About all

Stitches on forehead scar: How to minimize a scar

Содержание

Cuts: When Stitches Are Needed

Topic Overview

It is important to determine if your wound needs to be closed by a doctor. Your risk of infection increases the longer the wound remains open. Most wounds that require closure should be stitched, stapled, or closed with skin adhesives (also called liquid stitches) within 6 to 8 hours after the injury. Some wounds that require treatment can be closed as long as 24 hours after the injury.

Wash the wound well and stop the bleeding, then pinch the sides of the wound together. If the edges of the wound come together and it looks better, you may want to consider seeing your doctor for treatment. If treatment may be needed, do not use an antiseptic until after a doctor has examined the wound.

The location and type of wound also affects how soon it should be treated.

  • Wounds that have an increased risk of infection, such as dirty cuts or crush injuries, are usually closed within 6 hours after the injury. Occasionally a wound that has an increased risk of infection will not be closed until after 24 hours, or may not be stitched at all, so that adequate cleaning and antibiotic treatment can be done initially to prevent infection.
  • A cut with a clean object, such as a clean kitchen knife, may be treated from 12 to 24 hours after the injury depending on the location of the cut.
  • A facial wound may be treated to reduce scarring.

Treatment by a doctor is more likely to be needed for:

  • Wounds that are more than 0.25 in. (6.5 mm) deep, that have jagged edges, or that gape open.
  • Deep wounds that go down to the fat, muscle, bone, or other deep structures.
  • Deep wounds over a joint, especially if the wound opens when the joint is moved or if pulling the edges of the wound apart shows fat, muscle, bone, or joint structures.
  • Deep wounds on the hands or fingers.
  • Wounds on the face, lips, or any area where you are worried about scarring (for cosmetic reasons). Wounds on the eyelids often need treatment for both functional and cosmetic reasons.
  • Wounds longer than 0.75 in. (20 mm) that are deeper than 0. 25 in. (6.5 mm).
  • Wounds that continue to bleed after 15 minutes of direct pressure.

The types of wounds listed above usually need an evaluation by a doctor but may not always need to be closed by a doctor.

Treatment by a doctor may not be needed for:

  • Wounds with smooth edges that stay together during normal movement of the affected body part.
  • Shallow wounds less than 0.25 in. (6.5 mm) deep and less than 0.75 in. (20 mm) long.
  • Most puncture wounds.
    • The wounds tend to be smaller, and treatment does not speed healing or reduce scarring.
    • The wounds tend to be deeper, narrower, and harder to clean. Closing a puncture wound with stitches, staples, or skin adhesive may seal bacteria into it, which increases the risk of infection.
    • If a puncture wound becomes infected, it will usually drain better and heal faster if it is not closed with stitches, staples, or skin adhesive.

Credits

Current as of:
February 26, 2020

Author: Healthwise Staff
Medical Review:
William H. Blahd Jr. MD, FACEP – Emergency Medicine
Adam Husney MD – Family Medicine
Kathleen Romito MD – Family Medicine
H. Michael O’Connor MD – Emergency Medicine
Martin J. Gabica MD – Family Medicine

Current as of: February 26, 2020

Author:
Healthwise Staff

Medical Review:William H. Blahd Jr. MD, FACEP – Emergency Medicine & Adam Husney MD – Family Medicine & Kathleen Romito MD – Family Medicine & H. Michael O’Connor MD – Emergency Medicine & Martin J. Gabica MD – Family Medicine

The facial wound before and after stitching and the scar at 6 months in…

Background Microsuture is an essential material for basic microsurgical training. However, it is consumable, expensive, and sometimes unavailable in the microsurgical laboratory. To solve this problem, we developed a microsuture made from human hair and needle gauge.
Methods Do-It-Yourself (DIY) microsuture is made from human hair and needle gauge 32G (BD Ultra-Fine Pen Needles 4 mm × 32G). Methods are explained step by step. This DIY microsuture (labeled as “test microsuture”) and nylon 8–0 (Ethilon suture 8–0, labeled as “standard microsuture”) were used for teaching orthopaedic residents to perform arterial anastomosis in chicken thighs. All residents practiced without knowing that “test microsuture” was made from the DIY method. After completing the training, quality of both microsutures was evaluated by questionnaire in topics of (1) thread quality (size, strength, elasticity, handing, knot perform, and knot security), (2) needle quality (size, curve, shape, sharpness, handling, and strength), (3) needle–thread interface (size, strength, and smoothness), and (4) overall quality of microsuture. Each category was evaluated by Likert score (5 = excellent, 4 = good, 3 = fair, 2 = poor, and 1 = very poor).
Results The DIY microsuture was performed in three steps: (1) insert human hair into needle gauge by microforceps, (2) bend needle into smooth curve, and (3) disconnect needle and create needle–hair interface. The questionnaire was completed by 30 orthopaedic residents and showed that thread quality of DIY and standard microsuture had “good” and “good-to-excellent” quality (mean Likert score: 3.77–4.23 and 3.80–4.27, respectively, with no statistical difference). Thread–needle interface quality of DIY and standard microsuture also had “good” and “good-to-excellent” quality (Likert score: 3.73–4.20 and 4.07–4.33, respectively, with no statistical difference). Needle part of DIY microsuture had lower quality than standard suture (fair-to-good compared with good-to-excellence quality, score 3.30–3.67 vs. 4.20–4.27, respectively, with a statistically significant difference, p-value < 0.05). However, overall quality of DIY suture and standard microsuture had “good” and “good-to-excellent” (mean Likert score: 3.73 and 4.00, respectively, with no statistical difference).
Conclusion The DIY microsuture from human hair and needle gauge could be an alternative for basic microsurgical training with lower cost, easy production, and more availability for use in practice with acceptable quality compared with that of standard microsuture.

Cuts, Scrapes and Stitches | Ask Dr Sears

Dr. Sears Guide to Cuts, Scrapes and Stitches

You hear a loud thud and then screaming from the next room. You run in to find your three-year-old sitting on the floor, holding her forehead, while blood streams down her face. You look at the cut and blood seems to be pouring out. By the time you get her to the ER, her whole shirt and the back of your car looks like it’s covered in blood, but your daughter actually appears well. You are confused, and perhaps embarrassed, when the ER nurse takes a look at the wound and says, “oh, she’ll be alright. It’s just a little cut.” This scenario happens to many parents. It is often difficult to assess cuts, especially when they are actively bleeding. Here is the Dr. Sears guide to what to do if your child is injured with a cut or scrape, how to decide if stitches are needed, and guidelines for proper wound care for cuts, scrapes and stitches.

WHAT IS THE FIRST THING I SHOULD DO WHEN MY CHILD GETS CUT?

