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How You Can Minimize the Appearance of Unsightly Scars

伤疤发生了。也许你的刀子在吃饭时会滑倒。也许你旅行并在人行道上刮伤膝盖。也许你需要手术。如果你严重伤害你的皮肤,愈合过程可能会留下疤痕。

“伤疤只是你的身体受伤的反应,whether that’s a traumatic injury or a surgical incision, said约书亚陀莲, MD, a dermatologic surgeon atBanner Health Clinicin Sun City, AZ.

But he pointed out there’s a difference between typical, expected scarring and abnormal or excessive scarring. “Our job is to coach people through the post-operative period to help make scars as minimally apparent as possible,” he said.

In general, having a good skincare regimen and using sunscreen can keep your skin healthy, so it heals after it’s injured or after surgery. “Good hydration andnutrition, and taking a dailymultivitamin, can help create an orderly wound healing environment,” Dr. Tournas said.

Keep the incision or injury site moist

If you have a surgical incision, follow your doctor’s instructions on how to take care of it. Dr. Tournas recommends a moist healing environment with Vaseline and bandages that helps create an air-tight seal around the incision site. “I am not a big fan of leaving wounds open to the air or letting them scab,” he said. “I firmly believe that wounds that are not allowed to scab heal better than ones that are allowed to scab.”

A moist environment is best even with an abrasion or a surgical incision that can’t be closed with stitches, like with some skin cancers. “That way, the new skin cells migrate in from the edges and the wound heals in a more orderly fashion,” Dr. Tournas said.

Be careful with your physical activity

你不想在伤口或切口上造成不必要的紧张,特别是在你的躯干上。塔斯纳斯博士说,只要你的医生推荐,就可以避免像高尔夫,网球和举重的活动。

Don’t try to judge what activities you can do based on how your incision appears. Your incision may look like it’s healing well, but there are deeper sutures underneath that bring things together and bear most of the tension. You could break them with excessive activity. “You don’t want a spreading scar,” Dr. Tournas said. “If something pulls open, it’s hard to go back and suture that together.”

Ask your doctor about silicone

There are many creams, gels and medications that claim to help reduce the appearance of scars. Dr. Tournas recommends products that contain silicone, either in a gel or in strips or patches. “Silicone is one of the few things that’s been shown in side-by-side studies to have a positive impact on scars. I tell my patients it’s not a guarantee, but it’s the best we have at the moment,” he said.

当您可以开始硅胶处理时,您的医生可以建议您 - 它通常最好等到缝合线外,伤口愈合。他说,您可以在药店购买的硅胶产品与您可以在整形外科医生办公室购买的硅胶产品。

Talk to your doctor about your concerns regarding your scar

Most surgical scars heal well but ask your doctor about it if your scar seems thick or unusual. “Come in earlier rather than later,” Dr. Tournas said. “Even with the best surgical technique, you can still have some form of disordered wound healing, but we have a variety of treatment options.” Your doctor might recommend:

  • Silicone
  • Massage
  • Steroid injections
  • Mechanical dermabrasion
  • Laser resurfacing
  • Surgical scar revision

The bottom line

当你伤害皮肤时,疤痕是愈合过程的自然部分。但是,在愈合时照顾你的皮肤可以将它们的外观保持在最低限度。如果您对疤痕看起来不满意,您的医生可以推荐治疗方案。

To learn more about caring for your skin, check out these articles:

Dermatology

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