Plastic and cosmetic surgery involves an incision, of which the biggest enemy is the scar, there is a wound the human body will naturally react, the cells secrete collagen to connect the wound, and finally a scar is formed. This is the natural reaction of the human body, how to reduce scars and remove the marks of trauma, this is the most interesting for everyone, there are many expertise in scar care surgery, but the knowledge about care life is like a needle in a haystack, Dr. Xiaobo is willing to share his experience and search knowledge, share and summarize the current methods and drugs to facilitate the care, reduce and fade scars, the ideal situation It is the degree that is not visible to the naked eye. Of course, each person’s injury is different, or try to consult a professional plastic surgeon to avoid leaving regrets.
1, wound treatment
If the wound is not infected, the initial removal of the line will stay part of the blood scab, which is the natural reaction of the body, the general epidermal cells if not timely cover the wound will appear blood scab, generally do not take the initiative to uncover, otherwise it will leave the trauma, can only wait for the body granulation repair, the formation of hyperplastic scars, generally the surface coated with growth factors, keep moist, can be properly coated with erythromycin eye ointment, promote the epidermal cells crawl to cover, generally A week or so to fall off on their own before getting wet.
The epidermal abrasion is best covered with oil silk to avoid the formation of blood scabs.
If the wound appears red, swollen, hot and painful, or purulent discharge, suggesting the emergence of infection, should promptly find a doctor to deal with to promote wound healing, infection is often scar repair, need to deal with early.
2.Physical care
After the scabs fall off, you often see the wound is red and red, press up slightly hard feeling, which indicates the start of scar repair, generally the first 3 months is the scar proliferation period, half a year after the injury platform period, 1 year will begin to slowly soften. During this time, physical methods of care should be given appropriately, the most common and ideal is silicone gel products with pressure.
At present, the mature products are mostly overseas products, there are also some imitation products in China, if the effect of advertising exaggerated, it is recommended that you use caution, generally speaking, silicone gel products can achieve moisturizing and softening, anti-itching, anti-inflammatory fading red, lightening the effect of pigmentation, if the bump is serious, you also need to pressure care, you need to cooperate with elastic clothing or elastic sleeve set in the silicone patch outside pressure.
Other physical methods include massage to promote drug absorption, scar contracture should be timely functional exercise, if the incision stitches often need 3m no-sew tape with paste to reduce wound tension for a month to prevent wound widening.
3.Medication care
There are many anti-scar drugs on the market, and the drugs I choose to introduce here are basically recognized by the mainstream hospitals at home and abroad, and there are more patient cases to verify their effectiveness. Commonly used medications such as Conrad, Centurion, scar anti-itch ointment, etc. I have also collected most of them and tried them one by one. Since anti-scar treatment is a long process, it is not yet possible to judge which one is effective and which one is not during short-term use, so the experience of use is more focused on the feeling of use rather than the effect of use, for your reference.
The reference price, mainly from amazon, drugstore, taobao and other shopping sites and major hospital pharmacies, in foreign currency prices are converted into RMB. In addition, the basic introduction here are all adult medicine, in fact, there are many Chinese medicine anti-scar formula, but the composition is more complex, the production is not easy, temporarily not to make a statement, specific I open another specific statement.
4.Dermabrasion
Dermabrasion is the most common method of medical aesthetic peeling technology in clinical practice. Dermabrasion is the smoothing of the epidermis of uneven scars, and after grinding, the remaining skin appendages (hair follicles, sebaceous glands, sweat glands) will rapidly form new epidermis and the wound will heal with little or no scar, making the scar blurred to improve its appearance. Dermabrasion is effective not only for depressed scars after acne, chicken pox, smallpox, etc., but also for tattoos, dust explosion staining and other pigments in the superficial layers within the skin, after recovery from dermabrasion surgery.
The most important thing to guard against after dermabrasion treatment is pigmentation, which usually appears about one month after surgery, peaks in two months, and fades after six months to a year, and a few after more than a year. In order to prevent the occurrence of pigmentation, make sure to do a good job of sun protection.