For actively bleeding cuts:

  • Step one is DON’T PANIC. If you stay calm, then your child may stay calm also.
  • Step two is to cover the cut with whatever you can get your hands on the fastest. If you can cover the cut quickly, then your child will panic less.
  • Step three is to look at the cut. Get an initial impression if it is minor or major.
  • Step four is to stop the bleeding. Find a more appropriate item such as a clean towel or cloth and gently but firmly press it to the cut. Don’t keep peeking underneath every 10 seconds. Hold it in place for at least two minutes (longer if necessary).
  • For cuts that involve a large bump or bruise, such as on the head, you may also want to apply some ice wrapped in the towel.
  • Once the bleeding has stopped or dramatically decreased, take a closer look at the wound to assess how severe it is. Proceed to the next step below.

THERE IS BLOOD EVERYWHERE! I’M WORRIED MY CHILD HAS LOST TOO MUCH BLOOD!

Try to remain calm. It is virtually unheard of for any one to lose so much blood from a cut that it puts them in any danger.  Cuts on the head and face bleed more than anywhere else on the body. This is because there are many more blood vessels in the skin here. Many parents worry that these cuts have caused a lot of blood loss. You can rest assured; the blood looks like a lot more than it really is.

[rp4wp]

HOW DO I DECIDE IF I SHOULD GO TO THE DOCTOR?

Simple cuts that do not require stitches do not need to be seen by your doctor. If it is obvious that your child does need stitches, do not rush in to your doctor’s office. Instead, call the office to find out what time would be best to come in. Since stitches usually take at least a half hour to do in the office, most offices would prefer to try to make some time later during the day, rather than squeezing you in immediately. Some offices may prefer to direct you to an ER or a plastic surgeon for the stitches, so calling ahead may save you a trip.

If you are not sure whether or not stitches are needed, here are some guidelines:

  • Check to see if the cut is gaping open. If it is not, then gently tug on it to see if it gapes open. If it does, than it probably will need to be closed.
  • Any cut that is gaping open with visible dark red muscle or yellowish fat should probably be closed, even if it is small.
  • Any cut that is gaping and is larger than ½ cm (or 3/16 of an inch) should probably be closed. Get a ruler and measure it if you are not sure. Cuts smaller than this may not require closure, but if they are gaping, than it is best to have a doctor check out the cut.
  • Small cuts that are not gaping may not require actual stitches, but may still benefit from steri-strips (see below)
  • Any cut, even a small one, that is gaping open on the face should be seen by a doctor because of the risk of a scar.

There are two main reasons to get stitches:1. To stop active bleeding. If a cut is large and continues to bleed, then closing it is obviously beneficial. Most cuts, however, will stop bleeding after a while if pressure is applied with a towel or cloth. 2. For cosmetic reasons. Cuts on the face obviously will have a better cosmetic outcome if they are closed. However, for a small cut on a body part where you are not concerned about a scar, then closing it is not as important. Decide if the trauma of doing stitches will be worth it.

Dr. Sears suggests: Stitches do not decrease the risk of infection in a cut if properly cared for.Most important – if you are not sure whether or not a cut should be closed, then see your doctor. It is much better to waste a trip than to have a big scar that was avoidable.

HOW SOON DO I NEED TO SEE A DOCTOR FOR STITCHES?

Most cuts can generally be closed as long as 24 hours after the accident. Some cuts should be closed sooner, but it is very safe to wait at least 8 hours to have a cut closed. Therefore, if the cut occurs at night, it is generally ok to wait until the next morning, as long as you can get the bleeding to stop. Very important – if you do decide to wait, wash the cut under the faucet to get out any dirt. Do not let the cut dry out. The best thing to do is to buy a bottle of sterile saline and some gauze. Wet the gauze and tape it over the cut. Change this every two hours to keep it moist. If you cannot do this, then put some antibiotic ointment on the cut and cover it with gauze or a band-aid. Repeat this every few hours to keep it moist. Stitches generally don’t require urgent care.

FOUR OPTIONS FOR CLOSING A CUT

There are four ways to close a cut. Your doctor will discuss these options with you:

1. Steri-strips. Also known as “butterfly” strips, these narrow strips are placed over the cut, with a bit of tension to keep it closed. A sticky liquid is placed on the skin to hold the strips on. These generally stay on for 2 to 5 days if kept dry and not accidentally pulled off. These are used for cuts that are small, not gaping open, not very deep and not over a joint or area of skin tension. If they stay in place for at least three days, the outcome can be just as good as stitches or even better because steri-strips avoid the “railroad track” appearance of some stitch lines. A big advantage is that they are quick and painless. A disadvantage is that they are not as strong and will not stay in place as long as stitches.

2. Stitches. These have the advantage of providing more strength and little to no risk of being pulled off too soon. An obvious disadvantage is the time and pain involved in putting them in.

3. Skin super glue. This is a skin glue that is applied by rubbing it over the cut while the cut is being held closed. It has the advantage of being quick and painless. It is a good choice for clean, straight cuts that are not gaping too much nor under tension. If you are hesitant to put your child through the trauma of stitches, but steri-strips are not enough, then this may be an option. If done well, the cosmetic outcome is the same as stitches.

4. Staples. These are often used in the scalp (within the hair). They are very fast, and close the cut almost as well as stitches.

WHO SHOULD DO THE STITCHES? A PLASTIC SURGEON, THE PEDIATRICIAN, OR AN ER DOCTOR?

No matter who does the stitches, there will be at least a slight scar. Even the best plastic surgeon in the world will leave a scar. It is, however, important to minimize the scar. Parents are naturally worried about this. Here are some suggestions on deciding where to have the stitches done.

  • Plastic surgeon. The most common reason to use a plastic surgeon is for cuts on the face. An ER doctor or pediatrician could easily handle very small cuts on the face, but a plastic surgeon will be most able to minimize the scar. You can have the stitches done in the surgeon’s office or in an ER by the surgeon.
  • ER doctors have the advantage over pediatricians of doing stitches more often. They often put in stitches several times a day. This allows an ER physician to become quite skilled in stitches.
  • Your pediatrician. For simple cuts anywhere besides the face, your pediatrician is probably the best place to go for the stitches, unless the office is very busy that day. Remember, there will be a scar no matter who does the stitches. Your pediatrician will do an excellent job in minimizing the scar.

HOW DO I TAKE CARE OF THE WOUND AFTER IT IS CLOSED?

