Means for fast healing of postoperative sutures. The healing process and emerging complications in the treatment of scars after surgery

Suture processing after surgery is a prerequisite for fast and correct wound healing. It should be noted that the healing of stitches after surgery depends on a large number of factors. For some, this process is successfully completed in a few days, while others have to suffer for several months.

Complete healing is only possible if the postoperative wound is sterile. Sutures after surgery are adjusted in such a way that there is a complete joining of the edges of the wound. This completely eliminates the formation of a cavity.

How can the wound areas be treated after surgery?

Everyone should know what exactly should be used to treat the stitches after the operation, so that the healing process takes place in the shortest possible time. For these purposes, various antiseptics can be used. These means include iodine, potassium permanganate, alcohol. You have to be very careful with iodine, as in large quantities this remedy can dry out the skin.

If you wish, you can also use ordinary brilliant green, which must be treated every day, for 6 days. It is very convenient to do this with ordinary cotton swabs. The problem is that under this medication it is often not visible how the wound heals and whether any complications have appeared. Zelenka can be replaced with fucorcin. This tool should be used to treat not only the seam, but also the area around it. However, experts warn that after the wound has healed, it will not be easy to clean the fucorcin.

If you have hydrogen peroxide on hand, then the problem can be considered half-solved. A small piece of gauze should be soaked in hydrogen peroxide and applied to the affected skin. A slight burning sensation may appear. Do not worry, as such a reaction is considered normal.

40% medical alcohol can be used if the seam is inflamed in some places. In this case, it is not worth treating areas of the skin where there is no inflammation, as this can lead to their drying out, which will significantly slow down the process of tissue regeneration. If after this the inflammatory process does not go away, and in the area of the seam it constantly whines and pulls, then you should definitely seek help from a specialist.

Also very popular are Contractubex ointment and a silicone patch, which prevents the formation of keloid scars.

In the first days after surgery, it is recommended to apply a bandage with a hypertonic solution to the affected areas of the body.

Preparing such a solution is quite simple: 2 tablespoons of table salt should be poured with 1 glass of boiling water. The finished product must be cooled to room temperature, moisten a gauze napkin in it, attach to the seam and bandage with a bandage.

Often, in the second week after the operation, the patient begins to complain of unpleasant itching in the suture area. This phenomenon is considered quite normal, since it is during this period that an active healing process takes place. It is possible to eliminate these unpleasant symptoms with the help of a cotton pad abundantly soaked in a solution of novocaine.

Often after the operation, for one reason or another, the seams diverge, which causes severe pain and the appearance of unpleasant discharge. In this case, you should not wait long, you must immediately seek help from a specialist. This will help avoid adverse consequences. In such situations, doctors, as a rule, resort to Vishnevsky ointment. This remedy helps to remove pus from the wound and promotes its early healing.

How to handle seams?

It is important to know not only how to process the seams, but also how to do it correctly. Wounds should be treated 2 times a day, without missing a single procedure. In some cases, on the recommendation of doctors, wounds can be treated more often.

The dressing must be changed until the stitches are removed. Dressings should be done in hospital rooms that are specifically designed for this purpose. These daily treatments will help speed up the healing of your skin. The thing is that the air contributes to the quickest drying of the seams. If dressings are performed at home, then you need to be as careful as possible. The bandage should be removed very carefully, as the bandage often sticks to the wound. Only after that, the affected area can be poured with a thin stream of hydrogen peroxide, and then with an antiseptic.

An important rule is that before handling postoperative injuries, your hands must be perfectly clean. Therefore, before starting the procedure, hands must be thoroughly washed with soap, preferably up to the elbows.

During the treatment of postoperative wounds, in no case should you remove scabs and remove whitish plaque, as this indicates the structure of a new layer of the epithelium. If this layer is damaged, depressions may appear, leading to the formation of scars.

In most cases, the stitches are removed 7-10 days after surgery. This procedure is quite painless, therefore it takes place without any pain relief. Immediately before starting this procedure, the wounds are treated with special means. After removing the stitches, dressings are no longer necessary. You can take water procedures only after 2-3 days.

How to treat stitches after a cesarean section

After a caesarean section, it is very important to properly handle the sutures. After such a surgical intervention, the wounds are often treated with 5% potassium permanganate solution for 2-3 days. The dressing should be changed constantly. This will help to notice suppuration in time. The threads are usually removed 6 days before discharge. While taking a shower, in no case should you press hard on the seam area and use hard sponges for washing. This can cause keloid scars to develop.

