O-Shaped Skin Lesions: Healing and Care Tips - Dermatology

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Torn foreskin


Hello Dr.
Wu, on March 11th during DIY, my skin became too dry and I developed an O-shaped wound.
Now there is a smooth, hard layer over the wound; is this the healing skin? It doesn't hurt or itch, and there is no ulceration or pus.
Pressing on it doesn't cause pain, and urination is normal.
It is only slightly red.
I have applied some ointment.
Should I just wait for it to heal gradually? Thank you, doctor.
🙏

A-Sheng, 20~29 year old female. Ask Date: 2020/03/18

Dr. Wu Yuxin reply Dermatology


Medical regulations state that "a physician must personally examine a patient before providing treatment or prescribing medication..." Therefore, online diagnosis is also not permissible.
If you are experiencing significant distress, it is advisable to seek medical attention promptly.

Reply Date: 2020/03/18

More Info


When it comes to caring for O-shaped skin lesions, particularly those resulting from DIY activities or minor injuries, it is essential to understand the healing process and the appropriate care methods to ensure optimal recovery. Based on your description, it seems that your wound is progressing well, as indicated by the presence of a smooth, hard layer of skin, which is typically a sign of healing. Here are some detailed insights and recommendations for your situation.


Understanding the Healing Process
1. Phases of Wound Healing: The healing process generally occurs in three phases: inflammation, proliferation, and maturation. Initially, the body responds to injury with inflammation, which can cause redness and swelling. As healing progresses, new tissue forms (proliferation), and eventually, the skin matures, which can take weeks to months.

2. Formation of Hard Skin: The hard, smooth layer you observe is likely a result of the formation of new skin (epithelialization). This is a normal part of the healing process, and as long as there is no pain, itching, or discharge, it is a positive sign.


Care Tips for O-Shaped Skin Lesions
1. Keep the Area Clean: It is crucial to maintain cleanliness around the wound. Gently wash the area with mild soap and water to prevent infection. Avoid using harsh chemicals or scrubbing the area, as this can irritate the skin.

2. Moisturization: Applying a gentle moisturizer or a healing ointment, such as a product containing aloe vera or vitamin E, can help keep the area hydrated and promote healing. However, avoid products with strong fragrances or potential irritants.

3. Avoid Picking or Scratching: It is essential to resist the urge to pick at the hard skin or any scabs that may form. This can lead to scarring or infection. Allow the skin to heal naturally.

4. Monitor for Signs of Infection: While your wound appears to be healing well, keep an eye out for any signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, it is advisable to consult a healthcare professional.

5. Use of Antibiotic Ointments: If you are using a product like "小護士" (which I assume is a topical antibiotic ointment), it can be beneficial in preventing infection, especially if the wound was exposed to dirt or bacteria. However, it is best to use such products as directed and not for extended periods unless advised by a doctor.

6. Patience is Key: Healing takes time, and while it may be tempting to rush the process, it is essential to allow your body to heal at its own pace. The redness you see is part of the healing process and should gradually fade as the skin continues to recover.


When to Seek Medical Attention
If you experience any of the following, it is important to seek medical advice:
- Persistent pain or discomfort in the area
- Increased redness or swelling
- Any discharge that appears yellow or green, which may indicate infection
- If the wound does not seem to improve over time

Conclusion
In summary, your O-shaped skin lesion appears to be healing well, and the presence of a smooth, hard layer is a positive sign. Continue to care for the area by keeping it clean, moisturized, and protected. Monitor for any signs of infection, and be patient as your skin heals. If you have any concerns or if the wound does not improve, do not hesitate to consult a healthcare professional for further evaluation and guidance.

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