It is rare to have a smooth life, and it is inevitable to have a bump or bruise and encounter various traumatic injuries, especially to the exposed face. After a facial injury, the first thing people think about is whether it will be disfiguring and how to leave no or less scarring. As you can see, the aesthetic situation after treatment is one of the most important issues to consider, therefore, the appropriate emergency treatment of facial trauma is crucial. Under the condition that it does not affect life, it is better to have a plastic surgeon to close the skin wound in the first stage of cosmetic surgery to reduce the scar in case of emergency facial trauma. Plastic surgery emergency trauma is based on acute trauma, applying plastic and cosmetic surgery techniques, strict debridement, wound revision, fine suturing, skin slice or flap grafting, etc. to repair the form and function of soft tissues and organs. Difference with traditional surgical suture technique If the wound is not treated properly after facial trauma and the deformity is healed and then repaired, it will be difficult to achieve the best repair and affect the appearance and shape of the face in the end due to the scarring healing around the wound and affecting the normal anatomical reset of the tissue. There are various kinds of facial soft tissue trauma, and different traumas have different treatment methods. Abrasions: shear forces lead to the loss of the skin surface caused by abrasions Treatment Wound with mild soapy water and use saline rinse, local care and then the wound can be self-healing (to ensure that no foreign body residue, otherwise it can cause permanent traumatic “tattoo”). After cleaning the surface with a thin layer of antibiotic ointment and Vaseline oil sand coverage to avoid drying and further crusting of the skin (the fastest wound healing in a moist environment, the corresponding healing effect is best). Contusions: blunt injuries are often associated with subcutaneous edema and hematoma with more extensive swelling and ecchymosis Treatment Small hematomas usually resolve on their own without treatment and may have hypopigmentation or hyperpigmentation, which is rarely permanent. Large hematomas should be drained to avoid permanent pigmentation changes and secondary subcutaneous tissue atrophy. Lacerations: sharp trauma to soft tissues Treatment Wounds require fine suturing to reduce scar formation. In addition to attention to closing the dead space, trimming of the wound edges, hemostasis, and plastic surgery techniques of subcutaneous tension reduction suturing are all key factors in reducing facial scarring. For complex wounds, local pressure dressing is also required after suturing. Subcutaneous tension-reducing suturing techniques Avulsion wounds: Tissue torn or avulsed by large mechanical forces with soft tissue defects Treatment Smaller avulsion wounds can be treated with plastic surgery subcutaneous tension-reducing suturing techniques, which subliminally separate the surrounding tissue and then directly pull the wound together to close it. If the suture cannot be pulled together or if the pulled together suture affects the appearance and function of the five senses, a flap transfer repair, skin grafting or second-stage repair is required. Bite wounds: human or animal bites, wounds containing a variety of aerobic and anaerobic bacteria Treatment The treatment should be tailored to the extent and scope of the defect according to the injury. However, extensive animal bites involving the face should be treated with the principles of cosmetic reconstructive surgery. Prophylactic rabies vaccination should be administered according to the actual situation. Gunshot wounds: For gunshot wounds, it is necessary to examine and evaluate the presence of facial fractures and other structural injuries. Treatment Carefully examine the exit and entrance of the bullet from the gunshot wound. The exit of the bullet often has severe tissue damage requiring aggressive debridement, and for tissue defects, plastic surgery with flap repair is required. For complex injuries after gunshot wounds, a skin incision is required for fracture repositioning and internal fixation repair, when the aesthetics of the surgical incision should also be taken into consideration. When you are unfortunate enough to have an accidental facial injury, please ask for cosmetic suturing at the first opportunity if conditions permit. Otherwise, when the face is left with obvious scar, you have already missed the best time for cosmetic suture, and later, if you want to be beautiful, you need to choose different methods of treatment such as laser, injection, topical medication or dressing, surgery, etc. according to the shape, distribution, size and formation time of the scar.