After the birth of the baby, very often, the young mother is put in internal and external sutures. Internal ones are those that were superimposed with ruptures of the walls of the vagina or cervix. There is no need to look after them. Look after the outer seams, which are applied to the perineum. During the first time after the operation, the midwives take care of everything. They, twice a day, moisten the affected areas with a solution of potassium permanganate or brilliant green. After discharge, such activities should be carried out independently after each bath.

If scars do appear after the birth of a child, then they can be easily removed with the help of a scar resurfacing procedure. Laser resurfacing is a very effective procedure that is performed today in many beauty salons.

Folk recipes

As practice shows, the seams after the operation heal much faster if they are treated with folk remedies. Currently, there are a lot of such recipes, so everyone can find something suitable for themselves:

Healing cream.

2-3 tablespoons of calendula cream should be mixed with 1 drop of rosemary oil and the same amount of orange oil. The resulting consistency is applied to the affected areas of the skin.

Tea tree oil.

With this healing agent, it is necessary to treat wounds immediately after the operation. In the future, this procedure should be repeated for 7 days.

Ointment from the fruits of Japanese Sophora and goose fat.

With the help of such a folk remedy, wound healing will occur much faster. To prepare such a product, you will need to mix 2 cups of dried fruits of Japanese sophora with 2 cups of goose fat. If desired, goose fat can be replaced with badger fat. The resulting mixture should be heated in a water bath for 2 hours. Further, this consistency must be heated 1 time during the next 3 days. On day 4, the composition must be brought to a boil and removed from heat. The finished ointment must be mixed well and poured into a glass container. A small amount of the product should be put on the bandage and applied to the seams.

Larkspur tincture.

Excellent seam treatment. 2 tablespoons of larkspur roots passed through a meat grinder should be poured with 250 ml of water and the same amount of alcohol. The resulting product should be used to treat the affected areas of the body.

Healing mixture of 100 grams of beeswax and 400 grams of sunflower oil. The resulting consistency is mixed and cooked over low heat for at least 10 minutes. After the product has cooled down, it must be applied to the bandage, which is applied to the sore spot.

Before using any folk remedy for healing stitches, you should consult your doctor to avoid any serious complications.

Treatment of postoperative sutures at home is a very important procedure that ensures rapid restoration of the dermis.

To speed up the wound healing process, you need to strictly follow the doctor's recommendations.

The specialist will prescribe effective medications to treat the affected areas.

So, how to smear the skin in the area of the seams?

The healing process depends on the human body. In some people, skin regeneration occurs quite quickly, in others it takes a long period of time.

To obtain a good result, it is necessary to provide adequate care for the postoperative wounds.... For this, the doctor selects drugs for the healing of damaged areas.

The following factors affect the speed and characteristics of recovery:

sterility;
regularity of procedures;
materials that are used to process seams.

One of the key rules for caring for damaged areas of the dermis is to comply with the rules of sterility. Wounds are treated with exceptionally well-washed hands. For this purpose, carefully disinfected instruments must be used.

Depending on the characteristics of the damage, the seams are treated with the following antiseptics:

Potassium permanganate solution - it is important to strictly adhere to the dosage. This will help prevent burns.
Rubbing alcohol.
Zelenka.
Fukarcin - the drug is wiped off the surface with great difficulty. This can cause discomfort.
Hydrogen peroxide - May cause a slight burning sensation.
Anti-inflammatory ointments or gels.

In addition, you can treat the wound with an effective antiseptic - Chlorhexidine. In any case, before starting therapy, you should definitely consult a doctor.

To speed up the healing process, it is necessary to follow the algorithm for treating wounds:

disinfect hands and devices that will be used;
gently remove the bandage from the wound;
using a gauze swab or cotton swab, apply an antiseptic to the seam;
apply a bandage.

Postoperative suture care requires compliance with certain conditions:

processing must be performed 2 times a day, but if necessary, this amount can be increased;
it is important to systematically check the wound for inflammation;
to avoid the formation of scars, do not remove dry crusts;
during water procedures, you should avoid the use of hard sponges
if complications appear in the form of redness, swelling or purulent secretions, you should immediately consult a doctor.

Many people are interested in how to process a postoperative stitch for better healing. For this purpose, you can use a variety of tools.

