Iodine and Artificial Skin for Scar-Free Healing - Pharmacology

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Povidone-iodine??? Artificial skin??? I don't want to have scars > <


A few days ago, I was in a car accident.
I had a follow-up appointment yesterday and initially wanted to ask the doctor for an ointment.
However, the doctor said that applying iodine solution would be sufficient, which I found strange.
I remember that iodine is used for disinfection and sterilization.
Is it really appropriate to use iodine to help a wound heal quickly? Additionally, the doctor applied a synthetic skin over a deeper wound and mentioned that it should stay on for about 2 to 7 days.
However, less than a day later, fluid started to seep out from the edges.
Should I change it? Lastly, my facial injuries are healing well, and I want to avoid scarring.
Should I use silicone gel sheets or an ointment like 080? How healed should the area be before I start using scar treatment products? Thank you!

AYAKO, 20~29 year old female. Ask Date: 2005/06/25

Dr. Wu Huiling reply Pharmacology


Hello! When povidone-iodine comes into contact with bacteria or wound tissue, it forms a thin film and gradually releases iodine to achieve its antimicrobial effect.
It can kill filterable viruses in a short time and is a broad-spectrum disinfectant that is easy to wash off and gentle, causing minimal irritation.
It is currently the most widely used antiseptic solution.

Artificial skin products are used for chronic wound healing, utilizing genes or factors that promote wound healing to control infection and guide healing potential, thereby managing the quality of healing.
The 080 scar cream can appropriately adjust the synthesis of collagen fibers, softening the wound scab, promoting the flattening of the epidermal surface, and preventing the formation of hypertrophic scars or keloids.
This is beneficial for epithelial regeneration, preventing melanin deposition, and reducing the formation of scars after healing, thus achieving wound contraction and preventing scar formation.
Lastly, I would like to remind you to avoid the deterioration of simple wounds; if the wound shows signs of redness, swelling, heat, or pain, it is best to seek medical treatment as soon as possible.

Reply Date: 2005/06/25

More Info


When it comes to wound care, especially after an accident like a car crash, understanding the role of antiseptics like iodine and the use of artificial skin is crucial for promoting healing and minimizing scarring.
Iodine, particularly in the form of povidone-iodine (often referred to as "Betadine"), is indeed primarily used as an antiseptic. It helps to disinfect the wound by killing bacteria and preventing infection. However, while iodine is effective for initial wound cleaning, it is not necessarily the best option for ongoing wound care, especially for deeper wounds or burns. Overuse of iodine can sometimes irritate the skin and delay healing. In your case, if your doctor recommended using iodine, it may have been for initial cleaning, but you should follow up with a more suitable wound care regimen as the healing progresses.

Regarding the artificial skin, also known as a biological dressing or skin substitute, it is designed to provide a protective barrier over the wound, promoting a moist healing environment that can speed up recovery and reduce scarring. The fact that you noticed fluid seeping from the edges of the artificial skin is not uncommon. This fluid, often referred to as exudate, can be a sign that the wound is healing, but it can also indicate that the dressing is not adhering properly or that the wound is producing more fluid than the dressing can handle. If the fluid is clear and not accompanied by increased redness, swelling, or foul odor, it may be acceptable to leave the dressing in place. However, if you notice any signs of infection or if the dressing becomes saturated, it is advisable to change it. Always consult your healthcare provider if you are unsure.

As for scar management, once your facial wounds have closed and there is no open skin, you can begin using silicone gel sheets or silicone gel, which are effective in minimizing scars. These products work by hydrating the scar tissue and creating a protective barrier that can help flatten and soften scars. You can start using these treatments once the skin has healed sufficiently, typically when there are no scabs or open areas. This usually takes about 1-2 weeks after the injury, but it can vary depending on the severity of the wounds.

In summary, while iodine is useful for initial wound care, it is important to transition to a more suitable treatment as healing progresses. Artificial skin can be beneficial, but monitor for any signs of infection or excessive fluid. For scar prevention, silicone-based products can be introduced once the skin is fully healed. Always consult with your healthcare provider for personalized advice and to ensure that your wound care regimen is appropriate for your specific situation.

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