Can I Have a Plastic Surgeon Repair My Wound After Plate Removal? - Plastic Surgery

More Info

---

When considering the removal of surgical plates and screws, especially after a fracture, it's understandable to be concerned about the appearance of scars and the overall healing process. Your question about whether you can have a plastic surgeon repair your wound after plate removal is quite pertinent, especially given the potential for scarring and the desire for optimal cosmetic results.

In general, it is indeed possible to have a plastic surgeon or a dermatologist involved in the wound closure process after the removal of hardware such as plates and screws. Plastic surgeons are specifically trained in techniques that can minimize scarring and improve the aesthetic appearance of wounds. They can employ various methods, such as layered closure techniques, which help to align the skin and underlying tissues more effectively, potentially leading to better cosmetic outcomes.

If you are considering this option, it is essential to discuss it with your orthopedic surgeon first. They can provide insights into the timing of the surgery and whether it is feasible to have a plastic surgeon involved during the same procedure. In many cases, orthopedic surgeons are skilled in closing wounds, but they may also recognize when a referral to a plastic surgeon would be beneficial, especially if there is a significant concern about scarring or if the wound is in a cosmetically sensitive area.

Here are some key points to consider regarding your situation:
1. Timing of the Procedure: If you plan to have the plate and screws removed, it is crucial to ensure that the timing aligns with your overall recovery plan. The orthopedic surgeon will assess the condition of the bone and surrounding tissue before proceeding with the removal and any additional cosmetic procedures.

2. Wound Closure Techniques: A plastic surgeon can use advanced techniques to minimize scarring. These may include using absorbable sutures, careful alignment of the skin edges, and possibly even skin grafts if the wound is extensive. Discussing these options with your plastic surgeon can help you understand what might be best for your specific case.

3. Post-Operative Care: Regardless of who performs the closure, post-operative care is vital for optimal healing. This includes keeping the area clean, following any prescribed wound care regimen, and possibly using silicone gel sheets or other scar management products as recommended by your healthcare provider.

4. Potential for Scarring: If you have a history of keloid or hypertrophic scarring, as mentioned in your previous queries, it is essential to communicate this to both your orthopedic and plastic surgeons. They may recommend specific strategies to minimize the risk of abnormal scarring, such as using pressure garments or silicone-based treatments post-surgery.

5. Consultation and Communication: It is advisable to have a pre-operative consultation with both the orthopedic surgeon and the plastic surgeon. This will allow you to discuss your concerns, expectations, and any specific techniques that can be employed to enhance the cosmetic outcome of your wound closure.

In conclusion, involving a plastic surgeon for wound repair after the removal of surgical plates and screws is a viable option that can lead to improved aesthetic results. Ensure that you have open communication with your orthopedic surgeon about your desires and concerns, and they can help coordinate care with a plastic surgeon if appropriate. This collaborative approach can help you achieve the best possible outcome for both your healing and the appearance of your scar.