Will My Daughter's Facial Injury Leave Scars? Expert Insights on Cosmetic Surgery

Facial aesthetics

I have a 5-year-old daughter who sustained an injury to her face, resulting in four stitches between her eyebrows, above her nose.
I am very worried and wonder if she will be able to undergo cosmetic procedures in the future to make the scar less noticeable.

Li, 0~9 year old female. Ask Date: 2001/11/26

Dr. Luo Qihua reply Plastic Surgery

If the wound is a clean cut from a sharp object, the scar will generally heal better after suturing.
In contrast, wounds from blunt trauma or heavy object impacts tend to be less even, resulting in scars that are not as favorable as those from clean cuts.
Regardless of the cause, it is important to care for the wound after the sutures are removed.
It is recommended to use adhesive tape (commonly referred to as cosmetic tape) on the wound for at least six months to a year, changing it every one to three days to minimize the widening of the scar.
Before applying the tape, gently pinch the skin on either side of the wound, away from the wound, towards the wound to create multiple parallel folds adjacent to the wound.
Then, apply the tape vertically over the wound and release your fingers.
This technique allows the tension that would normally pull the wound apart to be absorbed by the tape, thereby reducing the likelihood of a wide scar.

Reply Date: 2001/11/26

More Info

When it comes to facial injuries in children, particularly those that require stitches, concerns about scarring are very common among parents. Your daughter’s injury, located between her eyebrows and above her nose, has been treated with four stitches, which is a standard procedure for such wounds. The potential for scarring largely depends on several factors, including the nature of the injury, the method of closure, and post-operative care.

Firstly, if the injury was a clean cut (such as from a sharp object), the chances of a better cosmetic outcome are generally higher compared to injuries caused by blunt force trauma, which may result in more irregular healing and scarring. Clean cuts tend to heal better because the edges of the wound can be brought together more precisely, allowing for a smoother healing process.

Post-operative care is crucial in minimizing scarring. After the stitches are removed, which typically occurs within 5 to 10 days depending on the healing process, it is essential to take steps to care for the wound. One effective method is to use silicone gel sheets or silicone gel, which can help flatten and soften scars. These products should be applied consistently for several months after the stitches are removed. Additionally, keeping the area moisturized and protected from sun exposure is vital, as UV rays can darken scars and make them more noticeable.

Another technique that can be beneficial is the use of pressure therapy. This involves applying gentle pressure to the scar area, which can help in reducing its size and appearance. Some parents also find that using specialized scar creams, such as those containing ingredients like onion extract or vitamin E, can be helpful, although the effectiveness of these products can vary.

In terms of cosmetic surgery, if the scar does not heal well or if it becomes prominent over time, there are options available. Dermatologists and plastic surgeons can offer treatments such as laser therapy, microdermabrasion, or even surgical revision of the scar. These procedures can significantly improve the appearance of scars, making them less noticeable.

It’s also worth noting that children’s skin tends to heal more effectively than adults’ due to its higher regenerative capacity. This means that even if a scar does form, it may fade significantly over time, especially in younger children.

In conclusion, while there is a possibility that your daughter may have a scar from her injury, there are numerous strategies and treatments available to minimize its appearance. The key is to follow proper post-operative care and consult with a healthcare professional if you have concerns about the healing process. If you notice any unusual changes in the scar or if it does not seem to be healing well, it’s advisable to seek the opinion of a dermatologist or a plastic surgeon who specializes in pediatric cases. With the right care and attention, many children end up with scars that are barely noticeable.

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