Whenever healing occurs car formation is inevitable ,once a scar always a scar. But don't be discouraged by scar. Good scar will be almost non visible, flush to skin and having normal colour and texture. At Pushp Super specialty clinic, Plastic Surgeon in Pimple Saudagar, Dr. Sandeep Naphade offers Scar Treatment.
 
How to improve outcome
 
  • If no active bleeding or bleeding is control by pressure please insist cosmetic wound repair by plastic surgeon.
  • Plastic surgeon have acquired special skills for handling tissues delicately and thorough knowledge of wound healing .He can select appropriate technique and suture material which will give the best outcome
  • If someone has already sutured the wound plastic surgeon has to re do all suturing , In that case even the final result of scar is better previous wound puncture mark cause by big size needle can produce permanent mark on the skin.
   
Suture material 
 
Absorbable  or self dissolving vs non observable suture material 
 
No absorbable suture required removal after complete healing.Being  most  inert material, will give least tissue reaction and better scar quality in long term. On contrary dissolvable sutures, body has to remove by enzymatic action and these process increase chances of scar production.
 
Only in case of few exception like uncorporative patient, paediatric age group, patients with  difficult follow required are suitable for absorbable future
Ideal future material shall be smallest size with enough strength to hold skin ages together or during the period of own healing
Suture removal time
For face so just can be removed within 3 to 5 days or rest of the body up to 7 days but it may very as per individual case.
On face if we delay suture removal ,permant hatch marks may be produced .
 
Post suture removal precautions
 
  • Keep the suture line clean and moist with antibiotic cream for next 7 days
  • Start gentle massage when superficial wound healing is complete so as to break the adhesions of skin to underline tissues like bone ,tendon, muscle.
  • Second week onward firm  massages recommended
  • Scar modifying agents such as silicon gel or  sheet , laser treatment ,microneedling ,ultrasonics stimulation, sun protection by use of sunscreen to prevent scar darkning.
  • Scars along with skincrease settle very well and those across the skin crease  may prone for complication.
 
Scar complications
  • Hypertrophic scars : these are raised scars about skin level
  • Keloid formation: Scar is raised hard and spread beyond the scar line into normal skin.
  • Scar widening: especially young patient with good skin elasticity scar over time can spred by width .
  • Scar contracture:  scar crossing joint line  may be responsible for for contracture or restricted joint movements .
  • Itching:  in initial few month during healing phase scar itching may be present .if disturbing need medical management.
  • Cancer formation : long-standing scar can be  a cause of Cancer formation 

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