1, trauma After a child’s trauma, if the injury to the deep dermis, as long as there are conditions, it is still recommended that the early suture treatment within 24 hours. Specialties for suture selection: scar department > plastic surgery department > ophthalmology, ophthalmology > general surgery or other surgery. Material of choice for suturing: cosmetic thread > bio-glue > ordinary silk thread. Suturing method: layered suture > direct suture. Stitch removal time is a priority. Many emergency clinics are concerned about wound dehiscence during stitch removal will require more than 10 days to remove the stitches, which will inevitably leave obvious stitch scars. We routinely take 5 days to remove the stitches in the face and neck, and try not to exceed a week in other areas, and if the layered sutures are effective, the stitches can be removed earlier. After the stitches are removed, it is recommended that 24-hour care with a reduction tape be used as soon as possible for at least six months to effectively prevent scar widening and hyperplasia. Another point that parents will struggle with is that the tape will stick away the scabs on the wound. Here, I would like to emphasize that scabs are not protective of the wound. On the contrary, the longer the scab remains, the worse the wound recovery will be, because the scab occupies the space for the skin to heal, and when it falls off, it is likely that this part of the skin will be uneven, and even pus will accumulate under the scab. Well, the next most nagging question for parents is when to use various scar removal creams? This is the question that I am most reluctant to answer. Scar removal creams have become a lifesaver in the eyes of many people, and many parents will buy a bunch of medications and ask me which ones to use, and they better put all of them on the scars, thinking that the scars will go away. I would like to reiterate here that all kinds of creams can only reduce the growth and congestion of scars, not remove them and prevent them from growing, and it takes long-term use to have a little effect. I personally suggest that after the removal of the stitches (wound without exudation has healed) immediately start using the reduction tape, three days after the beginning of the cleaning, complete debridement and then with a cream or patch to assist care. So adhere to more than six months, it is as simple as that. The most nagging question comes up, can a child be treated with surgery or laser sooner if he or she is scarred? First of all, any scars that do not affect normal function should be operated on after adulthood, because if you operate early, the scars will become wider when the child grows and develops, and the operation will be wasted. Secondly, laser can theoretically be done as early as possible, but only if the child can cooperate with the treatment and care. 2, burns Deep second degree or more trauma will definitely leave scars. Once injured, go to the regular hospital as early as possible to deal with the wound to prevent the wound infection aggravate the condition. After the wound is healed, immediately enter the anti-scar stage. Pressure treatment is the most basic and effective care measure to prevent the growth of burn scars. Local manufacturers order the right compression compression garment, elastic sleeve, etc., and at the same time with silicone patch is a good combination. Some parts that are difficult to pressurize to can be effectively pressurized in three dimensions by localizing more pads of various materials to increase the thickness. It is better to pressurize for more than 23 hours a day and insist on it for more than six months. Avoid heat on scars. The child does not need to avoid food. Remember the principles of treatment, be an attentive but not obsessive parent, regretting every day that you should not have watched your child and feeling sorry for yourself is not helpful, and how to remedy the situation to avoid causing more damage is the focus. Similarly, if there is a scar that affects the activity and function, you should do the loosening surgery or rehabilitation exercise as soon as possible, but do not operate easily, sometimes you can do the reddening laser to reduce the hyperplasia. Do not do implant surgery unless it is absolutely necessary, otherwise it is likely to cause double damage to the skin-taking area and the skin-donor area. There was once a super attentive mother in the clinic who kept trying to find ways to adjust the three-dimensional pressure program for her baby through shoe inserts, cosmetic cotton, remaining silicone patches and other materials, which eventually made such a large area of hyperplastic scars stabilize and mature. Now that’s a parent we admire! She also hopes to tell more parents of her children about her care methods and boost confidence. 3.Surgery The scars of children’s surgeries are relatively less obvious, after all, children’s repair ability is stronger, and sometimes even if there is post-operative scar growth, it is mostly proliferative scars, not scars, so it will not keep spreading and growing, and there is a natural fading process. Post-operative care also focuses on tension reduction, silicone material, and compression. Finally, these principles of treatment are summarized in the hope that parents will understand how to deal with their children’s scars. There is no shortcut on the way to treat scars, it is more left to time, and it is undoubtedly a good thing for children and parents to take less detours.