Ask your doctor for some specific guidelines on proper wound care. Here are some general guidelines to follow:

  • For 24 to 48 hours, do not allow it to get wet in the bath or shower.
  • After 48 hours, it is ok to get the wound wet.
  • Steri-strips are an exception. Keep them dry for at least 5 days. After that, they have been on long enough and you may get them wet to encourage them to come off. Do not pull them off unless they come off easily.
  • Avoid the build-up of a scab. A thick scab within the wound can increase the scar and prevent the skin from growing together well. You can prevent scab build-up by dabbing diluted peroxide (½ water mixed with ½ peroxide) to the wound and then gently removing any loose scab. Do not pick away any scab that is still firmly stuck. Wait for it to loosen up from the peroxide. Do this twice a day.
  • Apply antibiotic ointment twice a day.
  • Keep the wound covered for at least 48 hours. You can continue to cover it if it is convenient to do so for several more days.

WHAT CAN I DO FOR THE LONG-TERM TO MINIMIZE THE SCAR?

  • Sun protection. Damaged skin is very susceptible to becoming permanently discolored by the sun for up to 6 months following an injury. It is very important to minimize sun exposure to the healing cut. Keep it covered with a hat or clothing as much as possible. When necessary (especially for long days at the park, beach, or swimming pool), apply a strong sunscreen or even a sun block (the white stuff that doesn’t soak in). Do not apply sunscreen until two weeks after the cut.
  • Flax seed oil. This is an oil you can buy in a nutrition store. It contains all the essential fats that are necessary for skin to grow and heal itself. It is not proven that this actually helps for sure, but theoretically it will. It is very healthy to take anyway, even without a wound. Give 1 tsp each day for infants, and 2 tsp for children mixed in a smoothie. Do not apply the oil to the skin; it needs to work internally.
  • Vitamin E oil. You can rub this oil onto the cut after the stitches are removed. There is not a definite proven benefit, but it may help the healing.

WHEN DO I GET THE STITCHES REMOVED?

  • Face. These should be removed in 3 to 5 days. Why so soon? Because by five days the stitch thread starts to react with the skin and this can leave a mark for each stitch. If the stitches are not turning red where they enter the skin, then it is best to wait the full 5 days. If a stitch reaction is occurring sooner, then see your doctor before 5 days to consider having them removed. Your doctor may put steri-strips over the cut to provide a few more days of strength. Do not wait more than 5 days.
  • Body and scalp. (within the hair) 7 to 10 days.
  • Extremities. 10 to 14 days. If the stitches are done over a joint area that bends and stretches, then you should wait 14 days. If not, then 10 days is enough.
  • Ask the doctor who puts in the stitches when they should be removed.

HOW CAN I TELL WHEN IT’S GETTING INFECTED?

Over the first few days it is normal for the skin around cuts and scrapes to turn slightly red. If the redness continues to spread, your child develops a fever, or you see a foul- smelling greenish discharge from the wound, see or call your doctor. Your child may need an antibiotic by mouth. It is generally not necessary to page the doctor overnight for this. It can wait until morning.

SCRAPES (ABRASIONS)

Although scrapes are generally minor and do not warrant a trip to the doctor’s office, large scrapes can leave a permanent discoloration to the skin if not properly cared for. Here are some guidelines to follow to help you properly care for scrapes.

  • Wash off the scrape as soon as possible with soap and warm water. Rinse or gently wipe away any dirt.
  • See your doctor if there is any dirt or gravel stuck in the scrape that you can’t remove.
  • Do not let the scrape dry out and form a scab. A thick scab may lead to permanent discoloration.
  • Follow these steps twice a day until the scrape is healed:
    • Wash with warm water under a faucet to rinse away debris and germs. Dab it dry
    • Apply a diluted peroxide solution (½ water mixed with ½ peroxide) and let it sit for two minutes.
    • Dab or wipe away any scab what has accumulated.
    • Rinse away the peroxide.
    • Apply an antibiotic ointment.
    • For large scrapes, instead of an antibiotic ointment, call your doctor for a prescription cream called Silvadene. It is used for burns, but also works well on large scrapes. Do not page your doctor after hours for this cream. You can use antibiotic ointment for a day until you can get the cream. This cream contains silver, so it may form a “tarnished” black color on the bandages.
    • Apply a non-stick gauze pad over the cream or ointment. One brand name is called Telfa, but you can use any non-stick gauze.
    • Tape or wrap gauze over this pad.
  • For small scrapes, you do not need to meticulously follow all these steps. Simply use the peroxide and an antibiotic ointment, and try to prevent a scab from forming.
  • Sun protection is very important. See the section above under long-term steps to minimize the scar.
  • You can stop putting on the cream and dressing once the scrape has healed to a light pink color, with no more red, sore areas.
  • Watch for infection according to the guidelines above.

Dr. Bill Sears

Wounds and Scars

After the Cut is Repaired

  • Keep the area clean and dry.
  • Leave any bandages intact for the first 48 hours.
  • If there is no bandage, apply a thin coat of antibiotic ointment for approximately three to seven days depending on how quickly the cut is healing.

If Your Child Has Stitches

  • Once the bandage is removed, clean the area daily with soap and water. A small amount of topical antibiotic ointment may be applied once or twice a day for 3 days.
  • If there is dried drainage around the stitches, it can be removed by gently cleaning with soap and water.

After the stitches are removed, continue to keep the area clean and dry. Using sunblock on the affected area is recommended for one year from the time of injury.

Improving the Appearance of the Scar

Scar Massage

The body heals wounds by laying down new proteins. The healing area is a ridge that can be felt along the site of the cut. Massage can help this smooth out to a flat surface.

Using a thick moisturizer (cocoa butter, vitamin E), rub the wound for 5-10 minutes two to three times daily. You must use enough pressure to change the color of the cut from pink to pale. Benefits from massage last until all the pink is gone from the wound. Wait for three weeks after the cut is repaired before massaging.

Sun Protection

Any fresh scar (one that is still pink) can get sunburned, even in dark-skinned people. Once a scar gets burned or tanned, it will not fade back to its normal color and a dark spot will always be present. It is best to avoid sun on a fresh wound. Clothing with long sleeves, full-length pants and hats provide good sun protection. If the wound is not covered by clothing, it should be covered with sun block. The zinc- and titanium-oxide-based sun blocks (which are waterproof) work the best, but any sun block with SPF of 15 or greater will work if applied often.

Activity After a Cut, Wound or Scar

Cuts deep enough to require stitches need to be protected from stress, which might cause them to reopen. For two to six weeks after stitches, no contact sports or rough activities should be allowed. Due to the variations in incisions and scars, please ask your health care provider how long activities should be limited.

Scar Revision | American Society of Plastic Surgeons

Scar revision surgery will attempt to minimize a scar so that it is less conspicuous and blends in with the surrounding skin tone and texture.

