Can Leg Vascular Blockage Cause Frequent New Wounds in Diabetic Patients?
If there is a blockage in the blood vessels of the calf or foot, could this be a reason for the increased occurrence of new wounds? Hello Dr. Chou, I would like to consult with you regarding my father, who has kidney disease (not on dialysis), diabetes, a history of stroke, and v...
Dr. Zhou Hongzhang reply Plastic Surgery
Vascular obstruction can indeed lead to new wounds (even minor injuries or contusions can cause this). Additionally, old wounds may not heal easily. However, there are slight differences in the common sites of wounds caused by vascular diseases compared to those caused by pressur...[Read More] Can Leg Vascular Blockage Cause Frequent New Wounds in Diabetic Patients?
Understanding Nail Deformities: When to Seek Treatment for Thumb Injuries
Nail deformity issues? The thumb was pinched by the cargo door of a truck, resulting in a depression at the center front of the nail bed, while the rear end is raised. Light pressure on the depressed area causes pain. It has been about six months, and there has been no improvemen...
Dr. Zhou Hongzhang reply Plastic Surgery
We recommend that you: 1. Register at a medical facility, where the staff will provide you with advice on the appropriate specialty. 2. Alternatively, you may consider seeing either a surgeon or an orthopedic specialist. Thank you, and wish you good health![Read More] Understanding Nail Deformities: When to Seek Treatment for Thumb Injuries
Can Earlobe Reconstruction Improve Asymmetry After Keloid Removal?
Post-excision of earlobe keloid? Doctor: My brother has a keloid tendency. Before the keloid developed, he had his ears pierced, but after the keloid formed, he developed keloids on his earlobes (in a ring shape). He previously underwent surgery to remove the keloids, and since b...
Dr. Zhou Hongzhang reply Plastic Surgery
Earlobe reconstruction is possible, but it is quite challenging. For general keloids, they can be excised and then gradually treated with injections, which may improve their appearance over time.[Read More] Can Earlobe Reconstruction Improve Asymmetry After Keloid Removal?
Understanding Radiofrequency Treatment for Acne Scars: Myths vs. Facts
I would like to inquire about infinite waves? Hello Doctor, my friend has rolling scars from acne and experienced significant improvement after one session of radiofrequency treatment. He recommended that I try it as I have the same issue. I have already undergone various treatme...
Dr. Zhou Hongzhang reply Plastic Surgery
Most lasers, ultrasound, and radiofrequency treatments are destructive. They damage the tissue to provoke an inflammatory response, allowing the tissue to regenerate and potentially improve its appearance. As long as excessive tissue damage is avoided, theoretically, the tissue s...[Read More] Understanding Radiofrequency Treatment for Acne Scars: Myths vs. Facts
Understanding Gynecomastia Surgery: Anesthesia Options and Costs
Gynecomastia surgery issues? Gynecomastia has troubled me for many years. I see that most cases have bilateral symptoms, but I only have unilateral gynecomastia, approximately grade II. Will the surgery be performed under general anesthesia or local anesthesia? What is the estima...
Dr. Zhou Hongzhang reply Plastic Surgery
1. Unilateral male breast reduction surgery is less expensive than bilateral surgery. 2. It can be performed under local anesthesia or general anesthesia, depending on the volume of breast tissue and the patient's pain tolerance.[Read More] Understanding Gynecomastia Surgery: Anesthesia Options and Costs
Understanding Open Finger Fractures: Recovery and Concerns
Open fracture of the finger? Hello Doctor, I sustained an injury at work on March 9th, resulting in an open fracture of the middle phalanx of my right ring finger. I underwent surgery where a steel pin and a wire were inserted. The pin was removed on April 24th, but in the past f...
Dr. Zhou Hongzhang reply Plastic Surgery
1. After the removal of the steel pin, it is still necessary to immobilize and protect the finger with a splint for at least 3 weeks. 2. Sometimes, the bone and/or joint may not have fully healed, which can result in some instability. 3. It is advisable to return to the origi...[Read More] Understanding Open Finger Fractures: Recovery and Concerns
Managing Pain and Recovery After Mallet Finger Surgery: Next Steps
A ruptured finger ligament presents as a mallet finger? Hello Doctor: Due to a car accident, I suffered a rupture of the ligament in my little finger, resulting in a mallet finger deformity. After undergoing surgical repair, I was required to use an aluminum splint to immobilize ...
