Wound, Plastic Surgery FAQ

Managing Wound Care After a Car Accident: Expert Advice

Wound after a car accident? Hello doctor, I was in a car accident about a month ago, and aside from my ankle, most of my wounds have healed. Here is the current image of my ankle wound: https://ppt.cc/fmoB5x. After confirming with the clinic, I started using artificial skin. This...

Dr. Zhou Hongzhang Reply:
1. Abrasions after a car accident can sometimes be very deep, often resulting in the complete removal of the skin layer. 2. The longer a wound takes to heal, the deeper the abrasion, which may lead to more scar issues in the future. 3. If the wound has not healed after one mo...

Addressing Post-Surgery Concerns: Issues with Foreskin Surgery

Prepuce issues Hello Doctor: 1. After the circumcision surgery, a doctor diagnosed me with symptoms of a subcutaneous cyst, but why did the doctor advise me to consult the original surgeon for the procedure? 2. There is too much remaining inner foreskin and frenulum, resulting in...

Dr. Zhou Hongzhang Reply:
1. Postoperative wound issues are best understood by the primary surgeon who performed the procedure. 2. Scar reconstruction can sometimes be quite challenging. Most of the time, new scars replace old ones, and the appearance may not achieve perfection. It is advisable to consul...

Can You Get Tattoos with Keloids? Tips and Care for Safe Inking

Keloid tattoo issues? I apologize, but I developed a lot of acne during middle school, which has resulted in several keloids on my chest and shoulder areas. However, the site where I received the BCG vaccine in childhood did not develop keloids. I have seen a doctor for injection...

Dr. Lu Daokuan Reply:
The scar has not faded, indicating it is still active. You can get a tattoo on your arm where there are no scars, but for the areas with scars, it's better to wait another one to two years.

Challenges and Solutions for Nonunion Fractures in Hand Surgery

Nonunion of fractures (Hand Surgery) Hello Doctor: Last October, my finger was crushed by a metal plate. Except for my thumb, the other fingers suffered from bone fractures, as well as vascular and nerve damage. After the first surgery, my middle finger still had poor blood flow,...

Dr. Zhou Hongzhang Reply:
1. This condition may require a complete medical history or a consultation with the original treating physician for a better prognosis. 2. Poor fracture healing can have many causes, such as severe injury, compromised circulation, wound infection, and so on. 3. Hyperbaric oxy...

Is Swelling Normal After Mole Removal Surgery on Nose and Lips?

Surgical mole excision? Hello doctor, two days ago I had surgery at a plastic surgery clinic to remove moles, one on my nostril and one on my lip. Is it normal for the area around my nostril and lip to be swollen? The wounds are not painful, but one side of my face is a bit swoll...

Dr. Zhou Hongzhang Reply:
1. Swelling after surgery is inevitable. 2. The swelling may last from several days to several weeks. 3. Follow-up treatment can be done in the outpatient clinic.

Post-Stitch Scar Care: Silicone Sheets vs. Beauty Tape

Scar after suture removal Two weeks ago, I had a car accident and during the stitch removal, the doctor advised me to use cosmetic tape for three months, but only after one week of removing the stitches. The wound is raised; should I use silicone sheets or continue using the cosm...

Dr. Lu Daokuan Reply:
Silicone sheets and artificial skin are both effective; however, beauty tape is less effective. Use them for up to 6 months, and if you are not satisfied, consult a plastic surgeon.

Struggling with Non-Healing Wounds? Expert Tips for Recovery

Wound healing difficulties? Hello Dr. Zhou: I have visited your clinic and would like to ask what to do if my wound has not healed for two weeks. There is white hard skin on my leg; is this white dead skin stuck to the flesh? No matter what I do, it won't come off, and apply...

Dr. Zhou Hongzhang Reply:
1. Please come back to my clinic for a follow-up. 2. Photos cannot be viewed online. 3. Sometimes, certain dressings can cause allergic reactions. Additionally, excessive interference with the wound can lead to delayed healing.

What to Do When a Wound Won't Heal and Has White Hard Skin?

What should I do if a wound won't heal and there is white hard skin on my leg? Hello doctor, my wound has not healed for one to two weeks and there is a white hard crust. No matter what ointment I apply, it doesn't seem to help, and I am very worried about the consequen...

Dr. Lu Daokuan Reply:
A wound that has been present for 1-2 weeks is not considered a chronic wound. Please return to your physician for an assessment of the wound's condition; if it persists for more than 4 weeks, a reevaluation will be necessary.

Understanding Chin Injury Recovery: Addressing Swelling and Speech Issues

Jaw injury recovery issues? Hello Dr. Chou, I have a question I would like to ask you. I was in a car accident over three years ago and was pierced in the chin (about 1 cm below the lip) by a rebar, resulting in a laceration. I went to the emergency room, and the doctor sutured t...

Dr. Zhou Hongzhang Reply:
1. After an injury, there can sometimes be issues with scar tissue hardening. Blood clots typically get absorbed gradually within a few months post-injury. 2. If speech difficulties are solely due to a lump, then removing the lump may lead to improvement. 3. If the speech dif...

Understanding Nerve Issues After Amputation: Causes and Solutions

Nerve issues after limb amputation? Hello Doctor, I accidentally cut my finger with a chainsaw at work a while ago, losing about 2 centimeters. After going to the hospital for surgery, the wound has healed, and the finger is starting to grow dead skin and nails. When my hand is a...