Scars are visible signs that remain after a wound has healed. They are the unavoidable results of injury or surgery, and their development can be unpredictable. Poor healing may contribute to scars that are obvious, unsightly or disfiguring. Even a wound that heals well can result in a scar that affects your appearance. Scars may be noticeable due to their size, shape or location; they can also be raised or depressed, and may differ in color or texture from the surrounding healthy tissue.

Your treatment options may vary based on the type and degree of scarring and can include:

  • Simple topical treatments
  • Minimally invasive procedures
  • Surgical revision with advanced techniques in wound closure

Although scar revision can provide a more pleasing cosmetic result or improve a scar that has healed poorly, a scar cannot be completely erased.

What is a scar?

Scar revision is plastic surgery performed to improve the condition or appearance of a scar anywhere on your body. The different types of scars include:

Discoloration or surface irregularities and other more subtle scars can be cosmetically improved by surgery or other treatments recommended by your plastic surgeon. These types of scars do not impair function or cause physical discomfort and include acne scars as well as scars resulting from minor injury and prior surgical incisions.

Hypertropic scars are thick clusters of scar tissue that develop directly at a wound site. They are often raised, red and/or uncomfortable and may become wider over time. They can be hyperpigmented (darker in color) or hypopigmented (lighter in color).

Keloids are larger than hypertropic scars. They can be painful or itchy, and may also pucker. They extend beyond the edges of an original wound or incision. Keloids can occur anywhere on your body, but they develop more commonly where there is little underlying fatty tissue, such as on the face, neck, ears, chest or shoulders.

Contractures are scars that restrict movement due to skin and underlying tissue that pull together during healing. They can occur when there is a large amount of tissue loss, such as after a burn. Contractures also can form where a wound crosses a joint, restricting movement of the fingers, elbows, knees or neck.

The type of scar you have will determine the appropriate techniques your plastic surgeon will use to improve your scar.

Scar Healing – How To Heal Scars

While some scars are sexy, we’d prefer that most cuts—from a small scratch on your chin to incisions made for major surgery—simply disappear as they heal. Many do—and a subset of them don’t. There’s unfortunately little rhyme or reason to why one injury scars, another scars badly, and the other leaves no evidence of ever having been there—says top plastic surgeon Steven Teitelbaum, M.D. Associate Clinical Professor of Plastic Surgery at the UCLA School of Medicine, and president of the California Society of Plastic Surgeons. Here, he walks us through what can and can’t be done—from in-office procedures to at-home remedies—and how to know when to call in a plastic surgeon.

Scar Healing: A Q&A with Steven Teitelbaum, M.D.

Q

Is it possible to prevent a scar?

A

My dad has often quipped, “Parents take too much credit for their children’s accomplishments and too much blame for their misbehavior.” So too do surgeons take too much credit for their good scars—and too much blame for their bad scars. Indeed plastic surgeons have created a mythology around their ability to create great scars, and they are happy to take credit when they are imperceptible. But they run away from their bad scars and blame it on the patient. You can’t have it both ways!

Here’s the bottom line: A horrible doctor could create some pretty ugly scars, but the best surgeon in the world will not always have a great scar. There is some finesse in what the surgeon does, but truly bad scars are a matter of patient biology every bit as much as good scars are a matter of patient biology. I always say that if a scar is great at one month, the surgeon has done all he/she could. (Indeed a scar is usually a fine line at that point in the hands of most plastic surgeons.) But after that the patient’s own biology takes off, totally outside of our control.

Q

What are the most common types of scars that people come to you to treat?

A

Far and away the most common scars patients see me for are C-section scars—not necessarily because the scar itself is bad, but because the scar is stuck down to the muscle, creating an indentation and sometimes a little overhang of tissue above. Fortunately these are very straightforward to repair, either on their own or in combination with some sort of a tummy tuck. It is very important for a surgeon to be extremely gentle with the edges of an incision. If they are treated roughly, the scar can be wide because there is more damaged tissue: One of the most important things a surgeon can do is make a clean and perpendicular incision, and take great care to avoid trauma to it during surgery. If the edge gets abraded, a surgeon should trim it back to healthy skin just before closing the incision.

“Far and away the most common scars patients see me for are C-section scars—not necessarily because the scar itself is bad, but because the scar is stuck down to the muscle, creating an indentation and sometimes a little overhang of tissue above. Fortunately these are very straightforward to repair.”

Patients often come to see me for treatment of plastic surgery scars. (The scars that plastic surgery patients most complain about are from breast augmentation using the incision around the areola. These can look like a smiley face on the center of the breast if they do not heal well.) It is very important that after plastic surgery, patients have the option to “maintain deniability.” That doesn’t just mean that the scars should scarcely be visible; it also means that if someone happens to notice, the patient can believably deny they were from plastic surgery: Liposuction scars should be hidden in a crease, stretch mark, old scar, or a tattoo. If that isn’t possible, it is important to make sure that scars on both sides of the body are not symmetrically placed. One should be higher, wider, or at a different angle, so that the eye of an observer isn’t drawn to two obvious surgical scars. A facelift scar is usually thin and fades. But even an excellent scar needs to hug around all the curves of the ear and leave the ear and hairline undistorted. If the scar does happen to thicken, it will at least exist along naturally occurring borders, hidden in shadows, concealed within concave contours, so that only bits of it are visible from any particular angle.

Q

Is there a particular type of injury that tends to scar more, or heal more easily than others?

A

Location and direction are very important factors in distinguishing whether essentially the same-size cut will result in a scar thats nearly invisible or not. Our skin has natural lines of tension, and their orientation varies throughout the body. A patient lucky enough to have a cut in that orientation may end up with a nearly invisible scar, while the identical cut perpendicular to those lines can result in a visible scar. Here’s a clear example: A horizontal cut on your forehead will blend into the natural lines and fade. But one that is vertical will cross those lines and spread and be obvious. Injuries that have a “wide zone of injury”—meaning that tissue is damaged beyond just the cut itself—often have a worse scar because there is more injury than immediately meets the eye.

If there is any critical thing a plastic surgeon does sewing up a laceration versus an emergency room physician, it is the willingness and confidence to trim the wound, even if it at first makes it look larger, in order to put together two clean edges.

Even skinning your knee on the pavement can create a bad scar if little bits of road debris gets buried into your scar, giving you you what is essentially a permanent tattoo. Any wound that gets infected gets more red and inflamed, so it is very important to prevent infection—and treat it right away if this occurs. While superficial burns usually heal perfectly, deeper burns can leave severe scars. A deep burn can remove hair follicles, oil glands, and pigment cells, so the area will always look different than the surrounding skin. And rather than two edges of skin mending together, a deep burn may have to heal from tissue growing in towards the center from the edges; this does not form normal skin.

Q

Are there parts of the body that scar more easily?

