How to determine scar constitution?
First, let's understand what scar constitution is? At present, there is no clear change in this regard, which can be simply understood as obvious scars and excessive proliferation during the wound healing process after skin damage. Compared to ordinary people, those with scar constitution have scars that protrude after wound healing, often in red or purple color, and feel itching and pain.
In plastic surgery, people with scar constitution belong to a special group, and preoperative judgment should be done well. The commonly used methods are as follows:
Past experience: Reviewing past injuries or surgical experiences, if the skin at the wound healing site is significantly abnormal after skin injury, has not improved for a long time, or even shows signs of enlargement, it can be basically judged as scar constitution.
Family history: Understand whether family members have a scar constitution. If multiple relatives have experienced similar scar hyperplasia, then the individual may be influenced by genetic factors and have a higher likelihood of developing a scar constitution.
Examination: Professional examinations in dermatology or plastic surgery can help make judgments, such as physical examination, skin biopsy, etc.
Scar constitution should be prevented during plastic surgery. Although scar constitution patients belong to a special group, it does not mean that they cannot receive plastic surgery treatment. It is just necessary to take preventive measures according to the actual situation.
Preoperative evaluation: Adjust the surgical plan accordingly and choose a minimally invasive surgical approach without affecting the treatment outcome. Taking double eyelid surgery as an example, people with scar constitution are suitable to choose minimally invasive thread embedding therapy to avoid scar hyperplasia caused by incision treatment.
Intraoperative caution: Experienced and highly skilled physicians should be used as much as possible to minimize trauma and choose appropriate methods for hemostasis and suturing. There are currently many cosmetic sutures and special suturing techniques that have the effect of promoting wound healing and reducing scar hyperplasia.
Postoperative prevention: Compared with ordinary people, people with scar constitution need to pay more attention to postoperative management, especially keeping the wound clean and dry, prohibiting contact with water and pollutants, changing dressing on time, and promoting healing. During healing, scar patches and gel can also be used to protect the wound. The patient should pay attention to avoiding direct sunlight on the wound and maintain a light diet. Eating more foods containing vitamin C and vitamin E can help the wound heal.
Repair measures for postoperative scar hyperplasia
For patients who have already developed scar hyperplasia, effective measures should be taken to repair it in a timely manner.
Drug repair: For early scars, drug repair is generally adopted, such as local injection of glucocorticoids, which can prevent or control inflammation and fibroblast proliferation, and reduce scar congestion and hyperplasia.
Physical repair: Laser therapy is commonly used in scar tissue repair, targeting small and shallow scars, which can promote a lighter scar color. Pressure therapy also belongs to physical repair techniques, such as wearing elastic bandages, elastic sleeves, etc., which apply pressure to scars, reduce blood supply, and lower the risk of scar hyperplasia.
Surgical repair: For severe scars where conservative treatment is ineffective, surgical repair should be considered, but there is a risk of scar formation again, so caution should be exercised when choosing.
In summary, I would like to share some precautions during plastic surgery for individuals with scar constitution, in order to help everyone understand whether scar constitution is suitable for cosmetic surgery and prevent scar hyperplasia.