5.Fruit acid peeling
In short, it means taking fruit acids to peel the skin. This is to use a high concentration of fruit acids to exfoliate the skin, promote the aging keratin layer off, accelerate the renewal rate of keratinocytes and a few upper epidermal cells, and promote the growth of elastic fibers in the dermis, which has a good effect on shallow acne scars, and can also improve the enlarged pores, but it takes several courses of treatment to eliminate acne scars, but the advantage is that it is safe and has few side effects.
6.Laser scar removal
Laser scar removal uses various types of pixel lasers such as carbon dioxide to repair scars by stimulating skin cells without harming skin tissues through the laser photothermal effect. Pixel laser scar treatment requires multiple treatments, each at an interval of 3-4 weeks, and after treatment, the color of the scars will change from dark to light and the texture will become soft and close to normal skin. It is more suitable for superficial epidermal or dermal scars: sunburns, superficial abrasions, burns, etc. Other scars such as hyperplastic scars or scars with pimples also have some effect.
7.Surgical treatment
The relatively large area of burns, or wound treatment is not ideal to leave obvious scars, the effect of other means is not ideal, the doctor needs to judge the use of surgical treatment, usually dilator or flap repair.
8.Life skin care products
Some products can be used for the above-mentioned professional drugs as an adjunct to treatment, strictly speaking, not considered drugs, but can play a role in fading and promoting skin growth.
1, vitamin E: the main effect is that it can maintain the moistness and softness of the skin, if the child burns a large area, with silicone drugs and other costs will be very high. You can consider with the use of vitamin E coated scars, massage 5 minutes to absorb. Feel free to rub the skin dry at any time.
2, L-C extract: the main effect is to fade, but also to help the skin self-repair. The amount is not too much, the effect is still very obvious. But note that the concentration of L-C essence from 10%-20%, 10% can be, too high will be too stimulating. In addition, vitamin C is very unstable, very easy to oxidize. When buying, pay attention to the production date, fresh L-C extract should be colorless, oxidation will gradually become darker, open the bottle within 3 months to use up, protected from light and low temperature storage.
3, lavender essential oil: originated from France, essential oil aromatherapy is now abroad is the same as Chinese medicine, counted as a regular Western medicine treatment outside the formal treatment method. Lavender essential oil can promote skin growth and repair, scar fading. But if you buy it, you should pay attention to the regular brand regular store, essential oil fakes a lot.
4, there are also some creams containing the above ingredients can also try to use.
9, diet choice
After injury, if you eat a lot of wine, chili, mutton, raw garlic, raw onion, ginger, mustard, coffee and other irritating food, it will promote scar growth; eating food containing more pigment such as soy sauce, black fungus and drugs containing lead, mercury and arsenic will promote the formation of pigment spots. Eating more fruits, green leafy vegetables, eggs, lean pork, meat skin and other foods rich in vitamin C, E and essential amino acids will help the skin to return to normal as soon as possible.
10.Psychological care
No matter which drug or method is used, once the scar skin rash, blisters, or even breakage occurs, all drugs and physical therapy must be stopped immediately, and patiently wait for the skin to be normal before continuing the medication and anti-scar treatment. For wounds that have just healed, the immediate use of medication is likely to lead to breakage of the new skin because the new skin is delicate.
Therefore, it is usually recommended to use anti-scar medication after 1-2 weeks of healing, when the new skin feels stronger. The initial dosing time should be shorter and gradually increased. In conclusion, anti-scar treatment is a long process that requires persistence and usually takes about a year to finish.
No one product or method is a panacea, everyone has different injuries, different wound treatment, different organism repair and different physique, so each person should also have appropriate scar treatment plan, medication, laser, grinding, surgical excision, etc. To minimize scars, it is better to try to consult a professional doctor to give professional answers and give a specific plan according to each person’s situation.