A

Thin skin scars well and thick skin scars poorly. The thinnest skin is the eyelid and the thickest is the back. It is almost impossible to get a bad eyelid scar, and it is definitely impossible to get a great back scar. If someone asks me to remove a mole on their back I joke with them that I will only do it if they promise not to tell anyone that I was their surgeon! Scars over the breast bone have a particular tendency to thicken, as well as scars on the side of the chest, such as the end of a horizontal breast reduction incision. Scars where there is always tension tend to widen, like the upper-inner chest in the décolletage area. (Many women develop concerning growths there from sun damage that need to be removed, or they may have this from a breast biopsy.) Scars over a joint, such as the shoulder or knee, often widen. I always ask a patient if they have had previous surgery, so I get a sense how they scar, but a bad scar over a joint or on their back does not concern me.

Q

Are there other factors that can make a person scar more easily or visibly (weight, skin tone, age, etc.)?

A

While certain parts of the body naturally have thin skin such as the eyelid, skin that has stretched and thinned after significant weight loss usually scars very well. I’d much rather do a breast lift on a woman whose breast skin is thinned and stretched after nursing a few kids than a woman with thick and tight, young skin. Generally, the fairer and drier the skin, the better the scar. So a young, thick, tight, more oily Asian or Mediterranean skin may be more likely to have a bad scar than Northern European skin, but I have also seen many Irish patients with red and thick scars.

It is interesting that up to about twenty-four weeks gestation, a fetus heals totally—without a scar. Even newborns have privileged scarring, which is why the belly button doesn’t scar after the umbilical cord falls off and why a circumcision done on a baby scars well. But this state rapidly is replaced by normal adult healing.

Q

How do you tell when a potential scar is major enough that you should probably see a plastic surgeon?

A

Scars are not just aesthetic; sometimes they can inhibit function. The movement of a joint can be restricted or an eyelid might not close. Sometimes the initial cut may have caused an unrecognized injury to a deeper tendon or nerve, so any dysfunction in the area should be recognized. Cuts along the border of the lip must be properly aligned, so if there is a “step-off” after a lip cut, it may need to be revised.

It is also normal for scars to thicken and redden during the first six months and not start to fade until after that. But the bottom line is that if you are looking in a mirror and worried about a scar, it is worth the visit to a plastic surgeon to see what can be done to help. In most cases there is something they can do. It might just be reassurance that it needs more time, a cream, a silicone patch, or a laser treatment. In some cases, the scar might need to be excised and the wound more carefully put back together.

Q

In terms of less-severe, treatable-at-home cuts, is there anything people can do to minimize the scar?

A

The most important thing is to decide whether it needs stitches at the time it happens. Is there a gap? Can you see fat? Is the skin at the edges smashed and damaged? Those are signs that stitches are probably necessary. For any cut, it is very important to wash it well and remove any germs. Even though it can hurt, be sure to scrub out any dirt or gravel because those particles can be trapped inside and literally permanently tattoo the scar.

In the early period, minor cuts are best treated with just occlusive ointment, Aquaphor. Burns are best treated with aloe—it’s one of the few natural ingredients that has been shown in valid clinical trials to be helpful. Limiting sunlight is important; vitamin E theoretically helps because it inhibits the collagen production that is a part of a scar, but its effectiveness has never been validated in a trial. The same is true of Mederma, and of massaging a scar with oil.

“For any cut, it is very important to wash it well and remove any germs. Even though it can hurt, be sure to scrub out any dirt or gravel because those particles can be trapped inside and literally permanently tattoo the scar.”

Q

What causes a keloid and are there any products or techniques to avoid it happening?

A

Patients will often call any scar they do not like a keloid. In fact, a true keloid is very rare; it is defined as the scar tissue growing beyond the boundaries of the actual incision, almost like a tumor. More commonly, a bad scar that is raised, thick, ropey, and itchy is actually a hypertrophic scar. That just means that the scar is bigger and thicker than it should be.

There are certain types of sutures that may reduce the chance of this happening, but I have seen hypertrophic scars occur even when I’ve used the identical technique that produces nearly invisible scars in almost anyone else. Reducing trauma at the edge of the incision can help, but, again, I’ve seen hypertrophic scars with my most perfectly made and closed surgical incisions. I’ve also seen horrible traumatic injuries that were never treated heal near-invisibly. The point is that even if a surgeon were asked to create a keloid or hypertrophic scar, there is nothing they could do to knowingly create it. The issues are at a fundamental microbiological level. After surgery, though, treatment with silicone sheeting can reduce the likelihood of it occurring.

Q

Is it better to keep a wound covered or “let it breathe”?

A

Wounds heal better in a moist environment. But sometimes a wound can get “waterlogged” and needs to be allowed to dry out.

Q

Are there effective treatments for old scars that won’t fade?

A

There are creams that can reduce pigmentation in scars, and lasers can be very effective even years after the formation of a scar, though they’re often more effective if instituted earlier. The problem with old scars is not the scar itself, but blood vessels around them: I frequently see well-healed scars that are totally faded and flat, but there is a rim of red around them. That red can be treated with a laser. At other times, there is a very pale line in a patient with a brown or sun-damaged complexion, so that it looks like there is a white line. Sometimes those patients might get a small bit of permanent makeup (tattooing) skillfully done into the scar.

Q

For patients getting plastic surgery, are there steps you have them take pre- and post-op to minimize scars?

A

Some surgeons sell expensive nutritional supplements for before and after surgery, but that’s either a matter of greed, giving the patient something to do, or making them feel that you are open-minded and au courant. I believe they don’t do anything. After surgery, I encourage various scar therapies, such as tape, silicone sheeting, silicone-based ointments or creams, laser, and injections of certain medicines that soften and flatten scars. The key is to stay on top of it and treat at the first sign of something going awry.

Plastic surgeon Steven Teitelbaum, M.D. is an Associate Clinical Professor of Plastic Surgery at the UCLA School of Medicine and president of the California Society of Plastic Surgeons. He practices in Santa Monica, and works extensively with (and is a past president of) the Aesthetic Surgery Education and Research Foundation.

The views expressed in this article intend to highlight alternative studies and induce conversation. They are the views of the author and do not necessarily represent the views of goop, and are for informational purposes only, even if and to the extent that this article features the advice of physicians and medical practitioners. This article is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice.

How to reduce the appearance of surgical scars – Skin Repair

When people undergo surgical removal of skin
cancer, they’re often concerned about the scarring that may be left behind.

While common sense tells us that it’s certainly
much better to have a scar than a malignant spot, we also understand that
unsightly scarring can have a real and significant impact on a person’s
self-confidence.

