leave a scar ah, thank you! 1.How not to leave scars? 2.Some people say that the wound will be re-sewn after half a year, do you think this will work well? Will it leave a scar? 3.Will the child 6 years old cooperate with the surgery? Is it anesthetic? Is it an outpatient surgery? Thank you! Doctor: Hello, the wound has already healed and removed the stitches, and it is in the scar proliferation period, so it will be red, wide and hard, and there should be itching or transient tingling sometimes. So, for your question, the answer is as follows: 1. How about not leaving a scar? At present, the depth of the injury should be deep, as long as the whole layer of the skin is damaged, scarring is inevitable, your child should even have subcutaneous and muscle damage, so no scarring at all is already impossible, that is an idealized requirement that can never be achieved. Scarring is inevitable. All that can be done now is to make the scar as small, flat and inconspicuous as possible, and to disguise the traces of this scar as much as possible. 2, the child’s wound is still relatively wide, such can be improved by surgical plastic surgery, but the best time should be carried out after the scar stabilization period, about a year and a half, the old people say, after a summer, that’s what it means. Therefore, I agree with the surgical excision and reconstructive repair approach, but I think six months is too short a time, and it would be more appropriate to do it after at least a year. Let the scar through the recovery period, the final result is a little better. 3, the child 6 years old is a more embarrassing age, some children this age more obedient, can cooperate with the treatment, is possible under local anesthesia outpatient surgery. However, some children are more afraid of pain and are not very cooperative, so the surgery may be more difficult and needs to be performed under general anesthesia. The surgery must be done under anesthesia, and anesthesia under local anesthesia will definitely hurt. The key is the stage of playing. So this issue depends on how your child is, no one else can say. The natural texture of the forehead is horizontal, just like human wrinkles are horizontal axis long, the child’s wound is exactly oblique cut this texture, this direction is more likely to grow scars, the current situation I recommend the use of topical drugs to prevent scar growth, as far as possible to control scar height and redness, and promote its shrinkage to become smaller. These drugs are available in all major hospitals. You are also welcome to come to the hospital for consultation. Patient: Hello doctor: Thank you for your reply! I still have some questions to ask you, what will the scar be like if the wound is repaired? I’m afraid that after suffering, it won’t work in the end! The anesthesia is not a problem, the sutures are anesthetized, the child is more obedient, as long as the discussion is good, there is no problem. Do you still need to make an appointment if you have surgery? I am now touching Conrad, is it good? I’m afraid the post-operative effect is not good! Thank you! The second hospital of Shanda cosmetic and plastic burn center Zhang Ji Xun: Conrad Bao is a relatively classic old medicine, produced by the German company, can still be. A year later to see the final situation of healing to decide whether surgery is needed, surgery is only through the fine alignment of the suture again to thin the incision narrower, improve a little, the scar will still have traces, can not be completely removed. It is advisable to visit the hospital during the winter holidays to see if surgery is needed in time. You need to call in advance to make an appointment for the surgery.