Continuing Care After a Car Accident: Finding Your Surgeon
Follow-up consultation after a car accident? Hello Dr. Shi, I was admitted to Taichung Hospital last December due to a car accident, and you were assigned to treat me at that time. I would like to continue my treatment, but the hospital informed me that you have resigned. Could y...
Dr. Shi Wenbin reply Plastic Surgery
Hello, everyone: I am currently practicing at a medical aesthetic clinic located at the intersection of Dadun Road and Dadun 19th Street (Shouxi Geer Clinic, phone number 04-23100788). Feel free to call for inquiries.[Read More] Continuing Care After a Car Accident: Finding Your Surgeon
Understanding Double Eyelid Surgery: Techniques and Longevity of Results
Eye problems Hello, doctor: I would like to inquire about the suturing or cutting technique for double eyelid surgery to enhance the size of my eyes. I have heard that the crease may disappear after a few years. With the suturing technique, can I transform a single inner double e...
Dr. Shi Wenbin reply Plastic Surgery
Hello, online user: Using sutures for double eyelids tends to result in a shallower crease and has a higher chance of loosening compared to surgical incision. Additionally, it is certainly possible to correct asymmetry between single and double eyelids, but it is recommended to p...[Read More] Understanding Double Eyelid Surgery: Techniques and Longevity of Results
Seeking Treatment for Finger Injury: Expert Advice Needed in Kaohsiung
Please advise on how to treat the condition (forwarded from the Director's mailbox)? Dear Director Yang, Thank you. I am a member of the public, and I have sustained an injury to my finger, resulting in a loss of tissue at the fingertip. I reside in Kaohsiung City, and I wo...
Dr. Shi Wenbin reply Plastic Surgery
Hello, online user: Regarding the method of cell regeneration you mentioned, there have not been any published results by physicians in the country as of now. To my knowledge, a technique involving bone lengthening combined with flap coverage can be used to extend fingers. I have...[Read More] Seeking Treatment for Finger Injury: Expert Advice Needed in Kaohsiung
Understanding Nail Bed Surgery: Local Anesthesia Challenges and Options
Nail bed reconstruction surgery and anesthesia issues? Is it possible for local anesthesia to be ineffective during nail bed reconstruction surgery if there is already inflammation and pus? Since I tend to get anxious easily, can I request to pay out of pocket for inhalation gene...
Dr. Shi Wenbin reply Plastic Surgery
Hello: From your question, it seems that you may be dealing with issues related to paronychia or onychitis that need to be addressed. If it is just a single nail (toenail), local anesthesia should be effective in providing pain relief. After the anesthetic injection, it is advisa...[Read More] Understanding Nail Bed Surgery: Local Anesthesia Challenges and Options
How to Treat a Blood Clot on Your Cheek After a Facial Injury
Facial hematoma? Hello Dr. Shi: Recently, my face was hit by a baseball. There is a bruise near my cheekbone. How can I reduce it? What medication do you recommend applying? What precautions should I take?
Dr. Shi Wenbin reply Plastic Surgery
Hello, the first step is to rule out a zygomatic bone fracture, so please get an X-ray. If the bones are fine, apply ice to the affected area for the first 48 hours, then switch to heat therapy after that.[Read More] How to Treat a Blood Clot on Your Cheek After a Facial Injury
Understanding Burn Treatment for Children: Common Questions Answered
Inquiry about burn injuries in a 3-year-old? Dear Doctor, My daughter suffered a second-degree burn on the back of her hand, approximately 10 cm in size, from hot water on the afternoon of October 17. During the emergency treatment, we were instructed to use saline solution dail...
Dr. Shi Wenbin reply Plastic Surgery
Hello, reader's mother: If a burn is properly cleaned and disinfected immediately, and if the amount of exudate is minimal and the wound is not large, it is reasonable to consider changing the dressing every two days. The method of dressing change also matters; for example, ...[Read More] Understanding Burn Treatment for Children: Common Questions Answered
Understanding Facial Swelling: Causes, Treatments, and Recovery Tips
The face feels swollen and tender when pressed firmly? I was quite busy for a while and ate less, and as a result, I felt that my cheekbones became more prominent. I started to press on my face randomly, which made it look noticeably strange. I also used my hands to apply pressur...
Dr. Shi Wenbin reply Plastic Surgery
Hello, netizen: Generally, it is unlikely to injure cartilage or bone simply through manual massage; however, soft tissues or microvessels may be damaged, leading to swelling. In the acute phase (within two to three days), you can apply ice, and afterward, you can start using hea...[Read More] Understanding Facial Swelling: Causes, Treatments, and Recovery Tips
Post-Trauma Facial Reconstruction: Surgery Options and Insurance Coverage
Follow-up treatment issues??? Dear Doctor: I have a 20 cm long scar on my face from a car accident, and after healing, there is still a hypertrophic scar present. During the accident, glass penetrated my face, causing deep internal nerves or tissue to become necrotic. I would lik...
Dr. Shi Wenbin reply Plastic Surgery
Hello, internet user: A 20 cm wound on the face is indeed quite long, and even after suturing, it is likely to leave a noticeable scar. To improve this, you can apply silicone tape for three to six months after the stitches are removed. If, after that time, the scar still appears...[Read More] Post-Trauma Facial Reconstruction: Surgery Options and Insurance Coverage
Effective Treatments for Keloids: Options and Insurance Coverage
Keloid I accidentally injured my arm while working part-time in my sophomore year, and now I have a 2 cm long keloid. I had surgery, but it has grown back. I have been using beauty tape to cover it. What methods can I use to remove it? Will health insurance provide any subsidies?...
