I. Scar prevention program after stitch removal
1. avoiding light.
2. moisturizing.
3. silicone topical application (cream, paste).
4. wound reduction treatment.
5. selective laser anti-scar treatment.
6.Review after 6 weeks.
II. Review after 6 weeks to adjust the program according to the situation
If the scar is well matured, continue the above 1-3 treatments until 3 months after stitch removal.
If early hyperplasia manifests.
1. Continue or intensify the above 1-3 protocols until the symptoms are relieved (not limited to how long), until the scar is mature.
2, Perform compression therapy.
3.No functional impairment never do surgery at this time.
3. 6 months review to adjust the program according to the situation
If the scar of the treated protocol matures further, continue silicone treatment until the symptoms are relieved.
If there is still a tendency of scar proliferation.
1. Continue the previous treatment.
2.Add intra-scar hormone injection therapy, review after 1 month, repeat intra-scar injection therapy until 6 months or until the scar is significantly shrunken.
3.Consider whether to choose to combine with laser anti-scar treatment
4.Consider whether surgery for scar contracture is possible.
4.Review at 12 months to adjust the treatment plan according to the situation
1.Differential diagnosis: permanent and non-permanent hyperplastic scars.
2.Surgical release or laser skin reconstruction.
3.Pressure treatment.