Issues related to scar and wound healing care?
Hello, doctor.
I would like to continue with my previous question, but I couldn't find the same question prompt, so I have to ask again.
1.
After 2/3 of my nostril was bitten off and stitched up, I feel a stiffness in the area.
I have been using silicone gel for scar treatment.
Should I apply the gel only on the stitched area or on the entire nostril?
2.
Due to necrosis, the color of my nostril is currently less vibrant.
Will it recover to a uniform skin tone without color differences? If so, which specialist should I consult?
Jie, 40~49 year old female. Ask Date: 2023/01/06
Dr. Zhou Hongzhang reply Plastic Surgery
1.
The gel can be applied only to the affected area.
2.
For the areas of necrotic ischemic skin, it is necessary to wait for the vascular tissue to gradually recover.
This should be monitored for about a year.
If any issues arise during this period, a consultation with a nearby plastic surgery outpatient clinic is recommended.
Reply Date: 2023/01/06
More Info
When it comes to scar and wound healing care, especially after surgery, there are several important considerations to keep in mind. Your concerns regarding the healing of your nose after a significant injury are valid, and I will address your questions in detail.
1. Application of Scar Gel: You mentioned using a scar gel, specifically "倍舒痕" (likely a silicone gel). When applying such products, it is generally recommended to apply the gel directly to the scarred area. However, if the surrounding skin is also affected or if you want to ensure an even healing process, you can gently apply the gel to the entire area of the nose wing. This can help in maintaining moisture and promoting a more uniform healing environment. It’s crucial to follow the instructions provided with the product and consult your healthcare provider for personalized advice, especially if you experience any irritation or adverse reactions.
2. Color Changes and Recovery: The discoloration you are observing in the area of the nose that was affected by necrosis is not uncommon. After an injury, especially one that involves tissue loss, the healing process can lead to changes in pigmentation. The skin may appear paler or have a different hue compared to the surrounding areas. Over time, many scars will fade and become less noticeable, but the extent of recovery can vary based on several factors, including the depth of the injury, your skin type, and how well you care for the wound during the healing process.
If you are concerned about the color difference, it may be beneficial to consult a dermatologist or a plastic surgeon who specializes in scar management. They can provide treatments that may help improve the appearance of the scar, such as laser therapy, chemical peels, or microneedling, which can promote collagen production and improve skin texture and color.
3. General Wound Care: In addition to using scar gel, it is essential to keep the wound clean and moisturized. Avoid exposing the area to direct sunlight, as UV rays can darken scars. Using a broad-spectrum sunscreen on the healed area can help prevent pigmentation changes. Additionally, maintaining a healthy diet rich in vitamins and minerals can support the healing process. Hydration is also key, as it helps maintain skin elasticity.
4. Monitoring for Complications: Keep an eye on the healing process. If you notice any signs of infection (increased redness, swelling, warmth, or discharge), or if the area becomes increasingly painful, it is important to seek medical attention promptly.
5. Patience in Healing: Lastly, it’s important to be patient. Scar healing can take time, often several months to a year, and the appearance of scars can continue to improve over this period. Regular follow-ups with your healthcare provider can help monitor the healing process and address any concerns you may have.
In summary, applying scar gel to the affected area is beneficial, and you may also apply it to the surrounding skin if desired. Discoloration is a common issue post-injury, and while it may improve over time, consulting a specialist can provide you with options for enhancing recovery. Remember to maintain proper wound care and monitor for any complications. Your proactive approach to your healing is commendable, and with the right care, you can achieve the best possible outcome.
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