Simple excision and suture method is suitable for the third kind of small and medium-sized facial scars. After removing the skin scar, carefully close the wound with a small needle and thin thread, preferably along the dermatoglyphics, leaving only a thin scar line after operation. Sometimes, people with a slightly larger area and nervous skin can also use staged scar resection. However, the first and second operations are usually more than half a year apart.
2. Facial scar excision and skin grafting.
It is impossible to sew a large area of scar after scar removal, because there is not much normal skin on the face of such patients. At this time, according to the natural shape of the face (forehead, left and right eyelids, nose, left and right lips, mandible), a whole piece of skin can be patched according to the natural shape, and according to the number of scars removed, it is decided to plant several local skins. There is also a patient who is suitable for the whole face with scars on the face, that is, the scar on the whole face can be removed at one time; Transplanting a whole skin can avoid the scar 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 fat structure, it can not only be used to repair the skin defect after facial scar resection, but also has the function of nursing deep structure. Regarding the scar repair near some facial organs, skin flap transplantation is also an ancient one. Such as alar defect, eyelid ectropion deformity, pigeon deformity, etc., it is necessary to carry out cosmetic plastic surgery mainly with skin flap transplantation. After the skin flap is transplanted, the color is close to the facial skin, and then a part of the structural depression defect of the face can be repaired by filling. In addition, skin flap has better blood supply and higher survival rate than free skin graft, so it is also an old operation in facial scar plastic surgery.