Scar, Surgery FAQ

Post-Surgery Care for Ear Lobe Cysts: Common Concerns and Solutions

Sebaceous cyst surgery Hello, I had a cyst removal surgery behind my earlobe at the beginning of this month. The doctor said that the wound would heal on its own within two days post-surgery, and I just needed to avoid getting it wet during this time. On the first day after the s...

Dr. Ke Fangxu Reply:
1. It is possible that the wound was not cleaned properly, but poor wound healing can also be a factor. 2. If the wound has not healed one month after surgery, a revision surgery for debridement and closure should be considered; otherwise, it may significantly affect daily acti...

Post-Appendectomy Concerns: Pain, Wound Care, and Recovery Tips

Postoperative issues following peritonitis surgery? Hello Doctor: I had surgery for appendicitis complicated by peritonitis on February 25, and it has been 16 days since my discharge. Today, I have been experiencing frequent sharp pains in my abdomen, particularly in the right lo...

Dr. Xie Wenhuai Reply:
After surgery, it is normal to feel a lump due to scar tissue at the wound site. However, if there is persistent swelling and pain, it may indicate the presence of an abscess. Based on your description, the presence of a drainage tube suggests a ruptured appendix, which can lead ...

Understanding Post-Surgery Symptoms: Itching and Pain After Anal Fistula Repair

Regarding anal abscess surgery? Dear Doctor: I had surgery for an anal abscess (fistula surgery) last year, and the wound has healed, but there is a small scar left. Occasionally, I feel itching around the anus. I have gotten used to washing the anal area with clean water after b...

Dr. Ke Fangxu Reply:
After surgery for an anal abscess, the wound is considered healed as long as there is no swelling, pain, or discharge. Cleaning the anal area is a good hygiene practice, but it should be done gently since the skin around the anus is relatively delicate. Vigorous cleaning may caus...

Identifying Nail Fold Infection vs. Cellulitis: Symptoms and Treatment

Paronychia or cellulitis? My finger is swollen, and the affected area looks like the person in this photo: http://singlelog.pixnet.net/album/photo/109899480. Could this be paronychia or cellulitis? It hurts a lot. How should I treat it? How long will the swelling last? It's ...

Dr. Ke Fangxu Reply:
Paronychia, commonly referred to as "nail fold cellulitis," requires treatment with antibiotics. If there is an accumulation of pus, incision and drainage may be necessary. In severe cases, nail avulsion surgery might be required. It is important to seek medical attenti...

Dealing with Nail Issues After Trauma: Expert Advice for Recovery

Nail problems? About last September, my right big toe was injured, causing bruising under the nail and a nail fracture. Afterward, I had the nail removed. After the removal, the nail bed appeared to have a hard protrusion, which seems to be scar tissue from the damage. Recently, ...

Dr. Xie Wenhuai Reply:
It is recommended to gently smooth the surface of the nail bed (without damaging it) to allow for normal nail growth.

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.

Understanding Anal Papilloma: Surgical Options and Concerns

Anal papillary hyperplasia surgical issues 2 Hello Dr. Ke: Thank you for your detailed response to my previous question! You made a very good point, and since my doctor also thought that I could leave it untreated, I initially considered just coexisting with it. However, recently...

Dr. Ke Fangxu Reply:
In cases of benign anal diseases that affect daily life, surgery is generally not recommended. However, if the patient is significantly troubled by the condition, this may warrant surgical intervention. Physicians advise against surgery lightly due to the potential for postoperat...

Managing Post-Surgery Pain and Constipation After Hemorrhoid Surgery

Surgical excision of a mole? On October 4th of this year, I underwent surgery for a stage three anal fissure, as recommended by my doctor, using traditional surgical methods. He mentioned that I would recover in ten days, but I occasionally forgot to take the stool softener for a...

Dr. Lin Zhiguang Reply:
The side effects of stool softeners are generally low, and some patients with constipation may use them long-term without significant concerns. After surgery for a mole, it is common to experience some bleeding and swelling at the wound site for the first couple of months; this s...

Understanding Chronic Anal Fistulas: Healing and Long-Term Effects

Anal fistula Hello, Doctor: I had surgery for my fistula about 7 or 8 months ago. Just two days ago, I showed the wound to my family, and they said it has healed, but there is still some mild redness around the area. I am no longer experiencing any unexplained discharge. However,...

