Wound, Plastic Surgery FAQ

Effective Scar Revision Techniques for Post-Injury Recovery

Scar revision I have a large scar on my leg due to a car accident, which extends from the upper inner thigh down to a circle around the knee. At that time, the doctors performed skin graft surgery on both sides of my knee. Now, the edges of the skin graft are raised and red, and ...

Dr. Lu Daokuan Reply:
Large scars are difficult to manage. In recent years, there has been a surgical procedure involving fat grafting, which you can consult with a physician experienced in this technique.

Understanding Adhesion Issues After Tendon Injury: Insights for Recovery

Adhesion issues Hello doctor, I would like to inquire about an injury that resulted in a laceration on the dorsum of my left foot, with the tendon of my big toe initially exposed. Afterward, I underwent suturing and surgery. Although the external wound has healed, I am experienci...

Dr. Lu Daokuan Reply:
Rehabilitation is necessary! There is a high chance of adhesion recurrence, so it is not recommended unless absolutely necessary.

Understanding Adhesion Issues After Tendon Injury: Treatment Options

Dr. Lu Daokuan Reply:
Rehabilitation is necessary! There is a high chance of adhesion recurrence after removal, so it is not recommended unless absolutely necessary.

New Treatments for Keloids: Options Beyond Steroid Injections

Are there any new treatments for keloids? Hello, Dr. Lu. I sustained six stitches on my chin and multiple abrasions due to a car accident. I have a keloid-prone condition and am very concerned about the red, swollen scars on my face. Besides steroid injections, are there any meth...

Dr. Lu Daokuan Reply:
After removing the stitches, it is important to care for the area with artificial skin for a full six months. If there is any oversight, a corticosteroid injection can be administered; proper care is the key focus.

Post-Parotid Tumor Surgery: Understanding Hard Lumps and Recovery

Just underwent surgery for a salivary gland tumor? I recently underwent surgery for a salivary gland tumor, and it has been about 13 days since the procedure. The stitches have been removed, and the wound looks fine, but there is a large hard lump in front of the incision. The lu...

Dr. Lu Daokuan Reply:
The parotid gland is a salivary gland, and the removal of parotid gland tumors is usually partial rather than total excision (unless malignant). There may be a swelling period, which can feel firm. If there are any concerns, you should discuss them with your attending physician.

Recovery Tips After Finger Injury from Paper Shredder Accident

Finger injury from a paper shredder? During work, I accidentally put my hand into a shredder, resulting in severe injuries to my right ring finger and little finger. The tips of the fingers sustained some minor bone damage, and the flesh has been severely split. I have already un...

Dr. Lu Daokuan Reply:
Increasing protein intake provides sufficient nutrients for wound healing, and vitamin C is also essential. It is important to avoid smoking, including secondhand smoke. There are no other dietary restrictions.

Scar Revision Surgery: Options, Procedures, and Recovery Explained

Scar revision surgery Hello, doctor. 1. I had a car accident over ten years ago that resulted in a fracture, and I have an 8 cm raised surgical scar on my thigh. Is it suitable for scar revision surgery? 2. Three years ago, I underwent laser lipolysis on my thigh at an aesthet...

Dr. Lu Daokuan Reply:
Since previous injuries have a tendency to form raised scars and the results of scar revision surgery are not very satisfactory, it should be considered carefully.

Understanding Post-Laser Treatment Issues: Pigmentation Concerns

Post-laser pigmentation removal issues? Hello, I would like to inquire about a previous laser treatment for sweat gland tumors and pigmentation removal. Initially, I used artificial skin, but later developed an allergy to it and switched to applying ointment. Now, I notice that t...

Dr. Lu Daokuan Reply:
It is more likely that there is a mild allergic reaction leading to pigmentation changes, and a follow-up appointment should be scheduled promptly.

White Substance Emerging from Surgical Wound: What to Do?

A thread-like substance is protruding from the wound? Hello, I would like to ask you about my cheek. I had a cyst removed and the stitches have been taken out, but recently I noticed a white substance coming out of the wound, and there is a little bleeding. I tried to see if I co...

Dr. Lu Daokuan Reply:
A white line on the facial wound likely indicates that internal sutures are surfacing. You should return to the clinic for the physician to address this.

