Scar, Surgery FAQ

Understanding Chin Augmentation Complications: Pain and Persistent Discomfort

Chin augmentation side effects? Initially, I had a chin augmentation with artificial bone, but after six months, the tightness and foreign body sensation did not improve, leading to significant discomfort in my chin. The doctor suggested that I could receive scar injections for i...

Dr. Zhou Hongzhang Reply:
I would like to ask if the discomfort is really just caused by simple scar hypertrophy, or if the soft tissue in the chin has been injured? Can an MRI be performed on the chin? What is the cost? 1. Augmenting the chin should be less likely to injure important organs. 2. Soft t...

Scar and Wound Healing Care: Addressing Post-Surgery Concerns

Issues related to scar and wound healing care? Hello, doctor. I would like to continue with my previous question, but I couldn't find the same question prompt, so I have to ask again. 1. After 2/3 of my nostril was bitten off and stitched up, I feel a stiffness in the area...

Dr. Zhou Hongzhang Reply:
1. The gel can be applied only to the affected area. 2. For the areas of necrotic ischemic skin, it is necessary to wait for the vascular tissue to gradually recover. This should be monitored for about a year. If any issues arise during this period, a consultation with a nearby p...

Understanding Post-Surgical Healing: Managing Skin Issues Around the Anus

Supplementary question: Depression of the perianal skin after healing? Hello Dr. Ke: I forgot to mention last time that after using hemorrhoid ointment for several months, I developed inflammation on the skin, resulting in a wound located in the triangular area near the perineal ...

Dr. Ke Fangxu Reply:
If skin inflammation is caused by the excessive use of an ointment, the hemorrhoid cream should no longer be used. The focus should be on treating the dermatitis, which may include both oral and topical medications. It is advisable to consult a physician for evaluation and prescr...

Managing Post-Surgical Scar Indentation and Pain: Solutions and Insights

Depression of the perianal skin after healing? Previously, I had an anal fissure that led to prolonged sitz baths and the use of hemorrhoid ointments for several months, which resulted in severe dermatitis and skin breakdown. When I visited the hospital, they advised me to discon...

Dr. Ke Fangxu Reply:
In theory, once an anal fissure heals, there should be no pain unless it is due to pre-existing chronic fissures caused by excessive sphincter contraction. If the pain is intolerable and affects daily activities, one can try using rectal suppositories for a period of time. Otherw...

Post-Drainage Surgery: Managing Wound Healing and Care Tips

Wound healing issues after drainage surgery? Hello Dr. Chen: Six days ago, I visited a doctor for a sebaceous cyst issue and underwent a drainage procedure. The incision is about 1 to 1.5 centimeters, and I have been packing it with gauze and changing the dressing daily. As of to...

Dr. Chen Bingze Reply:
1. If it becomes much shallower, you may not need to pack it. 2. The simplest recommendation is to apply an antibiotic ointment and then cover it with a gauze. 3. Generally, wounds that do not require suturing will leave very noticeable scars, and you can only try applying scar g...

Understanding Scar Tissue After Fistula Surgery: Concerns and Prevention

Fistula scar Dear Dr. Fangfang, It has been five months since my fistula excision surgery, and I have two questions to ask you. 1. Is it normal for the scar tissue after surgery to feel firm and for the portion of the fistula to protrude? I can still feel the presence of the c...

Dr. Ke Fangxu Reply:
1. Generally, surgical scars take about 1-2 years to soften, and as long as there is no swelling or pain, there is no cause for concern. 2. The recurrence of fistulas is an unavoidable aspect of this condition. Whether recurrence occurs requires long-term observation. If there ...

Understanding Facial Scars: Treatment Options and Recovery Insights

Facial scar issues? Hello, Doctor. At the end of last month, I was bitten by a dog, resulting in two wounds. I have two questions: 1. One wound is on my nasal bridge and was bitten very deeply. After the stitches were removed, there is a raised scar about 2-3 cm in size. I am c...

Dr. Lu Daokuan Reply:
Scars after an injury can only be cared for and reduced; there is no term "scar removal" in the textbooks. Your injury is complex and requires regular outpatient follow-up rather than a one-time prediction. Please make sure to return for your appointments!

Post-Operative Wound Issues After Laparoscopic Ovarian Cyst Surgery

Postoperative wound issues after peritonitis surgery? I underwent laparoscopic removal of an ovarian cyst, but developed a rectal perforation that led to peritonitis, requiring another abdominal surgery. The incision extends about 14 centimeters from my lower abdomen to my navel....

Dr. Chen Jiaming Reply:
Scar tissue from such a long vertical abdominal wall incision often experiences occasional mild pain within one to two years post-surgery. It is recommended to use a supportive abdominal binder for the first six months postoperatively to prevent hypertrophy of the scar tissue and...

Understanding Post-Surgery Anal Bumps: Hemorrhoids or Keloids?

After hemorrhoid surgery, there may still be small lumps around the anal area? Hello, doctor. I underwent an expensive minimally invasive surgery to remove internal and external hemorrhoids last April. Since I have been taking traditional Chinese medicine that promotes soft stool...

Dr. Zhang Shuhao Reply:
After hemorrhoidectomy, it is common for skin tags to form near the wound due to skin folds and scarring. Over time, these tags will gradually reduce in size. If there are no symptoms, no treatment is necessary; however, if there is pain, a sensation of a foreign body, or concern...

Persistent Swelling and Pain After Wound Healing: What to Do?

The wound healing process is still accompanied by swelling and pain? At the beginning of November, a child fell and had a small wound on the knee. The wound has healed, but recently a hard lump has developed at the site along with a small pus-filled bump. Now, it even hurts when ...

