Scar, Plastic Surgery FAQ

Post-Surgery Pain: Understanding Long-Term Effects After Facial Surgery

The surgical wound from four years ago may still be painful? Four years ago, I underwent surgery on my face due to a car accident. Recently, I've noticed that the surgical area sometimes becomes red, swollen, and painful. In more severe instances, the pain is intense enough ...

Dr. Lu Daokuan Reply:
Is it normal to have redness, swelling, and pain four days after surgery? Is there a possibility of scarring? Additionally, if there is tooth pain, could it be due to a fracture causing malocclusion? It may be necessary to consult a craniofacial specialist or an oral and maxillof...

Understanding Keloids After Car Accident: Causes and Treatment Options

Keloid from a car accident injury? Hello, doctor. I was in a car accident previously, and I had a wound on my ankle that was covered with a silicone dressing. Initially, the doctor said the wound was healing well and that I could stop using the dressing after another week, as the...

Dr. Lu Daokuan Reply:
Hello: For raised scars, you should continue to apply artificial skin for up to 6 months. You can return for follow-up visits to determine if scar injection is necessary. Areas of the wound that experience tension are more prone to hyperplasia, making care more challenging. Dr. L...

Understanding Post-Thyroid Surgery Complications: What to Know

Could you please clarify what you are puzzled about? Doctor, I would like to ask about a concern. Last June, I underwent surgery to remove one side of my thyroid. After the original surgical wound healed, I now have a raised, red line that resembles a centipede. Sometimes it feel...

Dr. Lu Daokuan Reply:
It is likely hypertrophic scarring. After the surgery, there was no application of artificial skin or silicone gel for a period of time. Currently, if there is pain or itching, local corticosteroid injections are needed.

Understanding Fractional Laser Treatment for Scar Improvement

Fractional laser Hello, Doctor. I previously underwent scar revision surgery on my face due to a burn injury. If I want to undergo fractional laser treatment to make the scar smoother, should I wait until the scar has turned white and matured before proceeding? The scar is curren...

Dr. Lu Daokuan Reply:
Laser treatment for scars primarily focuses on pigment reduction. There are many variables involved in treating facial scars with laser therapy, including tissue irregularities and fibrosis. Regular follow-up is reasonable, but frequent treatments may actually be harmful.

Can Liposuction Be Used for Multiple Lipomas? Expert Insights

Liposuction for lipomas Hello, doctor. I have multiple lipomas, with about twenty of various sizes on my limbs. Some have grown quite large, and I am concerned that surgical removal will leave me with numerous scars. I have seen reports suggesting that liposuction can be used to ...

Dr. Lu Daokuan Reply:
Multiple lipomas are often associated with strong oxidative stress in the body, smoking, lack of sleep, insufficient vitamin intake, and individual constitution may all be contributing factors. Liposuction to remove lipomas is not technically unfeasible, but it may not be economi...

Understanding Pulsating Facial Vessels: Causes, Treatments, and Concerns

Pulsatile vascular point on the face? 1. Hello, doctor: About 2.5 cm from my mouth, a slight protrusion suddenly appeared 3 to 5 months ago. I thought it was a pimple or comedo, so I ignored it. However, two weeks ago, it suddenly started pulsating, measuring approximately 1 cm x...

Dr. Lu Daokuan Reply:
In adults, a pulsatile mass should be classified as a vascular malformation (a type of hemangioma). Sclerotherapy is generally not recommended, as the one-year recurrence rate can be as high as 50%. Additionally, sclerotherapy can result in the formation of a hard lump. Surgery (...

Understanding Philtrum Surgery: Risks, Scarring, and Solutions

Philtrum issues Previously, my philtrum was not very long. After pouting my lips twice, my philtrum became longer. I want to shorten my philtrum. Will there be any scarring?

Dr. Lu Daokuan Reply:
The philtrum area is prone to scarring, and surgery is not recommended.

Forehead Cyst Removal: Post-Op Care and Scar Prevention Tips

Forehead subcutaneous cyst excision treatment Hello, doctor: I would like to undergo surgery in the plastic surgery department to remove a subcutaneous cyst approximately 1.5 centimeters on my forehead. Could you please advise me on how to care for the area post-surgery to avoid ...

Dr. Lu Daokuan Reply:
Postoperatively, artificial skin can be used to care for scars. Hypertrophic scars are more likely to occur in areas subject to tension, such as joints, shoulders, and the chest and abdomen, while they are less likely to occur on the forehead.

Recovery Tips for Hand Injuries: Skin Grafts and Nail Trauma

Injured right hand! Hello, doctor! I had a skin graft surgery on my index finger, where tissue was taken from the palm to cover it. The tip of my ring finger was broken off and not reattached, but it was sutured. Now, 20 days later, can I bend it? My index finger no longer hurts,...

Dr. Lu Daokuan Reply:
Removing the stitches after 20 days should be feasible. There are some small nerve endings at the cut ends, which may cause pain for a while. The skin graft area on the wrist can be managed with artificial skin to make the scar less noticeable.

Laser Treatments for Freckles and Moles: What You Need to Know

Laser inquiry? Hello :D I saw online that pigment laser can be used to remove Fordyce spots. Do you offer this laser service? If so, what is the price? The spots are located on the lips. Additionally, I would like to ask if small moles can be treated with cryotherapy (liquid nitr...

Dr. Lu Daokuan Reply:
Hello: Question 1: The wavelength of the pigment laser is 585-595 nm, and it is necessary to go to a medical center. Question 2: Very small moles are not recommended for laser or cryotherapy, as scarring can be quite noticeable; cauterization is a better option.