Understanding Inverted Nipple Surgery Complications and Recovery

Nipple inversion Hello, doctor. I have some questions to ask. I underwent autologous breast augmentation and inverted nipple surgery before the Lunar New Year last year. Two months post-surgery, I developed acute mastitis in my left breast. After treatment, I have been experienci...

Dr. Lu Daokuan Reply:
Hello: You may need to consult the original physician who performed the procedure for your inverted nipple to check if any sutures were left behind, or to consider a planned intervention. Lu Dao-Kuan

Is Keloid Formation Genetic? Understanding Causes and Treatment Options

Is keloid hereditary? Hello, I am in sixth grade. One time, my mom was driving me out when we got hit by a car, and I injured my dermis. I have seen the doctor several times, and it was almost healed, but suddenly the wound turned into a keloid. Is keloid formation always congeni...

Dr. Lu Daokuan Reply:
Hello: Keloids are a phenomenon of wound hyperplasia. If there is no improvement after 6-8 weeks of care with artificial skin, please consult a plastic surgeon. Wishing you a speedy recovery!

Burned by Exhaust Pipe: When to Seek Medical Attention?

Burned by the exhaust pipe two days ago..? Hello, I would like to ask the doctor about a burn injury on my calf caused by an exhaust pipe. The skin has peeled off, and there is some yellow, sticky fluid leaking. Initially, I lightly cleaned the area with an alcohol swab. Followin...

Dr. Lu Daokuan Reply:
Burns generally require a consultation with a physician. If assessed and found to be non-problematic, self-treatment with topical medication is acceptable. It is best to clean the area with saline solution.

Post-Accident Lip Swelling and Numbness: Is It Normal?

Swelling and numbness of the lips after a car accident? A couple of days ago, I was in a car accident and received emergency treatment. I had about eight stitches on the left side of my lip near the nasolabial fold, and approximately four to five stitches internally. I went home ...

Dr. Lu Daokuan Reply:
The facial sensory nerve distribution is extensive, and swelling and numbness near the nasolabial fold due to a wound is a normal reaction. If there are areas with no sensation after two weeks, a follow-up appointment for re-evaluation is necessary.

Can Artificial Skin Be Used for Scrotal and Penile Burns?

Can artificial skin be applied to burns on the scrotum and penis? Hello, Dr. Lu. I sustained a burn injury from acetylene at work, resulting in a third-degree burn on my right hand. The skin on the right half of my penis is charred, with a red wound showing no tissue fluid, and t...

Dr. Lu Daokuan Reply:
Many exudates cannot be covered with artificial skin; alternatives such as alginate or sponge dressings can be chosen.

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 Axillary Hematomas After Surgery: Symptoms and Management

About axillary hematoma? Hello, I recently underwent a curettage of the apocrine glands and have had my stitches removed. However, before the stitches were taken out, I noticed that the left side of my armpit seemed swollen, but the doctor said it was fine. In the past few days, ...

Dr. Lu Daokuan Reply:
Hello: The hard swelling near the wound may be a phenomenon during the healing phase. You can return to the clinic to consult with the surgeon for confirmation. Thank you! Wishing you a speedy recovery!

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.

Proper Use of Adhesive Tape on Surgical Wounds: Myths vs. Facts

General application method for breathable tape? If regular breathable tape is applied directly to a surgical wound that has not yet had its sutures removed, it may not necessarily aid in wound healing without proper disinfection or medication. Over time, the tape may fall off on ...

Dr. Lu Daokuan Reply:
General breathable tape can be used until it naturally falls off, but it often causes allergic reactions and discomfort, so it is not the most recommended method. The sutures will naturally be absorbed by the body. There are many suggestions for wound care, and you can obtain edu...

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.

Persistent Ingrown Toenail: Seeking Effective Solutions for Relief

Onychitis keeps recurring? I have been suffering from paronychia on my right big toe. It used to heal in a few days, but two years ago, the pain became unbearable, so I went to see a doctor. The doctor said it was due to cutting the nail too short. I then visited two more doctors...

Dr. Lu Daokuan Reply:
For paronychia, it is important to avoid wearing tight shoes. After partial nail removal, the wound should be secured with tape for four weeks to prevent the nail from growing downwards again. If the condition recurs after 2-3 excisions, it is recommended to perform a nail bed ma...

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