Dr. Zhou Hongzhang reply Plastic Surgery
Hello, 1. Generally, a ruptured ligament in the little finger presents as a mallet finger, which can be stabilized with a splint for about 6-8 weeks, fixed 24 hours a day, with a chance of avoiding surgery. 2. Surgery is only considered if recovery (or stabilization...) is not po...[Read More] Managing Pain and Recovery After Mallet Finger Surgery: Next Steps
Understanding Cellulitis: Surgery, Hospitalization, and Recovery Insights
Surgical and hospitalization issues related to cellulitis? Hello, doctor. Yesterday, the emergency physician diagnosed me with cellulitis. (All my blood tests came back normal, and I did not have a fever.) They prescribed antibiotics for me to take and scheduled a follow-up appoi...
Dr. Zhou Hongzhang reply Plastic Surgery
1. This issue is quite complex; it fundamentally depends on the condition and the patient's constitution, and it is not static. 2. Does this mean that surgical debridement must be arranged? ---> No. 3. If the condition worsens and the infection progresses into the deepe...[Read More] Understanding Cellulitis: Surgery, Hospitalization, and Recovery Insights
Understanding Post-Surgery Lymphedema: Common Concerns and Solutions
Several issues related to recurrent swelling after lymphatic-venous anastomosis surgery? 1: As mentioned, it has been 3-4 weeks since the surgery, and the wound has healed. The previous slight tingling sensation has almost disappeared! I have been wearing compression stockings an...
Dr. Zhou Hongzhang reply Plastic Surgery
These issues are quite specialized, so it's best to consult your physician in the outpatient clinic. 1. The impact of temperature on thermal expansion and contraction is relatively unrelated; it is more associated with posture rather than the food consumed. It is advisable...[Read More] Understanding Post-Surgery Lymphedema: Common Concerns and Solutions
Understanding Lymphatic-Venous Anastomosis Surgery and Post-Op Care
Microsurgical lymphaticovenous anastomosis for lymphedema? I previously underwent lymphatic lymphedema super-microsurgical venous anastomosis at the hospital. The doctor instructed me to massage the swollen area post-surgery to facilitate drainage. Initially, I avoided massaging ...
Dr. Zhou Hongzhang reply Plastic Surgery
1. The sutures used for ligating veins and lymphatic vessels are typically not absorbable by the body. 2. The sutured lymphatic and venous vessels will connect over a period of several weeks. 3. If you continue to experience sharp pain, please consult your original surgeon as...[Read More] Understanding Lymphatic-Venous Anastomosis Surgery and Post-Op Care
Understanding Forehead Filler Complications: Nerve Sensitivity and Risks
Forehead augmentation results in a prominent vein that may cause tingling in the scalp (using Water Microcrystal and Ellanse)? Hello! I would like to inquire if this situation is urgent! Recently, after receiving forehead fillers (water microcrystals, Ellanse), I have developed a...
Dr. Zhou Hongzhang reply Plastic Surgery
1. It is likely an inflammatory reaction caused by the medication (water microcrystals, Ilanes) that is irritating the supraorbital nerve, resulting in a tingling sensation in the scalp. 2. This nerve (supraorbital nerve) is a sensory nerve and will not cause motor impairment. ...[Read More] Understanding Forehead Filler Complications: Nerve Sensitivity and Risks
Understanding Abrasions: Healing or Infection After a Car Accident?
Wound after a car accident (abrasion and contusion) Hello, doctor. I currently have a abrasion on my knee, and it is now the fourth day. Since yesterday, there has been a white area on the wound. Is this a normal healing phenomenon, or could it be a sign of purulent infection?
Dr. Zhou Hongzhang reply Plastic Surgery
1. Post-injury infections are likely to occur between days 5 to 7 after the injury, with worsening redness, swelling, heat, and pain. 2. It is necessary to visually examine the wound to determine if an infection is present. 3. You can visit a hospital or clinic for medical co...[Read More] Understanding Abrasions: Healing or Infection After a Car Accident?
Running with Gynecomastia: Tips to Prevent Discomfort and Injury
Gynecomastia and Running-Related Issues in Males Hello, doctor. I would like to ask if having gynecomastia (I am 167 cm tall and weigh 60 kg with prominent breasts) will cause any breast issues such as sagging or strain while running? I currently cannot afford surgery, but I cont...
