Cosmetic wound stitches

This is an automatically translated article.

The article was written by Doctor Nguyen Dang Dai - Aesthetic doctor - Vinmec Times City International General Hospital
Every wound has to put an important aesthetic factor in parallel with the anatomical restoration and the quality of suture. The aesthetic factor here not only includes whether the outer needle line will leave a scar or not, but also the accuracy when performing internal anatomical restoration interventions for the best wound recovery.

1. Which wound can be sutured cosmetically?


Sutures have the effect of closing the wound mouth close together, to speed up the healing process, to prevent infection for large and open wounds. Today, with the increasing level of medicine, in addition to assessing and treating wounds to ensure the life of the patient, doctors also focus on aesthetics after the wound heals.
Some views once said that if you want to be beautiful, the wound must be cleaned and stitched before 6am. If the wound is complicated and comes late, it should be excised, left open or stitched sparsely. However, this has caused many wounds not to be treated properly and often leads to bad scars, which not only directly affects the patient's face after recovery but also affects the functions of the organs. mandarin.

Khâu vết thương là kỹ thuật giúp quá trình liền da nhanh và ngăn sự nhiễm trùng
Khâu vết thương là kỹ thuật giúp quá trình liền da nhanh và ngăn sự nhiễm trùng
In particular, wounds or incisions in the maxillofacial region are well nourished, so if properly treated, they heal very quickly, even if they are infected or come late. Therefore, the wound needs special attention to aesthetic factors when treating.

2. Method of cosmetic suture in medicine


The key point of a cosmetic suture is proper assessment of wound properties, incision, adjustment of scar orientation to minimize surface tension, correct anatomic wound restoration and suture selection as well as suture selection. matching stitches.
Dissolvable sutures are indicated in some cases: Oral mucosal lacerations, intimate sutures, or wounds in children that are difficult to cooperate with for thread trimming,... Experienced surgeons still choose sutures. non-digestive, endodermal sutures so that there is no scar on the leg only after healing.
Wounds or limb incisions, if treated cosmetically, also contribute significantly to improving pain sensation and better functional recovery. Surgeons, not necessarily cosmetologists, will still practice suturing a wound, closing an incision beautifully based on wound assessment, suture selection, as well as understanding Full on anatomy and wound healing mechanism.

Khâu vùng kín được chỉ định chỉ tự tiêu
Khâu vùng kín được chỉ định chỉ tự tiêu

3. Take care of cosmetic stitches, prevent bad complications that cause scarring


Postoperative care plays an extremely important role with the quality of a cosmetic suture. Usually, after treating the wound, the doctor will have specific instructions for patient care. In order to prevent bad complications caused by scars, patients should note the following issues:
Perform cleaning, change wound dressings, take medications exactly as prescribed by the treating doctor, avoid leaving sutured wounds. wet for the first 24 hours after surgery. Supplement adequate nutrients in daily meals, especially foods containing a lot of protein such as: eggs, milk, meat, legumes, cereals... Because protein is synthesized into necessary substances. Produce tissue, muscle to heal wounds. In addition, patients also need to supplement with other foods such as vitamin B12, vitamin C and minerals such as zinc, selenium, which are found in many citrus fruits, dark green vegetables, and beans. .. These micro-minerals have the effect of promoting the synthesis of proteins into the necessary materials for wound healing.

Vết mổ sau sinh nhanh lành, không sẹo
Vết mổ sau sinh nhanh lành, không sẹo

Clean sutures, good hemostasis, after 3-6 hours, there is biological adhesion between the two edges of the lesion. You can start using a moisturizing, anti-inflammatory scar cream to promote muscle growth to heal the skin. Early application of scar cream helps to reduce up to 80% of bad scars on the skin. The wound healing process takes place from 9-12 months. During the process of wound recovery, the patient should have a scientific lifestyle and rest regime; Mechanical effects such as scratching, rubbing, rubbing, pressing on the scar can cause secondary trauma and stimulate the proliferation of fibrous tissue, making the scar thicken and darken. Strong sunlight can cause pigmentary damage to the scar and surrounding skin. Periodic re-examination should be made so that the doctor can evaluate abnormal signs during the healing process, ensuring that the wound and incision meet the highest aesthetic requirements.

Thực hiện việc vệ sinh, thay băng vết thương, tránh để vết thương bị dính ướt trong 24 giờ đầu sau khi khâu
Thực hiện việc vệ sinh, thay băng vết thương, tránh để vết thương bị dính ướt trong 24 giờ đầu sau khi khâu

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