The following methods, used individually or in
combination, are proven to help hasten the healing of surgical wounds and
greatly improve their cosmetic outcome.

Use adhering tape across your wound for 3-6 months after surgery

Until 2012, there had been no research to prove
that reducing wound tension by taping scars helps with healing and cosmetic
outcome, so my team and I decided to undertake a study ourselves. We were
especially interested in improving the cosmetic outcomes of surgical scars on
the back, chest or near joints (such as the knee or elbow), as wounds in these
areas generally heal poorly due to excessive tension on the immature healing
scar as the person bends and stretches.

We found that taping torso wounds for the first 12
weeks after skin surgery significantly improved the appearance of the scars at
the 6 month end point of our study. These tapes were placed perpendicularly
across the wound and worn around the clock to prevent stretching of the scar as
the person bent and stretched.  For scars
elsewhere such as on the face, abdomen, arms or legs (not close to the knee or
elbow) where  there is no excess tension with movement studies show that
simply covering the wound along its entire length with tape for several months locks
in light moisture as the scar matures, greatly improving the ultimate cosmetic
outcome.

Read the full study here.

Taping across surgical wounds on the torso greatly improves cosmetic outcome.

Use strong, deep, absorbable stitches

Referred to by doctors as ‘deep dermal sutures’, these hidden deeper stitches help prevent your healing wound from stretching as you go about your normal day-to-day activities. It is worthwhile asking your treating doctor if they will be using these hidden deeper stitches, which slowly dissolve over many months thereby increasing the strength of your wound when it is most vulnerable to stretch.

Use a hidden stitch on the surface of the skin

Doctors call this stitch a ‘subcuticular suture’ and use it to hold the edges of the wound together instead of interrupted individual stitches. A hidden stitch is generally preferable to individual visible stitches on body areas where the skin stretches a lot with normal movements (back, chest and near joints) because the stitch marks themselves as well as the scar can spread and stretch during the slow healing process.

Individual stitches contribute to scarring

A hidden stitch improves healing

Eat a healthy balanced diet with plenty of protein

A protein rich diet – including meat, fish, eggs, pulses or tofu – will help improve and speed-up healthy wound healing. If you are prone to slower wound healing or know that your diet is deficient in nutrients, it can also be helpful to add daily vitamin C and zinc supplements in the weeks prior to and following skin surgery. 

Let your doctor know if you’re prone to raised scars (also called keloid scars)

Your doctor will assess your risks based on the the part of your body needing surgery and may prescribe preventative treatment (such as silicon gel or sheet dressings) once the sutures are removed. Even though successful treatment exists for keloid scars, preventing them in the first place will lead to a far better cosmetic outcome

There is a 90,000 solution! – Merz Pharma

Kontraktubex ® Anti-Red is entering the Russian market – an innovative gel to reduce redness and smooth fresh scars.

Serious tissue damage leading to scarring and distorting appearance is one of the problems many of us face. For many years, the products from the Kontraktubex ® line, the No. 1 brand for the treatment of scars, have been helping patients to correct scars.In the fall of 2018, a new product Kontraktubex ® Anti-Red appeared in Russia – an innovative gel to reduce redness and smooth fresh scars.

Scars on the body result from a variety of factors – cuts, burns, after various surgical interventions and road accidents – and they certainly have a serious psychological effect on a person, often determining the quality of his life. A number of sociological studies have shown that for 67% of respondents, size and redness are the main problems they face with fresh scars, especially on visible areas of the body.

Oksana Vladimirova, Ph.D., Associate Professor of the Department of General Surgery, Stavropol State Medical University, surgeon of the Department of Purulent Surgery and Burns, GBUZ SK GKB No. 2, Stavropol: “Unfortunately, even after applying cosmetic stitches, healing of small wounds and superficial abrasions on the skin, an ugly red mark in the form of a scar may remain. This redness problem in fresh scars worries many patients. Damage deforms tissues and changes their structure, therefore even the smallest scar is significant from a cometic point of view and, of course, does not contribute to the patient’s psychological comfort.However, today such problems are absolutely solvable, because the process of maturation of a fresh scar can be actively influenced if you immediately start treatment with an appropriate drug that will help smooth out the scar and significantly reduce redness. ”

Kontraktubex ® Anti-Red Gel to reduce redness and smooth fresh scars should be used immediately after wound closure or suture removal. The innovative composition, the key ingredient of which is boswellic acid, which has pronounced anti-inflammatory and antiseptic properties, allows you to lighten and reduce fresh scar much faster.

Oksana Vladimirova: “Boswellic acid has a complex effect and can be considered an alternative to non-steroidal anti-inflammatory drugs. The terpenes contained in Boswellia essential oil stimulate tissue regeneration and resorption of inflammation. The antiseptic effect of this component is explained by the positive effect on the metabolism of microorganisms. ”

The new gel is easy to use (applied 2 times a day for just two months), has a wide range of applications (suitable for all types of scars on any part of the body, including the face and décolleté), it can be actively used in aesthetic medicine after cosmetic procedures, including laser procedures and acne correction.After reducing the redness of the scar, the treatment of scars with a gel or a patch Kontraktubex ®

should be continued
Natalya Ogurok, Marketing Director, Merz Russia: “It is imperative that Merz invests in innovation, clearly researching the needs of doctors and patients. We strongly believe that our new product Kontraktubex ® Anti-Red Gel will help improve patients’ lives during the healing of scars by solving the problem of fresh red scars, after which they can continue to treat scars with Kontraktubex ® gel or plaster, depending on from their individual needs “.

More information on the website www.contractubex.ru

90,000 No scars remain on the face after endoscopy – Rossiyskaya Gazeta

Why are endoscopic operations of maxillofacial surgery not included in the compulsory medical insurance system and why is it so difficult to find specialists who know this technique? Professor of the Department of Surgical Dentistry and Maxillofacial Surgery of the Peoples’ Friendship University of Russia, Doctor of Medicine Svyatoslav Sysolyatin answers the questions of the “RG” observer.

Svyatoslav Pavlovich, you graduated from the Faculty of Dentistry of the Novosibirsk Medical Institute.Usually graduates of this faculty work as dentists. You didn’t get up to the dental chair and the drill, but took up a very unexplored area – endosurgery of the face and oral cavity …

Svyatoslav Sysolyatin: I’m afraid you are not quite in the subject. Graduates of the Faculty of Dentistry have always been able to take up oral and maxillofacial surgery. Another thing is that this requires additional postgraduate training. As for endosurgery, I was lucky: I had endoscopic equipment at my disposal, and it would be a sin not to use it.

Previously, for surgical treatment, the patient was admitted to the hospital for a week and a half. Now for one or two days

What kind of facial surgery do you perform?

