Method/Steps

Simple excision and suture method: The simple excision and suture method is suitable for the third category of small and medium-sized facial 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.

Facial scar excision plus skin grafting method: Large area scars cannot be sutured directly 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, upper and lower eyelids, nose, upper and lower lips, and mandible), a whole piece of skin can be added to a natural shape zone. 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 and a whole piece of skin can be transplanted. This 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. The skin graft used is preferably 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 survive, the color of the face will not be too dark and the cosmetic effect will be better.

Using skin flap method to repair scars: Because skin flaps contain more subcutaneous fat tissue, they can not only repair skin defects after facial scar removal, but also protect deep tissues. 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.

Non-surgical treatment of facial scars: For some hypertrophic scars that do not affect facial function, sometimes surgical removal is not required, because even after removal, it is very easy to relapse and produce new hypertrophic scars. In order to soften and flatten scars, the following methods can be used for cosmetic treatment.

Compression therapy: People are gradually applying compression method to scar hyperplasia after burns, and the effect is certain. Generally, after facial scar removal, the surgical incision needs to be pressurized for 6 months to 1 year. In this way, scar hyperplasia can be effectively prevented.

Drug therapy has been proven through practice that injecting prednisolone acetate, triamcinolone acetate and other hormonal suspensions into the facial scar hyperplasia area can flatten the hypertrophic scars and return the color to or close to the normal face Skin color. However, sometimes it takes several consecutive injections to achieve better results.

Radiotherapy: For small areas of facial hypertrophic scars or hypertrophic scars after surgical excision and skin grafting, superficial X-ray radiation therapy should be performed. Generally, 4-6 times can achieve good results.