Dr. Ke Fangxu Reply:
The lump after wound healing should be scar tissue, but if there is a pus-filled abscess, it may be more serious and could require incision and drainage along with antibiotic treatment. It is advisable to consult a surgical specialist for further evaluation.

Why Did My Surgical Wound Split Open After Stitches Were Removed?

The wound immediately opened after the stitches were removed! I originally went to the hospital for surgery to remove a lipoma and thought that since I was already undergoing surgery, I would also have three small fibromas removed at the same time. On the day of stitch removal, t...

Dr. Li Zhonghuai Reply:
Hello! The patient's age, history of diabetes, smoking and alcohol consumption (including secondhand smoke), presence of autoimmune diseases, and liver cirrhosis should all be taken into consideration. Additionally, the location of the sutures in relation to the joints is im...

Understanding Rectal Resection and Suturing: Risks and Recovery Insights

Rectal resection and anastomosis? Hello Dr. Zhang, in August, I underwent a colonoscopy at a certain hospital, and the biopsy results indicated the presence of an adenomatous polyp. Due to the large size of the polyp and its benign nature, the physician who examined me determined...

Dr. Zhang Shuhao Reply:
If the abdomen is not entered, a portion of the rectum can still be pulled through the anus for resection and anastomosis (referred to as pull-through; this method is sometimes used for rectal prolapse surgery). The sutured area will heal over time, and there is no need to worry ...

Understanding Anal Sphincter Dysfunction After Childbirth and Surgery

Sphincter muscle weakness or injury Hello Doctor, I have been experiencing scar pain, a foreign body sensation, fecal incontinence, and leakage after bowel movements since undergoing hemorrhoid surgery postpartum. After undergoing anorectal manometry and anal ultrasound, the do...

Dr. Zhang Shuhao Reply:
1. Training the pelvic floor muscles and conservative treatments such as physical therapy have about a 60% chance of improvement. 2. If conservative treatments are ineffective, sphincter repair surgery is still recommended. Even if the remaining muscle strength is insufficient,...

Managing Scars After a Car Accident: Steroid Injections and Care Tips

Administering steroids for scar treatment after a car accident? Hello, I was in a car accident in August, which resulted in wounds on my knee and ankle. After care, they turned into scars that are purple-red in color. The knee appears thick and swollen, while the ankle is flat wi...

Dr. Lu Daokuan Reply:
Using steroids may sometimes cause temporary darkening of the skin; follow up with your doctor as scheduled.

Why Did My Surgical Wound Split Open After Stitches Were Removed?

The wound opened immediately after the stitches were removed! Almost two years ago, I underwent surgery at the hospital for a lipoma on the back of my right thigh and three fibromas on the inner left thigh, left calf, and inner right thigh. During the suture removal, the wound on...

Dr. Li Qinglong Reply:
Lance: Hello, keloids are a matter of constitution. First, it is essential to confirm whether the pathological biopsy of the scar is indeed a keloid. If it is confirmed, any physician handling the wound will find it more challenging compared to wounds without keloid-prone charact...

Post-Surgery Wound Care: Understanding Pain and Healing After Incision

Wound after debridement surgery? Hello, doctor! I had a pilonidal cyst excision surgery at the end of May, followed by debridement the following week. I had gauze packed in the wound and changed it daily at the hospital. It has been three months since the wound has been healing! ...

Dr. Xu Kaixi Reply:
I apologize for the late response. The symptoms you described, including tenderness around the wound, hyperpigmentation causing a darker color, and the formation of scars, are all part of the normal wound healing process and should theoretically improve over time.

Managing Knee Scars After a Car Accident: Tips and Insights

Management of knee scars after a car accident? Hello Doctor: I was in a car accident at the end of 2019, resulting in lacerations on my upper lip and right knee that required sutures. At that time, I also received scar treatment injections, and I have been using scar reduction pa...

Dr. Li Zhonghuai Reply:
Hello! Some people can indeed be allergic to beauty patches, but since you haven't used them for a long time, it's more likely that you have hypertrophic scars or keloids. If there are no symptoms, there's no need to worry about it unless you want to pursue perfect...

Understanding Bowel Issues: Symptoms, Concerns, and When to Seek Help

Bowel issues Doctor, here are my symptoms: Since the summer vacation, I have been experiencing frequent diarrhea that has lasted a long time. Even as school was about to start, my diarrhea changed to constipation. Although the frequency of my bowel movements hasn't changed, ...

Dr. Chen Bingze Reply:
Hello, I understand that this may make you very anxious. The likelihood of developing colorectal cancer at your age is indeed very low. Experiencing both constipation and diarrhea is more indicative of irritable bowel syndrome. The presence of blood after a bowel movement may be ...

Managing Post-Surgery Bowel Issues: Tips for Relief and Care

Bowel movement issues? Hello, doctor. Ever since I underwent the LIGASUR tissue coagulation procedure, I have been experiencing anal narrowing, which makes bowel movements very difficult. My attending physician has stated that there is no issue with narrowing, but after each bowe...

Dr. Zhang Shuhao Reply:
After surgery, the scar tissue may lose some elasticity, and some individuals may experience a sensation of foreign body presence, feeling as if it hasn't been cleaned properly. It is advisable to wash with water or first wipe with a wet wipe before using toilet paper, witho...

Understanding Scar Healing After Facial Mole Removal Surgery

Facial mole excision Dear Doctor, It has been almost 6 months since my mole removal surgery on my face, but the skin tissue at both ends of the scar is slightly swollen, which becomes noticeable when illuminated from above. Will this swelling resolve on its own? I consulted wit...

Dr. Li Zhonghuai Reply:
Hello! After applying the scar gel, let it dry before applying the beauty tape. Make sure to extend the beauty tape a bit longer at both ends and press it firmly. Take care! Changhua Hospital cares about you!

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