Dr. Zhou Hongzhang Reply:
1. The amputated area may be located right at the "nail matrix," which is why some nail growth may still occur. 2. The symptoms of pain and numbness can be challenging to manage, and sometimes it may be necessary to trim it a bit more. 3. It would be better to consult w...

Post-Surgery Chin Healing: Managing Fluid and Redness After Stitches

One week after the chin sutures were removed, there is still a small amount of fluid and slight redness? Hello Doctor, I had a car accident recently, resulting in a 3 cm laceration on the right lower corner of my chin (with six needle punctures above and below). The wound is some...

Dr. Zhou Hongzhang Reply:
1. Scar care should only begin once the wound has healed. 2. If there is still exudate, it indicates that the wound has not yet healed, and care should be based on wound management principles. 3. For scar care, silicone gel sheets or scar gels can be used.

Is Your Nose Bridge Uneven After Surgery? Expert Insights and Solutions

Uneven nasal dorsum after rhinoplasty? Hello, Doctor: I underwent an allograft rib cartilage rhinoplasty for my nasal tip and columella in mid-February. The wound has mostly healed, and I am satisfied with the height of my nasal bridge, so I only added grafting starting from half...

Dr. Zhou Hongzhang Reply:
1. Applying beauty tape may lead to a smoother appearance over time. 2. There are other repair methods available, such as hyaluronic acid or fat injections, or removing the original allogenic rib and reshaping it.

How to Manage and Minimize Surgical Scars After Laparoscopic Surgery

Surgical scar Hello, doctor! I just had laparoscopic appendectomy surgery on March 2nd. After the stitches were removed, the nurse applied a cosmetic adhesive bandage for me. However, when I changed the bandage on my belly button today, I noticed that although the sutured wound h...

Dr. Lu Daokuan Reply:
If you are not satisfied with the results of cosmetic fillers or artificial skin treatments after two months, you may consult a dermatologist or a plastic surgeon.

When to Use Adhesive Strips and Scar Gel After Surgery?

When to use adhesive strips and scar removal gels? For example, if I have a forehead injury that required several stitches, when should I apply adhesive strips? When should I start using scar gel (such as products like Mederma)? The packaging for adhesive strips usually recommend...

Dr. Lin Zhemin Reply:
Adhesive strips and scar removal gels are typically recommended to be used after suture removal, for a minimum of 12 weeks, to help prevent scar formation.

When is the Best Time for Scar Treatment After Injury?

Scars that make me feel very insecure and lose confidence~ I kindly ask for the doctor's advice (includes images)? When is the most appropriate time to undergo cosmetic treatment after a scar has formed? I've heard that treatments can be done one to two months after the...

Dr. Lin Zhemin Reply:
Approximately three months after wound healing, aesthetic treatments such as laser resurfacing can be considered to improve scars. Currently, re-excision and suturing of the scars is not recommended.

Effective Scar Removal and Prevention After Car Accidents

Scar removal and prevention after a car accident? Hello Doctor: I was in a car accident previously, and I'm not sure if the small raised scar on my hand is due to improper wound care or keloid formation, but it does not exceed the size of the original wound. Recently, I had ...

Dr. Zhou Hongzhang Reply:
A physician must personally examine a patient before administering treatment, prescribing medication, or providing a diagnosis. 1. Scars require proper care to look aesthetically pleasing. 2. Methods for scar care include silicone gel sheets, scar ointments, minimizing movement...

Post-Surgery Recovery: Addressing Concerns About Finger Wound Healing

Wound issue Dear Doctor, I would like to inquire about post-operative recovery issues. Due to an improper operation of the machine, the flesh of my finger was partially removed, exposing the bone. An X-ray showed no damage to the bone. There were several treatment options at tha...

Dr. Zhou Hongzhang Reply:
1. The amount of seepage should be assessed; a small amount of seepage is normal. 2. The wound should be kept clean, dry, and free from contaminants. Avoid smoking, drinking alcohol, and other harmful substances that could affect the wound. 3. The more severe the injury, the ...

Understanding Skin Reconstruction Options After Breast Cancer Surgery

Regarding breast cancer surgery and tissue reconstruction? Hello, doctor. I would like to ask a question regarding skin grafting after breast cancer surgery. My mother is a breast cancer patient (stage III to IV) and has a large wound on her left breast that originally extended d...

Dr. Lin Zhemin Reply:
A physician must not administer treatment, prescribe medication, or provide a diagnosis without a personal examination. After a mastectomy, skin (tissue) reconstruction is necessary. If it is not possible to use tissue from the abdomen, flaps must be taken from the buttocks or ot...

Effective Treatments for Burns: Antibiotics vs. Over-the-Counter Options

Regarding medication for burns? Doctor, can I use bacitracin as a dressing for burns, or is it better to use over-the-counter burn ointments? Also, can I apply scar treatment ointment immediately after the burn wound has healed?

Dr. Lu Daokuan Reply:
Burn ointment is preferable. Scar ointment should be used 3 to 6 months later. After healing, start with lotion and sunscreen.

Managing Scarring After Nasal Wing Laceration: Treatment Options Explained

Nasal wing laceration scar I had a car accident on the morning of May 31, resulting in a laceration of the left nostril with a wound size of approximately 1 to 2 centimeters. I had the stitches removed on the morning of June 7, but upon removal, I noticed that the wound was not e...

Dr. Lu Daokuan Reply:
If silicone gel for scar prevention can be used at any time, it has about half the effectiveness of artificial skin. Beauty tape also has about half the effectiveness of artificial skin. Scar removal ointment should be used after six months for fading.

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