Treatment of scar hyperplasia

summary

When I was more than ten years old, I had acne on my face. Now I've become a pimple. I went to the hospital and said it was a keloid. I wanted to get rid of it. I immediately treated it. Now it's obviously better. Let's share our experience in the treatment of scar hyperplasia.

Treatment of scar hyperplasia

Method 1: Z-plasty is suitable for the patients with cord like scar around the eyes, nose and mouth, who have traction deformation to the eyes, nose and mouth. The length of lateral arm should not exceed 1.5-2.0 cm. According to the deformation of the tissue and organ, the angle between the two triangular flaps may not be equal, generally controlled at 30-60 degrees. According to the design, the scar tissue was excised, the skin was cut and the skin flap was lifted after subcutaneous dissection, and then the two flaps were transposed and sutured.

Method 2: resection and direct suture is suitable for short and narrow small cord scar. The long axis of the scar was taken as the longitudinal axis, and a fusiform incision was made along the normal skin of the scar margin. Cut the skin to the subcutaneous tissue layer, thoroughly remove the scar tissue, fully peel off the subcutaneous tissue on both sides of the cutting edge, and sew the incision in two layers of dermis and subcutaneous skin, especially the dermis.

Method 3: W-plasty is suitable for long and wide scar with irregular crisscross with normal skin and stiff scar with sharp instrument. With the long axis of the scar as the longitudinal axis, a continuous W-shaped serrated incision line was made on both sides of the scar. The length of each short arm of the serrated line was about 4-7mm, and the angle between the adjacent short arms was 50-55 degrees. After marking the incision line, serrated incision was made with 11 sharp knife. When using the scalpel, insert the tip of the scalpel into the skin, point the tip of the scalpel to the outside of the scar, and then make an incision, so as to make a regular serrated incision. The scar tissue was excised and subcutaneous dissection was performed on both sides of the incision. After subcutaneous tension reduction suture, the triangular flaps on both sides of the cutting edge were inserted alternately and sutured accurately.

matters needing attention

With regard to this, I would like to remind you that the base of the scar does not adhere to the deep tissue, it can be pushed, and the contractility is small, most of them will not produce serious dysfunction, but it affects the beauty of the face and exposed parts, so it is often necessary to treat it.