Today, you can find many effective topical preparations that can help you cope with the problem. Their use has a number of advantages:

availability;
broad spectrum of action;
the creation of a film on the surface of the wound - this avoids excessive dryness of the tissues;
dermis nutrition;
ease of use;
softening and lightening cicatricial defects.

It is important to bear in mind that it is forbidden to treat wet wounds with ointments. They are prescribed after the healing process has begun.

Depending on the nature and degree of damage to the dermis, the following types of drugs are used:

simple antiseptics - suitable for treating shallow wounds;
drugs with hormonal ingredients - used for extensive damage, which are accompanied by complications.

A properly selected ointment for the healing of postoperative sutures allows you to achieve excellent results. The most effective remedies include the following:

In addition, you can choose an effective ointment or cream for resorption of postoperative stitches. The most effective remedies in this category include the following:

The patch for healing postoperative stitches also helps to achieve good results.... This tool is a plate that holds the incision area together and supplies the wound with the necessary substances.

Thanks to the use of a special patch, it is possible to achieve the following results:

prevent bacterial microorganisms from entering the wound;
soak up secretions from the damaged area;
ensure air flow to the seam area;
make the seam softer and smoother;
keep the necessary moisture in the scar area;
prevent overgrowth of the seam;
avoid subsequent damage to the injured area.

All medications must be selected by a doctor.... The specialist will tell you how to care for the affected area.

Any self-medication options are strictly prohibited, since there is a risk of wound suppuration and progression of inflammation.

To speed up the healing process of the affected areas, you need to use folk recipes. Today there are quite a few effective remedies:

To speed up the healing process of postoperative sutures, it is very important to provide good care for the damaged areas of the dermis. For this purpose, drugs and folk remedies are actively used.

Before using any product, be sure to consult a doctor. Self-medication can lead to dangerous consequences in the form of severe inflammation.

Ointments for scars and scars cope only with superficial skin changes. With deep deformities, aesthetic surgery is indispensable. If scars have appeared recently, then regenerating preparations for external use will come in handy. With their help, it is possible to eliminate postoperative scars, residual traces of acne, the consequences of superficial burns. These drugs act locally, preventing the proliferation of connective tissue and improving tissue metabolism.

Indications for the use of ointments

Not all drugs are universal, so you should consult a dermatologist before using the ointment. If the ointment is used incorrectly, the skin condition may worsen. Common indications for the use of anti-scarring ointments are:

striae caused by gain or sudden weight loss;
post-traumatic tendon contractures;
prevention of scarring after surgery;
keloid (colloid) scars;
atrophic and normotrophic scars;
hyperpigmentation and post-acne;
fresh hypertrophic scars.

Ointments are used for processing any part of the body, including the face, where scars are most annoying. Treatment of cosmetic defects is complex. Peels, laser resurfacing, and the use of creams and ointments at home are often required. The full scope of procedures is determined by the nature of the origin and the age of the scars.

An overview of anti-scar drugs

It is safer to entrust the choice of a remedy to a doctor, especially after the appearance of surgical scars - with appendicitis, hernia, etc. Thus, it is effective for acne and post-acne, but in the case of traumatic scars it is powerless. The drug "Strataderm" on the basis of silicones copes with scars and scars, eliminates stretch marks, but is expensive. Moreover, one tube will not be enough for a treatment course.

Consider a list of demanded remedies for scars and scars, which are effective and do not hit the family budget.

