Scars after plastic surgery: a necessary evil?

November 4, 2010

 scars after plastic surgery
 One of the most unpleasant consequences of any plastic surgery - scarring. Education scars caused by the inevitable and obligatory stage of any plastic surgery, the imposition of a surgical suture. If most of the scars after plastic surgery are not any serious problem, and "hide" in the natural folds of the skin, while remaining virtually invisible, sometimes scars way to "hide" it is impossible. Fortunately, in relation to forming scars after plastic surgery, there are many methods of correction that can make these structures as negligible as possible.

 Scars after plastic surgery: a necessary evil?

What is a scar

Scars form after plastic surgery is inevitable, no matter how carefully the rules have not been respected rehabilitation period - is caused by the natural healing process of the skin and soft tissues at the site of incision on the overlay is performed in plastic surgery incision. In fact, the scar is grows connective tissue, dense, projecting above the skin. The process of scar formation in the seam quite long and takes up to six months. Form a final scars after plastic surgery look like thick and thin, slightly protruding above the skin or pale pinkish education color (normotroficheskie scars). Such scars are almost invisible on the skin and do not pose a serious problem, not cause any damage to the exterior.

The really serious problem are more postoperative scarring, the formation of which in any way violated .  For example, there are the so-called atrophic scars - that is sunken scars that look like depression in the skin of irregular shape .  When overgrowth of connective tissue formed hypertrophic scars, which, on the contrary, rise above the skin .  Finally, the substantial damage to the exterior of the pathological cause, keloid scars, formed during active growth of coarse, dense connective tissue while maintaining it in the blood vessels .  As a result of such violation appears ugly scar forming raised scars irregularly shaped bright red or pink .  It is for the correction of scars in the first place, and are numerous methods of removing scars from chemical peels and dermabrasion to laser correction .

 Scars after plastic surgery: a necessary evil?

Basic methods for correcting scars

Methods of correction of scars formed after the operation and effectiveness depend primarily on the nature of the scar: for atrophic, hypertrophic and keloid scars require fundamentally different ways of correction. In most cases, optimally matched correction method allows you to make after plastic surgery scars inconspicuous as possible. Completely remove the scar is almost impossible. The nature of the scar depends on exactly when you need to start their treatment if atrophic scars after plastic surgery is necessary to begin to heal as soon as possible, the hypertrophic and keloid scars are best treated after the formation process.

The main methods of correcting scars include:

  • Injections special gels-fillers: this compensation is relevant in respect of atrophic scars. Bio Gel hyaluronic acid fill voids, aligning the skin surface.
  • Chemical peels of varying intensity: another method of correction of hypertrophic scars, smoothing the surface of the skin by removing the top layer of the skin by the action of acids on the skin of different concentrations.
  • Laser correction: smoothing of hypertrophic scars by laser radiation.
  • Cryosurgery: a method of correction of scars, particularly effective against keloids. Cryosurgery involves the exposure of the skin of liquid nitrogen that freezes and destroys tissue.
  • Corticosteroid injections: another correction method, involving the injection of special steroids directly to the location of the scar.

 Scars after plastic surgery: a necessary evil?

Types of scars

Any plastic surgery involves a small but cuts in the skin. And if the skin incision was performed, then he must heal scarring. Tripe is a connective tissue that replaces the skin defect.

Scarring consists of several stages and fully ends in about 1, 5 months later for a few months there is a maturing of the scar. Initially, the scar have a pinkish color, but it is more gradually fades from the fact that it reduces the number of blood vessels. Ripened scar becomes thick and thin, it almost not visible (normotroficheskie scar).

But in some cases there is a strong contraction of scar tissue surrounding and it is lower than other tissues (atrophic scar). In other cases, the scar is raised above the skin (hypertrophic scar). In the process of maturation hypertrophic scar after a few months often becomes atrophic.

Sometimes formed pathological scar - keloid. In this long-term rumen stored blood vessels, which contributes to an active proliferation of connective tissue. Keloid scar is usually a wide, convex, reddish-pink in color, covered with a thin layer of skin that is prone to injury. Therefore, keloid scar Keloid scar - develops its own laws  Keloid scar - develops its own laws
   often worried sick he itches, ulcerate and growing, exceeding the size of the original wound.

The problem is not whether there will remain after plastic surgery scars (they remain in any case) and what will be their appearance.

 Scars after plastic surgery: a necessary evil?

Preventing proliferation of scars after plastic surgery

Why do some patients normotroficheskie formed scars, which will eventually become invisible, and at others they have coarse, visible form? Of course, much depends on the knowledge and skills of a plastic surgeon (he must take into account both the nature of the cut, and his place on the skin). But sometimes the right thing to do, and the operation could end formation of rough scars. Much depends on the individual characteristics of the organism, including hereditary characteristics of the formation of connective tissue. So you should not always blame the plastic surgeon in the formation of rough scars.

For the correct formation and rapid maturation of the scar on the skin incisions are carried out in areas where the probability of formation of rough scar is minimized through use special surgical techniques maximum shchazhenija tissues and neutral (no effect on fabric) material for sutures. After plastic surgery Different beauty and physiotherapy treatments that slow growth of the scar.

 Scars after plastic surgery: a necessary evil?

What if after plastic surgery scar has already formed

Treatment of these scars - a complicated matter and tactics each time it is determined by a plastic surgeon for each individual patient. Completely remove the scar is not possible, but in most cases with proper adequate treatment scar can be completely invisible.

The most common treatment is the major noticeable scars combines the conservative and surgical techniques. Normotroficheskie and atrophic scars are not recommended to operate, it is better to adjust the conservative ways. They respond well to surgical treatment of hypertrophic scars, but in this case the operation is better to combine with conservative treatments. Keloids - a difficult problem, they are difficult to treat. In most cases, they are treated conservatively (surgery can enhance the formation of keloids).

Keloid and hypertrophic scars heal better when they are formed, while the atrophic scars should be treated as early as possible.

Held the following modalities for the correction of scars:

  • atrophic scars can be filled with special fillers with hyaluronic acid or smooth using chemical peels;
  • hypertrophic scars can be smoothed by grinding or laser surgically removed;
  • keloid scars can be smoothed and reduced with the help of physical therapy, such as electrophoresis absorbable drugs by administering hormones Hormonal treatments - not only contraceptives  Hormonal treatments - not only contraceptives
   directly into the rumen by cryotherapy (cold) or with radiation therapy (the latter method is suitable only for keloid formation at the beginning).

In most cases (except, of course, scars kedoidnyh) when properly selected treatment of scars can be made invisible.

Galina Romanenko


Article Tags:
  • the effects of plastic surgery




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