Principles of scar management after a fall in young children

  In the clinic, there are many parents who bring their children who have just removed the stitches from their fall wounds to consult, hoping that they will not be left with scars in the future, so what is the truth?  First of all, as long as the injury has reached the dermis or even deeper, it will definitely leave a scar, and surgery can only improve it, the scar must exist, but can be as inconspicuous as possible.  What kind of injuries will not leave scars?  Superficial abrasions, no matter how large, as long as there is no infection and no injury to the dermis, even if the early black scabs are unsightly, please rest assured that such will not leave scars. However, if the skin is not properly cared for, such as being exposed to sunlight before new skin grows, then there is a risk of leaving hyperpigmentation. This includes nail scratches, pencil scratches, any object with toxins even if it is only a superficial injury, the pigmentation left behind will be very difficult to fade and will take years or even longer.  How should I take care of a scar with a scar?  1.There is a tissue defect at the time of injury and there is tension in the suture, then after the stitches are removed, it must be fixed with reduced tension no-sew 3M tape for 3-6 months to prevent the scar from widening.  2, scar healing hyperplasia obvious, red and itchy, this kind of situation, the child must avoid any spicy stimulation (alcohol, etc.) things can not touch. You can apply topical scar softening medications such as Conrad, Centurion, etc. to soften and stop the itching, or you can apply silicone gels such as Scarque and Golden Scarque to inhibit scar growth. It is important to prevent children from scratching the itchy scars with their hands, which will make the scar proliferation more obvious.  3, surface protruding scars, encounter this kind of scars, if it is the extremity parts it is recommended to use compression therapy, internal paste silicone film (Mepi-tip, Senka, scar enemy, etc.) external use of customized elastic pants local pressure bandage, pressure closed the blood vessels within the scar, about six months to a year, the effect is better than laser or drugs, and economic.  4. For children with a genetic history of scarring, scarring can be treated with hormonal intra-scar injections as appropriate, but cytotoxic drugs (5-fu 5 fluorouracil) are contraindicated.  5, the most important thing is that parents must have patience, the above mentioned drugs for good healing scars (no infection, no hyperplasia, no itching) is completely unnecessary to use, any scars in 3-6 months is the proliferation period, will be red and hard, but as long as after this period of time, the natural will slowly become white and soft, regardless of the use of any drugs are only to accelerate the process, short-term seems to be faster scar fading. In the long run, the final result will not be fundamentally different without or with the use of medication. Therefore, parents are advised to use discretion.