Most scars are caused by burns and trauma, and a few people belong to iatrogenic scars (that is, scars left after some operations). From the perspective of cosmetic surgery, facial scars are often divided into the following categories: the first is functional facial scars, such as ectropion of eyelids, mouth askew, and small mouth deformity. The second is a large area scar that hinders facial beauty, although there is no dysfunction. Some are hyperplastic, and most of them are flat, such as map scars. This kind of scar mainly affects the face, but it does not hinder the function of the five senses much; The third category is small scars, that is, small scars on a certain part of facial skin caused by trauma, infection, burns or other reasons. This kind of small scar often has no obvious effect on function and face, but some patients have a strong desire for plastic surgery.

Common methods for treating scars are:

1. Simple excision and suture method

Simple excision and suture method is suitable for the third kind of small and medium-sized scars. After the skin scar is removed, carefully suture the wound with a small needle and thin thread, preferably along the dermatoglyphics, leaving only a thin scar line after operation. Sometimes for people with a slightly larger area and nervous skin, scar resection can also be used by stages. However, the first and second operations are usually more than half a year apart.

2. Scar excision and skin grafting

It is impossible to suture a large area of scar directly after scar removal, because there is not much normal skin on the face of such patients. At this time, a whole piece of skin can be repaired in a natural shape according to the natural shape of the face (forehead, upper and lower eyelids, nose, upper and lower lips, lower jaw), and several parts of skin can be planted according to the amount of scar resection. Another method is suitable for patients with facial scar covering the whole face, that is, removing the whole facial scar at one time; Transplanting a whole skin can avoid the scar formation at the junction of skin grafting in different areas, and the postoperative appearance is better than that of skin grafting in different areas. It is best to use full-thickness skin graft or skin graft with subdermal vascular network, because the facial color will not be too dark after free transplantation and the cosmetic effect will be better.

3. Repair the scar with skin flap.

Because the flap contains more subcutaneous adipose tissue, it can not only be used to repair the skin defect after facial scar resection, but also protect the deep tissue. Skin flap transplantation is also a common method to repair scars near some facial organs. Such as alar defect, eyelid ectropion deformity and squab deformity. All of them need cosmetic plastic surgery based on skin flap transplantation. After transplantation, the color of the flap is close to the facial skin, and it can also be used to repair some facial tissue depression defects. In addition, skin flap has better blood supply and higher survival rate than free skin graft, so it is also a common method in facial scar plastic surgery. The stable period of scar is 3-6 months; Scar cream or scar paste can be used as adjuvant therapy to prevent hyperplasia. Try to eat less spicy food and seafood before the scar stabilizes. First of all, scars will not be completely removed, but they can be made inconspicuous through treatment. The treatment of scars can only dilute or change the size or shape of scars. According to the specific form of scar, different schemes are different. The methods to treat scars include microcrystal grinding, surgical resection, skin grafting (the color of the back skin is darker than that of the skin) and catgut embedding dilator. It is still necessary to choose the treatment plan according to your own situation and the size and depth of the scar. I suggest you go to a regular plastic surgery hospital, let experts look at your specific situation and work out the most suitable plan for you. The scar treatment technology in plastic surgery hospital of Weifang Medical College is mature and effective. Regular state-owned hospitals are safe and reliable, and the fees are standard.