Source: I share an interesting interview that made us the @Listindiario on the #CirugíaPlástica for correction of scars. Very important to be read by those interested in hiding pregnancy scars, wounds, or other permanent mark. Link.
Cosmetic surgeries go beyond “put or remove” to beautify, these are very related to reconstructive and repairing procedures, which could cover scars with techniques that are part of this science.
According to the plastic surgeon, reconstructive and esthetic Rafael Estévez Hernández, any scar can be treated taking into account the extension. If they are surgical sutures, by a laceration or cut with a dimension of no more than three centimeters width, no matter the length (in an area that has good flexibility) you can work on it.
The expert points out that these methods do not eliminate the scars. The function is to achieve a visual decrease in the size and thickness of the lines. “So far there is no eraser of scars, but we achieved a visual advantage because in the distance it is easier to visualize a long line than multiple small lines. I mean, we have a visual gain and a better aesthetic result. ”
He comments that the first and easiest option to disguise a scar is the simple revision that involves removing the anterior scar and closing it again. It has the advantage that it is used in cases of wide scars that do not have any type of retraction or are not elevated, which is known as keloid.
In more complex issues in which there are contractures, two techniques are used: Z-Plastia and W-Plastia. In the first thing you do is change the direction, while lengthening, making it slightly more extensive, but more relaxed, then visually obtain better results, says the surgeon. It is usually used in scars at levels of creases, where flanges are formed to prevent opening a joint.
While, for facial scars, more W-plasty is used, which converts a long scar into multiple consecutives.
However, when the wounds are very extensive, and can not join the skin on the sides, ie, when removing the costurón the skin that should close is not enough, a graft is used (it takes skin from another part of the body to put it in the affected area , it might look like a skin patch), or flap (it lifts and moves tissue from another part of the body to where the defect is but without disconnecting it, which ensures that the blood circulates).
Plastic surgery. This science covers aesthetic and reconstructive procedures to disguise imperfections.
Fine thread to hide thick scar
Sometimes a simple wound could increase its size and leave as a result a scar that is perceived at first sight, because of its thickness and elevated appearance. This could be keloid.
It is defined as a scar coming from the edge of the original wound. For example, a one-centimeter wound could increase in size and reach three centimeters; This occurs because the fibroblasts (cells responsible for the replacement and degradation of collagen) in some way, are left in automatic, producing more collagen than necessary and scar matrix. This causes the wound to protrude from the skin, explains Rafael Estévez, plastic surgeon.
He adds that this occurs in 6% of the population. It is closely linked to genetics and dark skins have more tendency to a keloid than clear skins. There are areas of the body that are more prone to keloid, as is the case of the sternum (middle of the chest) and shoulder.
If a person tends to do keloid and wants to cover a scar, a simple fine-threaded review is performed early and is closely monitored to the skin. At two weeks a steroid treatment is initiated to prevent fibroblast proliferation, he says.