For many keloids, surgical excision is not only the most cosmetically effective treatment, but also the shortest treatment cycle, so many of you wish your keloids could be treated by direct excision and suturing. But did you know? But did you know that there are many other types of scarring that can’t be “fixed”? The treatment of keloid scars is closely related to the nature and size of the scar, the relationship between the surrounding skin and organs, and the state of the base, so not all keloid scars can be directly excised. 1, keloid. If it is just simple direct excision and suture, the recurrence rate is almost 100%, not only that, the keloid after recurrence is enlarged compared with the pre-excision, so it is regarded as an absolute contraindication to simple direct excision and suture. If combined with electronic wire irradiation, hormone injection, laser and other treatment methods, surgical direct excision suture can be considered. 2.It is estimated that there is too much tension in the direct suture after excision of the scar after excision of the scar is different from the general surgical wound after excision of benign masses, when the excision of the scar, due to the contraction of the scar, the surrounding skin is obviously cracked to both sides, in situ suture there is already tension, if the scar area is wide, although the margins of the scar are free, but there is still a large tension, even if the scar is barely sutured, the incision is bound to leave a wider scar after the operation, which does not conform to the principle of scar treatment. Scar treatment principles. 3, the width of the larger scar scar excision scar can be directly sutured, depending on the width of the scar. The width of the excised scar is related to the shape of the scar. Linear or oval keloid scar excision width and the width of the scar is basically equal, while square or irregular-shaped scar, the excision of the width of the scar should exceed the width of the scar itself. Another important factor is the conditions around the scar and the base, the scar is located in the part of the skin loose (such as the abdomen), the margins of the wound can be made to a greater degree of freedom, allowing the width of the excision is relatively wide, and in the zygomatic arch, the base of the hard and on the lower eyelid, the excision of the width of the scar is very limited, or not only the incision suture when there is tension, but also may cause the displacement of deformation of the surrounding organs, the over-width of the scar directly excision suture It is contraindicated to directly excise and suture a scar that is too wide. Therefore, you should listen to your doctor’s advice and choose the most suitable treatment for your scar, and do not blindly choose the method of direct excision and suture, in order to avoid more unsatisfactory results after treatment.