Dr. Ke Fangxu Reply:
If the wound has already healed and there is no discharge, what is the basis for your belief that it has not been cured? Fistula surgery typically results in a larger wound, which leads to slower healing and usually forms a deeper scar. As long as there is no recurrence of swelli...

Understanding Wound Healing Issues: Is It Cellulitis?

Wound healing issues I previously fell and had a large wound on my knee. After a month, although the wound has healed, the surface is still red. Initially, I thought it was just a scar, but recently I've noticed that if I gently press on the red area, it hurts, and it feels ...

Dr. Zhang Jinlong Reply:
Hello: A general wound (possibly an abrasion) that appears red on the surface after a month may be granulation tissue. At this stage, the nerves are gradually growing towards the wound, which can cause tenderness. However, if there is inflammation present, it can also lead to pai...

Should You Seek Medical Attention for a 1cm Glass Cut?

Glass laceration I have a cut about 1 centimeter long below my thumb caused by glass, which seems to have penetrated the dermis. I have temporarily treated it with saline solution, and it has stopped bleeding with no signs of inflammation. Should I go to the hospital? Can it heal...

Dr. Zhang Jinlong Reply:
Hello: Generally, if a cut reaches the deeper layers of the skin and has stopped bleeding without signs of inflammation, it can heal on its own (though the scar may be larger later). However, if the wound shows signs of infection and inflammation (such as redness, swelling, heat,...

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.

How to Properly Treat Infected Wounds with Pus: A Guide

If a wound is inflamed and producing pus, it is important to take the following steps for proper management: 1. **Clean the Wound**: Gently wash the area with mild soap and water to remove any debris and bacteria. Avoid using alcohol or If a wound is inflamed and producing pus, ...

Dr. Huang Junxiong Reply:
Hello: 1. Whether to apply ointment depends on the wound. If the wound is inflamed and discharging pus, it is advisable to seek medical attention. 2. For deeper abrasions, debridement and appropriate dressing and medication are necessary. It is recommended to consult a specialist...

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...

Should You Keep Using Adhesive After Stitches Removal? Expert Advice

Wound after suture removal? Doctor, I had my stitches removed and have been using silicone gel on the wound for three weeks. Recently, I've been feeling some itching and swelling. Should I continue using it? Thank you.

Dr. Lin Zhiguang Reply:
Hello, after removing the stitches, it is generally recommended to keep the scar covered with silicone gel for at least two weeks. You have been using it for three weeks, so it is fine to stop now. It is normal for the wound to feel itchy and slightly swollen. As long as there is...

Managing Scar Tissue: Solutions for Hypertrophic Scars After Surgery

Wound issues Hello Doctor: I would like to ask you, about 3 to 4 years ago, I underwent laser surgery for thyroidectomy. The doctor advised me to apply silicone gel sheets on the wound daily, but there was an occasion when the wound became red and swollen, so I decided to stop us...

Dr. Xu Kaixi Reply:
Dear Dr. Hsu Kai-Hsi of the Department of Surgery at Tainan Hospital, Ministry of Health and Welfare: Keloids are hypertrophic scars of the skin. It is recommended to visit a dermatology outpatient clinic for examination and treatment. Wishing you good health and safety from the...

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 Anal Fissures: Treatment Options and Surgical Considerations

Regarding the previous anal fissure? Hello Doctor: Last time I asked about the seriousness of anal fissures, and something quite unbelievable happened. I live in Taichung City and visited China Medical University Hospital twice. The first time, I simply told the doctor (Dr. Ke) t...

Dr. Ke Fangxu Reply:
Hello: In response to your question, you have an anal abscess rather than an anal fissure. An anal abscess typically presents with persistent worsening pain and sometimes fever. If the abscess is not too large, it can be treated with incision and drainage in an outpatient setting...

Understanding Hardness After Breast Surgery: Causes and Solutions

Breast hardness after surgery? I had surgery to remove two benign fibroadenomas from my breast on February 11th of this year (using MammoSite), and it has been a month since then. Although the pain in my breast has decreased, it still feels hard to the touch. The doctor did help ...

Dr. Lin Zhiguang Reply:
Hello, you just had surgery, so it is normal for the area to feel firmer due to the healing process, scarring, swelling, and the presence of non-absorbed sutures, among other reasons. The bruising and blood accumulation you mentioned can also contribute to this. However, it'...

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