1, resection and suture method
Simple excision and suture method is suitable for the third kind of small and medium-sized facial 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. Facial scar excision plus skin grafting
It is impossible to directly suture a large area of facial scar 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 facial 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, the blood supply of the flap is good, and the survival rate is higher than that of free skin grafting. Therefore, it is also a common method in facial scar plastic surgery.
Noninvasive treatment of facial scar
For some hyperplastic scars that do not affect facial function, sometimes they can be removed without surgery. Even after removal, it is very easy to relapse and produce new hypertrophic scars. In order to soften, flatten and fade scars, the following methods can be used for cosmetic treatment.
1, compression therapy.
The method of pressing is gradually applied to scar hyperplasia after burn, and the effect is quite positive. Generally, after facial scar resection, the surgical incision needs to be pressurized for 6 months to 1 year. This can effectively prevent scar hyperplasia.
2. Injection therapy.
Practice has proved that injecting hormone suspensions such as prednisolone acetate and triamcinolone acetonide acetate into the hyperplastic part of facial scar can flatten the hyperplastic scar and restore its color. But sometimes it takes several injections in a row to be effective.
3, radiotherapy.
For a small area of hypertrophic scar on the face, or hypertrophic scar after skin grafting, shallow X-ray radiotherapy can be performed, but this method has the potential risk of radiation injury.
4. Apply desalination repair products for external use.
External smears have two main functions in repairing facial scars. On the one hand, they can inhibit scar hyperplasia in new scar repair. On the other hand, after various treatments for facial scars, German Medema skin smoothing gel can be used to make the final skin scar fade, smooth the still rough scar skin, and make the repaired skin as close to the color and state of normal skin as possible.