Dr. Zhou Hongzhang reply Plastic Surgery
You can continue running.[Read More] Running with Gynecomastia: Tips to Prevent Discomfort and Injury
Can Sexual Activity Cause Breast Deformation Without Surgery?
Chest deformity Hello, doctor. I would like to ask if rubbing, kneading, or pinching during sexual activity can potentially cause deformation of the breasts (without prior surgery or augmentation)? I have no experience in this area and am a bit concerned.
Dr. Zhou Hongzhang reply Plastic Surgery
Will not cause deformation.[Read More] Can Sexual Activity Cause Breast Deformation Without Surgery?
Understanding Sebaceous Cysts: When to Seek Treatment and What to Expect
Issues related to sebaceous cysts? Hello Doctor, I have two sebaceous cysts on my face that swell to about one centimeter. I would like to ask you a few questions: 1. When they swell, they are about one centimeter, but after they go down, I can hardly feel them. Does this mean th...
Dr. Zhou Hongzhang reply Plastic Surgery
1. Swelling may be due to infection or inflammation. If the cyst frequently recurs, surgical removal is recommended. 2. Directly consult a plastic surgeon. 3. There will definitely be a scar after the surgery; proper care of the scar is essential for optimal healing.[Read More] Understanding Sebaceous Cysts: When to Seek Treatment and What to Expect
Can You Fly After Reconstructive Surgery? Important Considerations
Is it safe to fly after reconstructive surgery? Hello Dr. Chou, due to a family member's hand injury from work a year ago, they underwent reconstructive surgery involving blood vessels, ligaments, bones, skin grafting, and tissue augmentation. They also have a history of ele...
Dr. Zhou Hongzhang reply Plastic Surgery
1. One year after the reconstructive surgery, the scar or tissue should theoretically have matured, and you should be able to fly. 2. However, it is still advisable to consult your original attending physician for a more accurate assessment of your specific situation.[Read More] Can You Fly After Reconstructive Surgery? Important Considerations
Understanding Recovery After Neck Reconstruction Surgery for Oral Cancer
Reconstructive surgery Hello Doctor, the patient underwent neck reconstruction surgery 20 days ago due to osteoradionecrosis from oral cancer. After debridement of the left cheek, a flap from the left thigh was transplanted. Following the doctor's advice, the patient is curr...
Dr. Zhou Hongzhang reply Plastic Surgery
1. If it is a "oral-cutaneous" fistula, it may be difficult to heal. 2. If there is leakage of saliva (or fluid) from the corner of the mouth, you can wait until the wound has healed and the scar has matured before reassessing. 3. If there are any other concerns, you ca...[Read More] Understanding Recovery After Neck Reconstruction Surgery for Oral Cancer
Impact of Liposuction on Hormones and Body Fat Distribution
The effects of liposuction on the body? After researching the effects of facial liposuction on the body, I have a few questions to ask: 1. Online information indicates that fat is an important organ in the body that secretes various hormones. Does this mean that liposuction cou...
Dr. Zhou Hongzhang reply Plastic Surgery
1. The amount of fat removed during facial liposuction is minimal and will not cause significant effects. A small volume of liposuction will not lead to hormonal or endocrine imbalances in the body. The theory of stem cells is still not fully established and requires further rese...[Read More] Impact of Liposuction on Hormones and Body Fat Distribution
Understanding Delayed Healing After Axillary Surgery: Causes and Solutions
Axillary hyperhidrosis surgery I have researched the two questions above. Doctor, my wound has not healed for over a month. Is there something wrong, or could it be that sweating too much is preventing the wound from healing?
Dr. Zhou Hongzhang reply Plastic Surgery
1. Some of it may be related to "excessive or frequent movements." 2. Limit the elevation of both upper limbs and take more rest. 3. Sweating may also lead to poor wound healing, but the likelihood is relatively low.[Read More] Understanding Delayed Healing After Axillary Surgery: Causes and Solutions
Understanding Orbital Fractures: Costs and Recovery After Surgery
Orbital bone fracture I was involved in a car accident on July 11th of last year, which resulted in a depression of the left orbital cavity. Even now, I still experience double vision at certain angles. How much would the surgery cost? Will the double vision improve after the sur...
Dr. Zhou Hongzhang reply Plastic Surgery
This question is difficult to answer. It is advisable to consult with a plastic surgeon at a medical center for a detailed examination. Most procedures may be covered by health insurance.[Read More] Understanding Orbital Fractures: Costs and Recovery After Surgery