Will My Sister's Facial Scar Fade Over Time? Expert Advice on Pediatric Healing - Plastic Surgery

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Regarding scars on the face?


Hello Doctor: My sister is 1.7 years old.
Two days ago, she fell and received over ten stitches near her eyebrow.
The stitches have not been removed yet.
Will the scar from this wound still be present as she grows older, and are there any methods to make it disappear? Additionally, for such a young child, can she be referred to a plastic surgery clinic for stitch removal?

Zhuózhuó, 20~29 year old female. Ask Date: 2006/08/14

Dr. Lu Daokuan reply Plastic Surgery


Suture removal does not necessarily require a plastic surgeon.
For small wounds, it is recommended to use silicone gel to protect the scar for three months.
Whether a scar will be permanent depends on the direction of the scar.

Reply Date: 2006/08/14

More Info


When it comes to pediatric healing, particularly in the case of facial scars, several factors come into play that can influence the final appearance of the scar as your sister grows. At 1.7 years old, your sister's skin is still quite resilient and has a remarkable ability to heal. Generally, scars can fade over time, but the extent to which they do so can depend on various factors including the depth of the wound, the location on the body, the child's age, and how well the wound was cared for during the healing process.


Healing Process and Scar Formation
1. Initial Healing: After a wound is stitched, the body begins the healing process immediately. This involves inflammation, tissue formation, and remodeling. The first few weeks are critical as the body works to close the wound and prevent infection.

2. Scar Maturation: Scars typically go through a maturation process that can take several months to years. Initially, scars may appear red, raised, or darker than the surrounding skin. Over time, they often flatten and fade in color. In children, this process can be more pronounced due to their skin's regenerative properties.

3. Factors Influencing Scar Appearance:
- Age: Younger skin tends to heal better and may result in less noticeable scars.

- Location: Areas with more movement (like the face) may have different healing outcomes compared to less mobile areas.

- Wound Care: Proper care during the healing process, including keeping the area clean and moisturized, can significantly affect the final appearance of the scar.


Management of Scars
While it’s natural to be concerned about the appearance of scars, there are several strategies that can help minimize their visibility:
1. Moisturization: Keeping the scar moisturized can help in the healing process. Products like silicone gel sheets or ointments can be beneficial.

2. Sun Protection: Protecting the scar from sun exposure is crucial. UV rays can darken scars, making them more noticeable. Use sunscreen on the area once it has healed sufficiently.

3. Massage Therapy: Gentle massage of the scar tissue can help break down collagen fibers and improve the appearance of the scar.

4. Consultation with Specialists: If you are concerned about the scar's appearance as your sister grows, consulting a pediatric dermatologist or a plastic surgeon specializing in pediatric care can provide tailored advice and treatment options.


Follow-Up Care
Regarding your question about whether your sister can see a plastic surgeon for her stitches, it is indeed possible. Many hospitals have pediatric plastic surgeons who specialize in treating children’s injuries and can provide care for both the wound and any potential scarring. It’s advisable to discuss this with your pediatrician, who can refer you to the appropriate specialist.


Conclusion
In summary, while it is difficult to predict the exact outcome of your sister's scar, there is a good chance it will fade over time, especially given her young age. Proper wound care and follow-up consultations with specialists can further enhance healing and minimize scarring. If you have any concerns about the healing process or the appearance of the scar, don’t hesitate to reach out to healthcare professionals for guidance.

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