Preventing Scars on Eyebrows After Injury: Tips for Parents

Injury to the eyebrow? Hello, my child is one year and four months old. Yesterday, they fell from a chair and hit their eyebrow against a wooden table. The wound is about 0.7 cm long and approximately 0.1 cm deep. Since it impacted the brow bone, we applied ice. After the bleedin...

Dr. Zhou Hongzhang Reply:
1. If the wound is too deep, resulting in a complete rupture of the dermis, suturing may be required. 2. Whether there will be eyebrow loss is related to whether the hair follicles in the subcutaneous tissue layer are injured. If too many hair follicles die, it may leave a scar r...

Understanding Keloids: Causes, Treatments, and Specialist Guidance

The issue of keloids? Hello Doctor: About three to four years ago, I underwent laser surgery to remove my thyroid. However, once I applied a cosmetic adhesive to the wound, it became red and swollen, developing into a keloid. What should I do? Which specialist should I see?

Dr. Zhou Hongzhang Reply:
Scar redness and swelling may indicate two conditions that require differential diagnosis: 1. Hypertrophic scars: commonly occur in wounds that have been repeatedly injured, inflamed, or infected. 2. Keloids: usually related to individual predisposition and associated with the lo...

Understanding Laser Surgery for Scar Removal: Costs and Recovery

Regarding laser surgery? Hello Dr. Chou, I would like to ask about the scars left on my face due to an accident (surgical suturing) located near my chin. If I undergo laser surgery, can it completely eliminate the scars? Will I need to be hospitalized after the laser surgery? How...

Dr. Zhou Hongzhang Reply:
1. Laser surgery can be used for skin resurfacing, removing pigmentation, and tightening the skin, among other applications. The cost varies for each type of laser. 2. It is unclear what the appearance of the scar on the chin is like. What type of laser treatment is needed? Som...

Effective Solutions for Unwanted Facial Hair: What You Need to Know

Annoying beard? Hello, doctor. What methods can be used to eliminate facial hair? It's really annoying... Every time I shave, I end up with cuts. If I don't apply enough pressure, I can't get a clean shave, and using shaving cream doesn't help at all. It'...

Dr. Zhou Hongzhang Reply:
1. Currently, both laser hair removal and intense pulsed light (IPL) treatments are effective in removing hair, and there is a possibility of completely eliminating facial hair. 2. These treatments require out-of-pocket expenses. 3. Post-treatment care includes sun protection; ot...

Understanding Gynecomastia: Surgery, Scarring, and Recovery Explained

Gynecomastia Hello, Doctor: My mother told me that I had an excess of female hormones at birth, which resulted in breast development right from the start. This has been quite troubling for me, so I would like to ask you about the surgery. Will the scars on my breasts be very noti...

Dr. Dai Zongyi Reply:
Hello, 1. Gynecomastia in males is a condition covered by health insurance. 2. The charges for orthopedic surgical treatment are the same as those for general surgery. 3. With advancements in medicine, previous surgeries may have resulted in more noticeable scars and issues w...

Understanding Scar Revision Surgery: Risks, Benefits, and Recovery

Scar revision Hello: I have a surgical scar on my left hand joint that resembles a zipper. This scar has been present for 15 years, measuring 6 cm in length and 1 cm in width, with no elevation. I previously consulted you about scar revision, and I would like to ask again: 1. Wil...

Dr. Zhou Hongzhang Reply:
1. After surgery, you will definitely feel tightness. 2. After some time, the dexterity and function of the hand should not be worse than before the surgery. 3. For example: wound infection, hypertrophic scarring, etc. 4. Treatments such as laser resurfacing or chemical pee...

Scar Revision Surgery: What to Expect and Costs Involved

Scar revision Hello: I have a surgical scar on my left arm that resembles a zipper. This scar has been present for 15 years, measuring 6 cm in length and 1 cm in width, and it is flat. I would like to ask: 1. What is the best possible outcome for the appearance of this scar? Is i...

Dr. Zhou Hongzhang Reply:
1. Scar revision surgery is a procedure that aims to improve the appearance of unsightly scars, transforming them into "more aesthetically pleasing" scars, with the hope that they will be less noticeable from a distance. 2. The cost is approximately NT$3,000 to NT$5,000...

Understanding Scar Hardening After Rhinoplasty: What to Expect

Scar tissue becomes hardened? Hello, Doctor: I found online that scarring after rhinoplasty can cause tissue hardening inside the nose. Will the texture of the nose change after the removal of the artificial nasal implant? Thank you.

Dr. Zhou Hongzhang Reply:
Yes, there may be changes in sensation, but the abnormal feelings are not very pronounced. - Dr. Hong-Chang Chou, Orthopedic Surgeon

Understanding Post-Anesthesia Pain and Swelling After Finger Reattachment Surgery

I would like to ask the doctor, the area where the anesthesia was administered is swollen and painful? Hello Doctor, a couple of days ago I asked you a question. My original message was about a friend of mine who had three fingers severed at work about ten days ago. After surgery...

Dr. Zhou Hongzhang Reply:
1. The inability to flex the thumb properly and apply force years after an injury may be due to: (1) the tendon cannot be reattached as described, (2) scar tissue contraction, (3) adhesive capsulitis of the joint, or (4) adhesion of ligaments and tendons. 2. Given that several ...

Effective Scar Management for Pediatric Trauma: Tips and Techniques

Wound scar care after trauma? Hello Dr. Lu, I would like to ask you about scar prevention. My little one is 2 years old and recently sustained an injury near the corner of the eye, requiring 2 stitches. I would like to know how to avoid scarring. We have Mederma scar gel at home...

Dr. Lu Daokuan Reply:
If you are using the MedGel and 3M patches, the effects should be similar, and you can alternate their use to avoid skin irritation. Generally, you should use them for 3 to 6 months before assessing the results. If you are not satisfied, you can consult a specialist physician.

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