Wound, Plastic Surgery FAQ

Understanding Nerve Repair After Thumb Injury: Key Concerns and Recovery

Injury to the digital nerve of the index finger in the thenar region of the palm? Hello Doctor, On January 19, I accidentally cut my thumb while slicing fruit, resulting in a wound approximately 10 cm long, and I was urgently taken to the hospital for surgery. My first follow-up...

Dr. Lu Daokuan Reply:
Nerve repair in the fingers does take time, and after the follow-up appointment at the end of March, rehabilitation should be actively pursued. Whether the cast needs to be fixed for six weeks should be determined by the attending physician. You can discuss the rehabilitation sch...

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 the Impact of Frenulum Injury in Infants: A Parent's Guide

The tissue connecting the upper lip to the gum above the front teeth in infants? Dear Doctor: My second child (10 months old) accidentally bumped his face while playing with his older brother today, resulting in a tear of the tissue connecting the upper lip to the area above the ...

Dr. Dai Zongyi Reply:
The tissue in that area is part of the growth process; it does not affect the child's future language or other developmental outcomes. That tissue is not functional... there's no need to worry; once the wound heals, it may grow back after some time.

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 Skin Tears: Causes and Treatment in Plastic Surgery

Skin abrasion with bleeding? Dr. Lu can confirm that the black laser treatment resulted in a wound that was not cleaned properly, which has led to skin breakdown without bleeding.

Dr. Lu Daokuan Reply:
Hello: Wound cleaning may not always be thorough, which is why there is a term called "traumatic tattooing." If it cannot be absorbed naturally, laser treatment can be considered. During laser treatment, it is normal for the skin to break and bleed occasionally.

Laser Treatments for Skin Repair After Accidental Injuries

Skin abrasion with bleeding? Doctor Lu, after my car accident, the wound healed but left a dark spot that I thought was due to melanin. However, I noticed that there were acne nearby, and when I squeezed them, I accidentally broke the skin and got it on the dark area. I realized ...

Dr. Lu Daokuan Reply:
Hello, traumatic wounds may exhibit temporary hyperpigmentation. If pigmented substances remain at the site of injury, they may appear black. Whether laser treatment can be used for removal depends on the prominence of the pigmentation. If the natural black color of the wound is ...

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 Deep Knee Wounds: Healing and Care After Injury

Knee wound I fell off my bike 7 days ago, landing about 2 centimeters away from my left kneecap. The wound measures 6 cm in length, 1.5 cm in width, and 1.5 cm in depth, which likely reaches the bone. The doctor who sutured it mentioned that it was very deep and that fat was visi...

Dr. Zhou Hongzhang Reply:
It has been a week, and there should still be redness and swelling. Generally, it takes time for the wound to fully heal before the swelling can gradually subside. For the first 2-3 days after the injury, ice packs can be applied, and after about 3-4 days, heat therapy can be ini...

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...

Understanding the Differences Between General and Staged Flap Repairs in Plastic Surgery

Inquiry Regarding Disease (Forwarded from the Director's Mailbox) What is the difference between "primary flap reconstruction" and "staged flap reconstruction"?

Dr. Zhou Hongzhang Reply:
What is "staged flap reconstruction"? Is it a stage operation? Often, plastic surgery flap procedures require multiple surgeries to achieve wound healing or treatment. Dr. Chou Hong-Chang, Plastic Surgeon, April 7, 2010.

Concerns Over Unauthorized Macrolane Injections in Cosmetic Surgery

Administering Macrolane directly to the cheeks without the patient's consent? My sister went to a medical aesthetics clinic on December 3, 2009, to purchase a treatment for cheek augmentation and tear trough filling. The treatment consisted of SubQ 2 c.c. x 2 and Touch 0.5 c...

Dr. Lu Daokuan Reply:
Basically, legal and approved medications should be used domestically. Of course, unapproved drugs in the market cannot be completely eliminated, possibly due to lower costs. Whether your sister's face has issues may not be absolutely related to legality; after all, her firs...

Managing Hemangiomas in Young Children: Surgical Options and Care

Hemangiomas in children Hello Dr. Zhou, I would like to ask about a 6-year-old boy who has developed a hemangioma on his foot, which has broken the skin and resulted in a wound with signs of proliferation. He has been seen at other clinics, and the doctors informed us that due ...

Dr. Zhou Hongzhang Reply:
1. A 6-year-old can still undergo surgery. 2. According to the letter, this young boy appears to have a superficial hemangioma, which should be amenable to excision for complete healing. 3. It is best to consult in an outpatient setting and have the physician examine the affected...

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 ...

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:
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, ...

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.

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:
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...

Can I Get Muscle Tissue Checked After Gallbladder Surgery?

excuse me? Dr. Zhou: Hello, thank you for taking the time to answer my question. I underwent gallbladder removal surgery in July 2005. After three years, I have experienced discomfort due to the scabbing of my abdominal wound after healing. After trying some folk remedies, I feel...

Dr. Zhou Hongzhang Reply:
1. "Examination of muscle tissue?" - Muscle tissue can usually be biopsied, but this is only necessary in certain specific diseases, such as sclerosis or amyotrophic lateral sclerosis (ALS). 2. Based on the condition, it may simply be abnormal proliferation of scar ti...

Is Swelling Normal After Lipoma Surgery? Insights on Recovery

Liposarcoma surgery? I went to the hospital on July 18 (Saturday) to have a lipoma on my forehead, which was over 1 cm (the sutured area is 1.5 cm), removed. It has been about four to five days post-surgery, and the swelling around the wound has not significantly subsided (compar...

Dr. Zhou Hongzhang Reply:
To determine whether it is normal or not, it may be necessary to examine the condition of the wound in order to make an accurate assessment (after visual inspection). Typically, a wound is expected to be most swollen on the third day, after which the swelling should gradually sub...

Understanding Cellulitis: When to See a Specialist for Your Recovery

Cellulitis Hello, doctor! I would like to ask about a condition I experienced over a year ago. I developed cellulitis in my right leg due to a wound infection. At that time, I could only seek treatment at the Hsinchu Military Hospital because of my military status. The doctor men...

Dr. Zhou Hongzhang Reply:
1. Any issues with wounds can be addressed at the plastic surgery consultation. 2. Cellulitis should have healed after more than a year, unless the wound continues to have purulent drainage and redness, swelling, or pain. 3. If the wound has healed, it may not be possible to ...

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:
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...

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