Svyatoslav Sysolyatin: When I started out, endoscopy was used only for surgery of the nose, paranasal sinuses and temporomandibular joint. But gradually surgery of the salivary glands and facial bone injuries was added to this. Naturally, the scope of application of endoscopy is growing, since it is on the face that traces of operations are undesirable – disfiguring scars, stitches.

One example: stones can form in the salivary glands. These stones cause inflammation of the glands and cause pain. Of course, we must get rid of them. Traditionally, surgery has been performed to remove the salivary gland. As a result, a rough scar remained on the face, facial expressions were often disturbed, sensitivity suffered, and so on. Now, with the help of endoscopy, it has become possible to remove a stone through a miniature incision, and sometimes even without it. In most cases, this operation, like other endoscope-assisted facial surgeries, is performed on an outpatient basis.

And often you have to remove stones from the salivary glands?

Svyatoslav Sysolyatin: Yes. This is a very common problem. But there are even more popular areas of application of our technique. I mean, for example, sinusitis. The sufferers are innumerable. It is believed that sinusitis is treated by otolaryngologists. And indeed it is. But sinusitis is different, including those caused by tooth infection, implants, associated operations, trauma, and so on. Such sinusitis has its own characteristics, and maxillofacial surgeons have to treat them.

And how do they do? What is being operated on?

Svyatoslav Sysolyatin: After the cause of sinusitis becomes clear – the presence of a cyst in the sinus, a foreign body, such as an implant or filling material – we can remove it from the sinus through a minimal passage in the nose or mouth. Such operations do not leave traces, do not disturb the normal anatomy. While the traditional ones require wide incisions, they can lead to the formation of a bone defect in the sinus wall, and are fraught with many negative consequences and complications.

One of the most pressing issues is getting rid of the consequences of facial injuries: fractures of the jaws, nose … They not only disfigure, they interfere with a normal life. Is it possible?

Svyatoslav Sysolyatin: Not everything is possible. Although we already know a lot. The same broken jaw. Conventional techniques force wide incisions in the face to collect and fix the bone fragments. Now you can do it without visible marks on your face through punctures or incisions in your mouth or nose.It should be said about the temporomandibular joint. Usually people don’t pay attention to it. But if he asserts himself, for example, a person cannot open his mouth, chew hard, suffers from pain …

Where to go? Physiotherapy, compresses, special plates in the mouth – all this can help only at the initial stage of joint disease. The stage at which patients rarely realize the consequences of the trouble and do not go to the doctor. And they apply when the process has gone far, when compresses with lotions do not help.An operation is required, which will not only leave a scar on the face, but can also lead to a gross violation of facial expressions, since the facial nerve enters the operation zone.

It is very good that now there is another way of help – arthroscopy. With the help of punctures, you can examine the joint with an endoscope, find the cause of the disease and eliminate it. And to do it not only efficiently, but also quickly. Previously, for surgical treatment, patients were hospitalized for a week and a half. Now for a day or two.

My traditional question is, are the operations you are talking about available? Or are they the property of the lucky ones? Are they carried out according to the CHI system? Or does the patient pay for them out of pocket?

Svyatoslav Sysolyatin: Unfortunately, these technologies are not yet available in all clinics.The fact is that the equipment itself costs a lot of money, and not all medical institutions can afford it. But the main thing is different: the lack of specialists. Their training is not part of the general postgraduate study program. Therefore, it is still the prerogative of studying abroad, which, in my opinion, is wrong.

Excuse me, you do this training yourself?

Svyatoslav Sysolyatin: I do, but … Since it is not included in the official training program, it is outside of it, then, naturally, those who want to study are forced to pay.There is one more problem. Training requires practicing surgical skills. This requires a special material base, which we practically do not have. We are forced to turn to foreign colleagues. This leads to the fact that such operations are not included in the compulsory medical insurance system, and therefore are paid for by patients.

But if even the best technique is not available to everyone who needs it, does it lose its relevance?

Svyatoslav Sysolyatin: I would say differently.The significance remains, but the development of this direction is being held back. Although it is obvious: the more widely the technology is applied, the more successfully the direction itself develops.

Figuratively speaking, the scars will not go away from the face soon.

Svyatoslav Sysolyatin: And I’m still an optimist. Do you know why? The pressure from the patients is growing ever more noticeable: they demand from us less traumatic, more effective methods. And demand invariably gives rise to supply. Until ten years ago, colleagues showed no interest in endotechnology.And now they just demand to be taught. Time dictates: the training of such specialists should be included in the state program for the training of doctors.

Business card

Photo: Alexander Korolkov

Svyatoslav Sysolyatin was born in 1973 in Novosibirsk into a family of doctors. Father Pavel Gavrilovich is a maxillofacial surgeon, laureate of the USSR State Prize and the RF Government Prize. Mom, Nina Ivanovna, was the chief dentist of Novosibirsk. In 1995 Sysolyatin graduated from the Novosibirsk Medical Institute.Candidate and doctoral dissertations are devoted to the application of endoscopic techniques in the maxillofacial area. Professor’s wife Ekaterina Veniaminovna is an obstetrician-gynecologist. Svyatoslav Pavlovich – father of two children

Subcutaneous stitches for closing wounds after surgery

What is the purpose of this review?

The aim of this review was to determine whether subcutaneous sutures (sutures located under the skin) are effective in closing wounds after surgery. We were interested in all types of operations, except obstetric (operations related to the birth of a child, for example, a cesarean section).Cochrane researchers reviewed and collected all studies related to this issue and found 66 eligible randomized controlled trials. Randomized controlled trials are medical trials in which patients are randomly assigned to groups to receive different treatments. This type of test provides the most reliable health evidence.

Key information

In terms of the occurrence of wound infection after surgery, there is no clear difference between subcutaneous sutures or other methods of closing surgical wounds such as standard (cutaneous) sutures, surgical tape, staples or glue.Subcutaneous sutures are likely to reduce wound complications compared to staples and increase patient satisfaction compared to standard sutures or staples. However, the use of adhesives may result in greater patient satisfaction, and standard stitches and staples may be more convenient for surgeons.

What was learned in this survey?

Surgeons have different options for closing surgical wounds at the end of the operation. Closure of a cutaneous wound can be accomplished with subcutaneous or cutaneous sutures, staples (clips), glue, tapes, or other devices.Sutures can be absorbable (dissolve in the body during the healing process and do not need to be removed) or non-absorbable (must be removed after the wound has healed).

Infections in the surgical site are a common problem after surgery and can cause a number of complications for the patient. Disfiguring scars can remain at the site of surgical wounds if they do not heal properly. We wanted to compare subcutaneous sutures with other surgical wound closure methods in terms of infection, scarring, patient satisfaction, cost, pain, length of hospital stay, and quality of life.

