The preparation of a scar treatment
Make sure that you are facing a surgery where possible in an optimal overall health and rested Constitution.
- Fourteen days before the surgery, you may in no case aspirin or similar medication, since they inhibit blood clotting. If you regularly take other medications, discuss this beforehand with the doctor.
- Do a few days before the operation, the use of alcohol and nicotine on a Minimum of. It is best to stop smoking entirely.
- Do you plan to regenerate several days following the surgery one.
- Check before the surgery all the questions in detail, the best write down a list of questions. Before any intervention, the patient must be a so-called consent declaration. This form documents the planned intervention and the associated risks. With your signature, you acknowledge that you have the surgery and the potential risks have been elucidated.
The different surgical scars
Keloids
Itchy, excessively proliferating scar tissue that has the scars hinauswächst borders, as called Keloids in Scars and keloids. Keloids are often reddish or darker than the surrounding skin. Keloids grow even after the healing continues. They can occur anywhere on the body, the body is preferred, however, ears, shoulders and upper chest area. They are dark-skinned people more likely to be found than in fair-skinned. The tendency to Keloidbildung increases with age.
The treatment by periodic corticosteroid injections directly into the Keloidgewebe reduces symptoms such as redness, itching and burning and can even result in reduction of the scar. If the injection treatment is not enough, the scar tissue can be removed completely. This is usually an outpatient basis under local anesthesia.
You may, within one to two days of normal work. Rarely, a small skin graft to cover the resulting skin defect, which, however, turn to a new Keloidbildung at the site of the skin can lead extraction.
Because keloids recur very frequently, sometimes larger than before, must be combined, for example, a surgical scar removal in conjunction with an injection treatment or irradiation. Associations pressure alone or in combination with silicone sheets, over a whole year to be created can also be a delay recurrence. However, repeated treatment of the rule rather than the exception.
Hypertrophic scars
Similar to an keloids, the thick, reddish, raised in the tissues of hypertrophic scar. Hypertrophic scars remain, however, in the original Wundgrenze and do not proliferate beyond. By treatment with corticosteroids may be the tendency of these scars self-supported. The healing phase may, however, one year.
Alternatively, hypertrophic scars and plastic surgery treatment. The scar tissue is over a discrete cut away. As with the Keloidentfernung it is usually possible, hypertrophic scars and outpatient local anesthesia to operate. An intra-operative injection treatment with corticosteroids and a periodic repetition at intervals up to two years after the operation to prevent new hypertrophic scars.
Contractures
Of skin injuries such as burns, the loss of tissue that can be a firm, merged to create scar, which is designated as a contracture. One such scar is adjacent tendons and joints, and thus include the normal joint function impair or repeal.
In the surgical removal of the scar can be used for subsequent coverage of the defect is often not in a plastic skin flaps (eg Z-Verschiebelappen or plastic) or a skin graft may be omitted. In addition, techniques such as stretching the skin by implantable expanders are used. After the dissolution of a joint contracture is often to restore the normal function of physiotherapy treatment can be connected.
Scars in the facial area
In the facial area are not often referred to as hypertrophic scars cosmetic problem. Various methods are used to scar the face to make less noticeable.
If the scar across the natural skin lines, a shift along the voltage lines (eg, by a Z-plastic) already resulted in a significant improvement. Other scars on the face (eg acne) can be mitigated by dermabrasion. When dermabrasion with a special, high-frequency grinding device, the top layers of skin removed. Through this procedure, the skin surface equalized, the scar is not completely invisible.
Z-plastic
The Z-plastic is a plastic-surgical method to improve the fit of a scar in the natural skin tension lines. Even with contractures may be a relaxation of the tissue and therefore a significant improvement in the appearance can be achieved. However, the Z-plastic scar not for all the right treatment method. Whether it is appropriate on a case or not, is the ruling of an experienced specialist in plastic surgery-ästhetishch reserved.
For the Z-plastic will be made after the excision of the scar triangular skin flaps at an angle of about 45 ° to scars created history. By shifting the cloth lace creates a result a Z-shaped scar line, with sealed seams is fine. Z-Small sculptures are usually an outpatient under local anesthesia. This procedure will be less noticeable scars completely disappear, they can not.
Skin transplantation and plastic cloth
For optimum plastic surgery scars larger areas can sculptures skin flaps and skin grafts may be necessary. Often a stay in a clinic is needed, and depending on the planned intervention can be a useful anesthetic. The healing phase may take several weeks and often are supporting organizations and bandages essential.
The skin graft involves the removal of healthy skin by an appropriate body to cover the defect of the injured body. The skin grows under Einsprossung of new blood vessels in the body. A skin graft is the formation of scars in the abstraction and the receiving agency is connected.
Another complex process is the establishment of a plastic cloth in each customized form. Here, the skin with the underlying tissue, if necessary, with muscle tissue from a healthy body to cover the injury defect transplanted. The blood supply of the plastic flaps can be achieved either by appropriate local displacement retain or remote use by a simultaneous microsurgical transplantation of blood vessels to be ensured.
The anesthesia in scar correction
In general, scars corrections made in local anesthesia. Before you receive, if desired, a sedative, either in the form of a tablet or an intravenous injection into the arm vein, you are in a kind of sedation allows. You are awake, but relaxed and pain. It can only happen that during the operation and to a pulling or plucking in theater feel.
If an anesthetic is planned, you are in any case before surgery by an anesthesiologist examines your ability to clarify anesthesia. Of course, this also during the entire operation, present, and controls / monitors the anesthesia.
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