Name of the ointment	Action	Mode of application
Contractubex	The German drug contains heparin and allantoin. These components contribute to the breakdown of scar tissue and improve regeneration. The drug has a positive effect on the structure of the skin, softens the pathological tissue and makes the epidermis elastic. The ointment contains onion extract. This ingredient has an anti-inflammatory effect, improves blood microcirculation and inhibits the growth of connective tissue.	Contractubex is applied to the affected area three times a day for a month. The agent is prescribed at an early stage of scarring and for prophylaxis. The drug is ineffective against old scars.
Dermatix	A Dutch-made preparation in the form of a gel-like mass. It is used immediately after the wound has healed to prevent scarring. The product removes pigmentation, improves blood supply to epidermal cells, saturates the connective tissue with moisture.	Dermatix is applied twice a day. The drug is quickly absorbed and leaves no residue. The duration of therapy is 2 months. In case of deep damage to the skin, the drug will not help. But it is safe and suitable for use by children and pregnant women.
Fermenkol	An active collagen preparation made in Russia. Stimulates the resorption of existing scars and prevents new ones. Makes convex formations flat and elastic. It has an analgesic and antipruritic effect at the same time. Side effects on the ointment are rare, so the remedy is recommended for use in childhood.	Use the remedy twice a day for a month. Fermenkol removes hypertrophic scars on the body. To increase the effectiveness of therapy, the agent is used in the composition of medicinal electrophoresis.
Solcoseryl	The drug improves cell regeneration and nutrition. It is applied to the face for acne and acne. The ointment will be useful for dry wounds, frostbite, burns, cuts. Zinc ointment works similarly. It is cheaper and suitable for the treatment of dermatitis, pressure sores, dry and weeping wounds. Both drugs have no pronounced anti-cicatricial effect. But applying them early will prevent scarring.	Use the ointment twice a day. At the stage of scar formation, the drug is applied under a bandage.
Clearwin	This cream softens the skin, activates cell metabolism, and improves blood circulation. Contains natural ingredients, belongs to Ayurvedic preparations. Effective against comedones, stretch marks, age spots, micro-damage to the skin. Suitable for the treatment of acne, smoothes the skin, eliminates the signs of chronic fatigue.	The skin is lubricated in the morning and evening for several weeks. Doctors consider the drug as a cosmetic product, but the natural base and safety of the cream distinguish it from other drugs. For minor violations and for their prevention, the remedy will be effective.
Imoferase	The cream is intended directly for the removal of scars and scars. The hyaluronidase in the cream inhibits the growth of connective tissue and reduces swelling. During the course of treatment, convex formations decrease in volume, the level of pigmentation decreases, and elasticity increases. Imoferase cream works on old scars and scars, reducing their density.	The effect of the treatment is noticeable after 3 weeks, the full course of therapy is 8 weeks. It is recommended to use the cream after operations, burns, caesarean section and in case of traumatic damage to the skin.
Heparin ointment	The drug improves blood microcirculation, which allows it to be used for stretch marks, hematomas, localized infiltrates and ulcerative lesions. It will not work to get rid of scars with the help of heparin ointment, but the prophylactic use of the agent will prevent the pathological proliferation of connective tissue.	Heparin ointment is applied up to 3 times a day for 2 weeks.
Methyluracilic	Forces regenerative processes, improves the renewal of epidermal cells. The ointment tightens wounds by forcing epithelialization. Possesses protective properties, restores the integrity of the skin, prevents degenerative changes in the epidermis. Used after burns, including radiation. Cream "Bepanten" works in a similar way. The list of indications for drugs is comparable.	The duration of therapy is 1-4 months. An analogue of the drug is called Levomekol ointment. This is a combined drug based on methyluracil.
Vishnevsky	The ointment dissolves the seals, activates the recovery processes. The drug is distinguished by a dark color, a pungent odor, and an affordable price. The drug is not able to get rid of scars and rough scars. But it is used to eliminate the consequences of chickenpox, acne, dermatological diseases. Compresses with Vishnevsky ointment are effective.	The drug is mixed with honey in equal proportions, applied to the skin, covered with a cabbage leaf, then with a film and left for an hour. Ichthyol ointment works in a similar way.
Hydrocortisone	The ointment has anti-inflammatory properties and inhibits the growth of connective tissue. It is used after blepharoplasty and eyelid pathology. Hydrocortisone ointment belongs to glucocorticosteroids, which explains the impressive list of contraindications and side effects.	The ointment is used within 2 weeks, treating the skin surface daily up to 4 times.

"Anti-scar" - promotes collagen production

The gel reduces cicatricial changes in the skin after wounds, burns, operations, acne, stretch marks on the body. The Mg-based Anti-Scar Ointment improves collagen synthesis and thus changes the structure of the scar, contributing to its disappearance. The drug has additional effects: softens the skin, increases its elasticity, reduces facial wrinkles and dissolves scars and stretch marks.

Kelo-cote - treatment of scars after surgery

The gel was released by the American company Advanced Bio-Techologies using a unique technology. Its main purpose is the prevention and treatment of scars after surgery. Fights with such types of scars: keloid, hypertrophic, atrophic and others. It is safe to use, therefore it is prescribed for both adults and children.

