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Most scars are caused by burns and trauma, and a few people have iatrogenic scars (that is, scars left after certain operations). scars). From the perspective of cosmetic plastic surgery, facial scars are often divided into the following types: the first type is facial scars with dysfunction, such as eyelid ectropion, deviated corners of the mouth, microstomia, etc.; the second type is non-functional facial scars. However, they are large-area scars that hinder the beauty of the face. Some are proliferative, and most are flat, such as map-shaped scars. This type of scars mainly has a great impact on the face, but does not hinder the function of the facial features much; the third type is small scars, that is, small scars on the skin caused by trauma, infection, burns or other reasons on a certain part of the facial skin. This kind of small scars Scars often have no significant impact on function and appearance, but some patients have a strong desire for plastic surgery.

Commonly used methods for treating scars are:

1. Simple excision and suture method

Simple excision and suture method is suitable for the third category of small and medium-sized scars. After removing the skin scar, use a small needle and fine thread to carefully close the wound, preferably along the skin lines, leaving only a thin scar line after the operation. Sometimes, the scar removal method can also be used for people with larger areas and tight skin. However, there is generally a gap of more than half a year between the first and second surgery.

2. Scar excision plus skin grafting method

It is impossible to suture large area scars directly after scar excision, because there is not much normal skin on the face of such patients. At this time, a whole piece of skin can be added to a natural shape partition according to the natural shape of the face (forehead, upper and lower eyelids, nose, upper and lower lips, and mandible). Depending on the amount of scar removal, decide how many parts of skin to transplant. . There is another method suitable for patients with facial scars covering the entire face, that is, the entire facial scar can be removed at one time; a whole piece of skin can be transplanted, which can avoid the formation of scars at the joints during partial skin grafting, and the postoperative appearance will be better than the partial skin graft. Skin grafting is better. It is best to use a full-thickness skin graft or a skin graft with a subdermal vascular network, because after the free transplantation of these two types of skin grafts, the color of the face will not be too dark and the cosmetic effect will be better.

3. Use the skin flap method to repair scars

Since the skin flap contains more subcutaneous fat tissue, it can not only be used to repair skin defects after facial scar removal, but also has the function of protecting The role of deep tissue. For scar repair near some facial organs, skin flap transplantation is also a commonly used method. Such as nose wing defects, eyelid ectropion deformity, mouth angle deformity, etc. all require cosmetic plastic surgery based on skin flap transplantation. After skin flap transplantation, the color is closer to the facial skin, and it can also be used to fill and repair some facial tissue depressions and defects. In addition, the skin flap has better blood supply and has a higher survival rate than free skin grafting. Therefore, it is also commonly used in facial scar plastic surgery. method. ?The stable period of scars is 3-6 months; scar cream or scar patch can be used as auxiliary treatment to prevent hyperplasia. Try to eat less spicy food and less seafood until the scars stabilize. First of all, scars will not be completely removed, but they can be made less obvious through treatment. Scar treatments can only reduce or change the size or shape of scars. There are different plans depending on the specific shape of the scar. The methods for treating scars include: microdermabrasion, surgical excision, skin grafting (the back skin is darker than the skin), and embedded expanders. You still need to choose a treatment plan based on your own situation and the size and depth of the scar. I suggest you go to a regular plastic surgery hospital and let the experts take a look at your specific situation and work out the best plan for you. Weifang Medical College Plastic Surgery Hospital has mature scar treatment technology and good results. A regular state-run hospital with standard fees, safe and reliable.

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