How to repair surgical scars?

Surgical scars are scars that appear on the skin after surgery. The surgical incision will affect the size and depth of the surgical scar, so it is important to choose the incision during surgery, which can reduce the severity of the surgical scar in the future. Scars after surgery can be repaired through some methods, such as repair devices, to repair uneven scars. How to repair surgical scars? Let’s take a look at it next.

1. Introduction

Surgical scars are scars on the skin surface left after surgery. The choice of surgical incision will affect the surgical effect and the shape, size, depth, etc. of the surgical scar. Therefore, choosing the correct surgical incision during surgery will lay a good foundation for eliminating surgical scars in the future.

2. Incision Impact

The choice of surgical incision is very important for surgical scars, which is also an important topic in medicine. Choosing a good surgical incision is not only conducive to doctors performing operations, but also can minimize skin damage and the formation of surgical scars.

The choice of incision is related to the exposure of the surgical field, which is a prerequisite for surgery. The ideal incision should have the following characteristics: close and easy exposure of the surgical site, perfect geometry, appropriate length, easy opening and closing, minimal trauma and blood loss.

The scalpel is generally held in a grasping or bow-holding style. These two methods have a wide field of view, and the entire path of the incision from the starting point to the end point can be observed. The movement is free and the amplitude is large, which is suitable for cutting longer incisions. The pen-holding method is suitable for fine cutting and dissection, but the field of vision is not wide enough, and the intended cutting path is often blocked by the hand holding the knife. It is necessary to pause to observe and correct the cutting direction, which is prone to deviation and pause, and the movement is not smooth enough, so it is not suitable for larger cuts. It is also not conducive to the formation of small surgical scars.

When making an incision, the scalpel should be at 45 degrees to the tissue plane and the blade should be perpendicular to the abdominal wall, so as to keep the two edges of the incision symmetrical. The surgeon and assistant should apply symmetrical force when pulling the tissue, otherwise the incision will bend toward the opposite side of excessive pulling. The lower part of a straight incision often bends toward the surgeon's side because the human elbow always bends inward. To make a straight cut, you must overcome this natural tendency. The incised abdominal wall layers should be in the same plane. This requires that the abdominal wall be cut vertically, otherwise the layers of the abdominal wall will shift.

3. Causes

1. Skin tension, including the external tension caused by the degree of skin tissue defect and the inherent tension of the skin tissue itself. Hypertrophic scars are more likely to occur in areas with high tension and frequent activities, such as the chin, front of the sternum, deltoid muscle, upper back, elbows, hips, knees, ankle joints, and dorsum of the feet.

2. Age (young people are more likely to develop hypertrophic scars, especially those aged 10-20 years old, which is mainly due to the vigorous growth of tissues during puberty, strong post-traumatic reactivity, and high skin tension);

3. Skin pigmentation (people of color have more pigment cells and are more susceptible to irritation. The incidence of keloids in black people is 9 times that of white people. It is more likely to occur during the period of pituitary physiological activity, such as adolescence and pregnancy);

4. Infection (repeated infection, long-term wound exposure, excessive proliferation of granulation tissue, prone to hypertrophic scars or keloids);

5. Foreign matter falls into the wound surface (dust, talcum powder, fibers, and residues of hair follicles, sebaceous glands, and sweat glands can all cause tissue reactions and lead to scar hyperplasia);

6. Other factors (the angle of the incision and the skin. An incision perpendicular to the skin will produce the thinnest scar after healing. The greater the angle, the wider the dermal scar and the more obvious the skin deformity. In addition, there are the depth of the wound and the time it takes for the wound to heal).

4. Scar Repair

The scar repair device is specialized in treating various pits. The scar repair device repairs the uneven surface of skin scars, thereby stimulating skin growth and promoting the production of collagen and elastic fibers. It is particularly suitable for shallow and single-shaped depressed scars. After instrument treatment, combined with drug treatment to stimulate epidermal proliferation, the face will eventually become smooth and flat with a near normal skin color.

5. New quadruple therapy

For surgical scar hyperplasia, Guangji has launched the "New Quadruple Therapy", which adopts a non-surgical approach through instrument treatment plus topical medication. First, loosen and soften the scar connective tissue, causing the scar tissue to shrink, degenerate and flatten, and then lighten the pigment. The ultimate effect is to achieve smooth and even skin, with a color close to normal skin. At the same time, the physical condition is regulated through oral medication to achieve the purpose of prevention and treatment. The treatment method is simple, painless, non-traumatic, and has no side effects. No hospitalization is required and the patient can be treated and leave at any time without affecting normal life, study, and work.

6.LED Diamond Blue Light

For pigmented scars left by surgery, LED diamond blue light, micro-sculpture, and "black face doll" treatments can be used to effectively repair damaged black and white scars, restore the skin's normal pigment metabolism, approach normal skin color, and remove facial blemishes without a trace.