Apply Kelo-Cote on dry skin in the morning and evening for 60-90 days. After 2 months, the results will be noticeable: itching, pain, inflammation and induration on the skin will disappear. Also used to heal wounds and scratches.

"Rescuer" - helps with scars after burns

In case of household burns, it is recommended to apply the Rescuer with a thin layer on the affected area of the skin. The ointment cleans the injured surface, disinfects it and promotes rapid wound healing, preventing the appearance of scars. Rescuer ointment is not hormonal, therefore it is not addictive.

Also, the drug can be used to treat sunburn. It soothes the skin, reduces redness and promotes faster healing.

Contraindications

The main contraindication to the use of the presented drugs is individual intolerance. Silicone preparations are hypoallergenic, and ointments based on plant extracts are used after an allergy test.

Contraindications and side effects vary depending on the type of drug. Glucocorticosteroids are prohibited during pregnancy and lactation. They remove pathological formations well, but are not used in childhood and kidney disease.

If it is not possible to cope with scars with the help of external drugs, then lidase injections are used. The procedures are carried out daily or every other day. One procedure requires an ampoule of lidase.

A dermatologist can choose an effective and safe drug based on the clinical picture. A positive result is obtained by complex treatment with the use of ointments and physiotherapy.

Most often, the seams after the operation are treated with iodine and potassium permanganate. In addition to iodine and manganese-sour potassium, in modern conditions, you can use various ointments to heal stitches.

On what day after the operation the stitches are removed, care of the postoperative stitch

On what day after the operation are the stitches removed and is the scar care necessary? Most operations require an incision in the patient's tissue. For older people, it will take much longer for the incision to heal (about 2 weeks). The decision of when to remove the incision should be made by the attending physician. For this, indicators of age, health, and the characteristics of a particular operation are taken into account. The stitches require processing for two weeks after the operation. If they are damaged, the skin is re-traumatized and the cosmetic suture may become more noticeable. The time for removing the stitches may vary slightly depending on various factors - the nature of the operation, the depth of the incision, the patient's health.

The process itself, inherent in the healing of stitches after surgery, is quite lengthy and not always painless. The defect in the tissue is minimized, due to collagen, the scar becomes durable. Due to epithelialization, the body's ability to resist microbes, of which there are many near the wound, increases. Usually, the stitches heal by about the fifth day, if there were no complications.

You can solve the problem with the help of ordinary hydrogen peroxide, which is soaked through the bandage, allowing it and dried blood to get thoroughly soaked. Many people are often interested in whether it is possible to process stitches after surgery with traditional medicine.

But I will not write how and how to process the suture at home after the operation. One thing I can say, when you leave the hospital, as a rule, there are stitches that should be removed in about a week. Just add, I smeared it a couple of times - with brilliant green, despite the fact that the seam was not inflamed. I processed the seam after the operation with ordinary brilliant green. My mom recently had surgery to remove a tumor in her neck. The stitches have not yet been removed, the threads are sticking out. The next day they let me go home and told me to come back three days later to see if the stitches were removed or not. In the hospital, they were treated only with alcohol and at home they were told to treat with alcohol or vodka.

For the first few days, the care of the stitches after the operation is carried out in the hospital where it was performed. It is not difficult, the main thing is to follow the rules of asepsis, that is, wash your hands before treating the wound, do not touch the wound with your hands. Try not to stick the patch on the same places so that there are no bedsores. In cases with profuse bleeding or prolapse of internal organs into the wound, you need to call an ambulance, which in a supine position will take the patient to the department where he was previously operated on. If its immune system and other systems are strong, then the body copes with stress such as surgery and the postoperative period goes smoothly.

The threads are usually removed 6 days before discharge. While taking a shower, in no case should you press hard on the seam area and use hard sponges for washing. This can cause keloid scars to develop. Look after the outer seams, which are applied to the perineum.

Folk remedies for healing stitches after surgery

There are many traditional medicine methods that effectively affect the treatment of patients after surgery and the healing process. Chopped fruits of Japanese sophora (2 cups) must be mixed with goose or badger fat (2 cups). After thorough mixing, the ointment obtained at home should be poured into a glass or ceramic container. The crushed roots must be poured with an alcohol solution (water and alcohol equally).

One of the options is contrux ointment. Its use can be started after the wound begins to heal. It is not only applied to the skin, but also makes applications, used for washing. For a greater effect, you need to cover the top with a piece of polyethylene and a thick cloth made of natural materials.