What are the main findings of this review?

In March 2019, we searched medical databases and found 66 studies comparing subcutaneous sutures to other methods of closing a cutaneous wound, such as standard sutures, skin staples, glue, tape, or surgical zippers. 64 of these studies (including 7487 participants) were used in our analysis. On average, each study included 115 people.Most of the participants were adults (ages 20 to 75) who had undergone surgery in a hospital setting. Most studies did not indicate funding sources.

Most studies have compared subcutaneous sutures with standard sutures, staples, or adhesives.

The primary outcome of interest was the occurrence of wound infection. There was no clear difference in the number of people developing wound infections when using subcutaneous sutures and other wound closure methods.

Compared to standard (cutaneous) sutures, patient satisfaction is likely to be higher with subcutaneous sutures.There is evidence that subcutaneous sutures are likely to prevent wound complications and improve patient satisfaction compared to skin braces. Subcutaneous sutures can prevent wound dehiscence (skin dehiscence) compared to staples or glue, but patient satisfaction may be higher with glue. However, alternative, faster methods may be preferred by surgeons over subcutaneous sutures. There were no clear differences between subcutaneous sutures and other wound closure methods in terms of re-closure rates, length of hospital stay, pain, and quality of life.

The studies we analyzed tended to have a small number of participants, and in many cases, based on the information presented, we could not be sure that the studies were done properly. Therefore, we cannot draw convincing conclusions about the effectiveness of subcutaneous sutures. Better quality studies are needed to draw more definitive conclusions for all comparisons other than staples.

How relevant is this review?

We searched for studies published up to March 2019.

Removal of scars and scars on the face in Yekaterinburg

When is it needed:

  • Visual skin defects
  • For scar correction
  • Smallpox scars
  • Presence of scars after operations
  • Scars after burns
  • If there are scars and scars after trauma

Contact our clinic

The presence of scars and scars on the body or face is fixable.Sign up for a consultation with a plastic surgeon at the Garant clinic to make your body flawless. It is possible to remove scars and charms both surgically and non-surgically.

How scars and scars are removed

How is operation

performed

There are two main ways to remove scarring. Mechanical skin resurfacing, after which a new layer of skin without scars grows. Excision of dermal areas and their replacement with healthy skin.

Indications for scar removal

It is recommended to consult a plastic surgeon if: there are scars of any origin (after common acne, herpes or ulcers), scars from surgery, to improve the general condition of the skin.

Contraindications

Diseases of the cardiovascular system, impaired activity of the nervous system, blood diseases, including poor coagulability, infectious diseases, with increased pressure, the operation is postponed.

Scar Removal Action Plan

1. Appointment

2. Consultation with a plastic surgeon

3. Diagnostics and delivery of analyzes

4.Operation scheduling

5. Elimination of scars and scars

6. Recovery period

Frequently Asked Questions

How is recovery from surgery going?

Scar repair is usually a simple operation and is performed on an outpatient basis.For 7-14 days, a dynamic observation of a doctor and skin treatment is carried out. Full rehabilitation occurs in 4-6 weeks.

Is the scar completely removed during the operation?

Today, methods for eliminating scars do not allow you to get rid of them completely, but a plastic surgeon and cosmetologist can make it almost invisible. The positive aesthetic effect is very noticeable.

Is it possible to remove scars without plastic surgery?

Yes it is possible.A cosmetologist owns the methods of non-surgical scar elimination. They resort to plastic surgery if non-surgical methods have not worked.

The other day they had an operation, is it possible to immediately remove the scar?

Surgical correction is rational only after the complete completion of the scar formation. Interference with active tissues can lead to worse results. Consult a plastic surgeon on how to properly care for a developing scar so that it is as small as possible.

Recommendations after scar removal

1. Have patience

After scars have been corrected by a plastic surgeon, you may experience discomfort: swelling, redness and bruising. This is normal. The stitches will be removed within a few days after the surgery, but the skin needs time to fully recover. After 4-6 months, it will be possible to evaluate the result of the plastic surgery.

2.Rest

After the operation, ensure yourself a calm, relaxed rhythm of life, without physical activity and any activity that puts unnecessary stress on the operated area or stretches it. If the scars were removed on the face, then in the supine position, the head must be kept in an elevated position.

3. Strictly follow the doctor’s prescriptions

Please note that a scar or scar cannot be removed completely.The aim of the operation is to significantly improve the appearance of the skin at the site of injury. The degree of improvement depends on the size and location of the scar, the properties of the skin, and the quality of wound care after surgery, so it is important to follow your doctor’s recommendations to achieve a good result.

4. Moisturize your skin and avoid UV

Avoid sun exposure and tanning beds for 1–3 weeks after surgery to avoid discoloration of your skin.In addition, the skin during this period will need special hydration, therefore, it is necessary to use special cosmetic creams that your doctor will prescribe for you.

Advantages of the clinic Garant

Non-surgical scar removal

If indicated, it is possible to remove scars without surgery using the INFINI microneedle RF device.In addition to the absence of surgical intervention, its advantage is that rehabilitation takes a short period. The procedure is performed by a beautician

Interdisciplinary Approach

The image of a person largely depends on the condition of the skin on the face and body, but not only. If you want to significantly improve your appearance, look younger, in Garant, a team of doctors will perform complex rejuvenation: a plastic surgeon, cosmetologist, dentist, maxillofacial surgeon and ENT.

Experienced Plastic Surgeon

Reception is conducted by a plastic surgeon Denis Aleksandrovich Leonov, who has 2 higher educations in the specialties “Plastic Surgery” and “Maxillofacial Surgery”. Participant of international conferences and symposia on plastic surgery. Work experience: 9 years.

Prices: cost of scar removal in Yekaterinburg.There is a loan and installments

Initial consultation with a plastic surgeon

  • Anamnesis collection
  • Doctor examination
  • Referral for tests
  • Consultation
  • Treatment plan preparation
  • Preparation Recommendations

from 500 ₽

Repeated consultation with a plastic surgeon

  • Anamnesis collection
  • Doctor examination
  • Referral for tests
  • Consultation
  • Treatment plan preparation
  • Preparation Recommendations

from 1 000 ₽

Surgical correction of scars of the face and trunk

  • External examination
  • Sterile instrument set
  • Pain relief
  • Plastic surgery of scars and scars
  • Surgical kit
  • Dynamic observation
  • Doctor’s recommendation

from 5 000 ₽

Non-surgical scar removal

  • Doctor examination
  • Method selection
  • Performing procedure
  • Doctor’s recommendation

from 1 000 ₽

Contact our clinic

The presence of scars and scars on the body or face is fixable.