Dr. Shi Wenbin reply Plastic Surgery
Hello: Keloids are generally not treated with surgical excision, as surgery may worsen the condition. If the treatment is solely for symptoms (itching or pain), local corticosteroid injections can be considered (covered by health insurance). If significant improvement in appearan...[Read More] Effective Treatments for Keloids: Options and Insurance Coverage
Is It Normal to Have Underarm Odor After Showering?
Is it common to have body odor? Hello, doctor. Is it true that everyone has a smell under their armpits? I noticed that even after taking a shower, I can still detect a slight odor under my armpits, although it's not very strong. Is this normal? Thank you.
Dr. Shi Wenbin reply Plastic Surgery
Hello: Body odor, or axillary odor, is caused by excessive secretion from the apocrine glands and can be influenced by genetic factors (autosomal dominant inheritance). Everyone has apocrine glands to some extent, and treatment is necessary when the odor becomes bothersome to one...[Read More] Is It Normal to Have Underarm Odor After Showering?
Understanding Enzymatic Dressings for Burn Wound Care
::: About Burn Wounds Dear Dr. Shih, thank you. I am the patient who asked a question last time. Due to my fear of scissors and sharp objects, I have been very resistant to the surgical debridement method. A friend informed me that there are specific dressings that can dissolve y...
Dr. Shi Wenbin reply Plastic Surgery
In fact, the gel has a debridement and moisturizing effect on all types of wounds, not just limited to pressure ulcers. So you don't need to worry too much. Consider this: isn't a pressure ulcer just a very deep wound? (In fact, pressure ulcers can vary in depth.) It ca...[Read More] Understanding Enzymatic Dressings for Burn Wound Care
Understanding Burn Wound Care: Insights from Plastic Surgery
Regarding burn wounds? Hello, Doctor. I had a motorcycle accident and was treated at the hospital, where the physician assessed my wounds as second and third-degree burns. A week ago, I was prescribed Silvadene (silver sulfadiazine) cream to apply at home. After applying the medi...
Dr. Shi Wenbin reply Plastic Surgery
In deeper wounds, eschar forms, with dry black eschar being hard and, after being softened by moisture, turning into white soft eschar, which is easier to remove. Once removed, the wound can heal more readily. The white burn ointment provided to you can promote the softening of t...[Read More] Understanding Burn Wound Care: Insights from Plastic Surgery
Understanding Post-Surgery Changes After Axillary Surgery: A Patient's Guide
Regarding the thymectomy? Hello, my friend underwent a curettage procedure for axillary sweat glands in mid-April of this year, and it has been a month since the surgery. Initially, he only experienced a noticeable odor from his right armpit during extremely humid weather, while ...
Dr. Shi Wenbin reply Plastic Surgery
Hello: Your friend may have residual odor on the left side due to incomplete surgery. The issues with limited mobility and the presence of a lump may be caused by adhesions from the micro-surgery, which will require some time for observation and may improve. A secondary surgery o...[Read More] Understanding Post-Surgery Changes After Axillary Surgery: A Patient's Guide
Recovery Timeline for Severe Calf Muscle Injury After Stitching
The calf was lacerated by a heavy object and required 11 stitches. The stitches have been removed, but the leg still cannot be fully extended? I accidentally had a heavy object fall on my leg at work, causing a 13-15 cm long and 15-17 cm wide skin tear on my calf muscle. The musc...
Dr. Shi Wenbin reply Plastic Surgery
Hello, A-Jia: Your wound is classified as an avulsion wound. If the skin flap is too thin, it may lead to complications such as ischemia and necrosis. As you mentioned, since it has penetrated deeply into the muscle, it is more likely to survive. However, a larger wound may resul...[Read More] Recovery Timeline for Severe Calf Muscle Injury After Stitching
Understanding Axillary Hyperhidrosis: Surgery, Costs, and Concerns
Axillary hyperhidrosis? Hello! 1. Do you perform surgery for axillary hyperhidrosis? I sweat excessively from my armpits and am considering a surgery to remove the sweat glands. I've been waiting to turn 18 to have the surgery, but I'm worried about the possibility of c...
Dr. Shi Wenbin reply Plastic Surgery
Hello: The treatment method for axillary sweat gland removal surgery at our hospital is ultrasound-assisted suction surgery. This type of surgery does not lead to compensatory sweating issues, has a quick recovery time, and can improve approximately 80% of odor. After this surger...[Read More] Understanding Axillary Hyperhidrosis: Surgery, Costs, and Concerns
Understanding Epidermoid Cysts: Symptoms, Diagnosis, and Treatment Options
What is a sebaceous cyst? What are its symptoms? I have a small lump near my brow bone. I went to see a doctor who said it could possibly be a sebaceous cyst. What is a sebaceous cyst? Is it better not to have surgery? Later, I had an ultrasound, and the doctor said it doesn'...
Dr. Shi Wenbin reply Plastic Surgery
Sebaceous cysts or epidermoid cysts are skin conditions that are more likely to occur after puberty, commonly affecting the face and shoulders. The tumors resemble cystic acne and have the potential for infection, which can cause pain when infected. The cysts may grow larger, but...[Read More] Understanding Epidermoid Cysts: Symptoms, Diagnosis, and Treatment Options