Infected, purulent stitches cannot be treated on their own. Two to three weeks after the removal of the threads, phonophoresis with special absorbable solutions can be used. In this case, the stitches heal faster, and the scars become subtle.

If you wish, you can also use ordinary brilliant green, which must be treated every day, for 6 days. It is very convenient to do this with ordinary cotton swabs. The problem is that under this medication it is often not visible how the wound heals and whether any complications have appeared. Often after the operation, for one reason or another, the seams diverge, which causes severe pain and the appearance of unpleasant discharge. In such situations, doctors, as a rule, resort to Vishnevsky ointment. This remedy helps to remove pus from the wound and promotes its early healing.

When a person is still in the hospital, the state of the postoperative suture is monitored by the medical staff. But after being discharged home, you will have to take care of the scar care yourself. But whether it will be thin and almost imperceptible or thick and convex largely depends on caring for it. If the suture is left untreated, complications are possible.

Initial seam treatment at home

And while taking a shower, and while dressing, and at any other time, you must not touch the seam or exert any mechanical effect on it. The first time it is necessary to apply a sterile bandage to the seams. Castellani liquid or fucorcin is best suited for this.

Often, after the operation, a seal is observed under the suture in a patient, which was formed due to the accumulation of lymph. As a rule, it does not pose a threat to health and disappears over time. If you observe the listed symptoms in yourself, contact the surgeon who operated on you. Even if later it turns out that the resulting lump is not dangerous and will resolve on its own over time, the doctor must examine and give his opinion.

The more difficult the operation was, the deeper the scar can be and the more difficult the healing process is. Hypertrophic scar - appears when suppuration occurs over the formation or the suture suffers injury. To avoid such a scar, you should take care of the seam with special ointments. The advantages of this suture are that the material is not rejected by the body and is absorbed. This product should be applied in a thin layer so that the skin receives the necessary substance and can breathe. This is not an ordinary, but a special patch that should be applied to the suture site after surgery.

After hygiene, blot the seam with a bandage.

Attention, in each case, recommendations for the treatment of wounds can only be given by the operating surgeon. In situations specified by the doctor, as well as: if the seams interfere (cling to clothing) or the wound is on a rubbing surface, it is possible to conduct wounds under bandages. If you have stitches that do not dissolve, they must be removed in the surgery on the day your surgeon has appointed. Before this period, interventions for scar correction are not recommended if you do not like its appearance (laser resurfacing or surgical correction).

The main advantage of the drug is the practical absence of an allergic reaction in patients, due to which the drug can be used during pregnancy and lactation. It is applied to the immediate area of the lesion every day until the discharge disappears completely. Dimexide is a solution widely used in postoperative practice. Also, be sure to read the article on how to get rid of scars after surgery.

The operation suture, which was applied with the help of threads, must be removed on time. A medical worker should remove the threads if there are special disinfected instruments. However, if it is not possible to visit a doctor, and the time has come to remove the threads, you need to remove the foreign material yourself. It is not recommended to touch the staple seams or wire on your own.

Any operation - planned or performed urgently - is stress for the body, in response to which it activates a whole cascade of reactions. They are also launched in the skin on which the incision is made. And the larger the intervention, the worse the blood supply to the integumentary tissue and the more genetic features in its enzyme systems, the higher the likelihood that postoperative scars will appear at the incision sites.

So that they do not spoil the appearance, do not dictate the style of clothes to be worn and do not deliver an uncomfortable feeling of tightness of the surrounding tissues, they must be removed. We will talk about the ways in which this can be done.

Why do postoperative scars appear?

The formation of such defects depends on many factors:

Was the incision made along Langer's lines (this is a conditional diagram showing in which direction on a particular part of the body the skin will stretch as much as possible).
Whether the surgical approach was over the bony protrusion or over an area that is subject to tension or is forced to move frequently. For the treatment of diseases or for plastic surgery, an incision is not performed in such places, but if the intervention was carried out for injuries, to remove a foreign body or tumor, these features might not be taken into account.
The scale of the operation: if the intervention was made in the internal organs, after the incision, the skin was stretched to get to the desired cavity organ. Such stretching, especially in conditions of insufficient blood supply to the integumentary tissue (this increases with age) increases the chance of scarring.
How the postoperative suture was applied to the skin - were several stitches performed or the surgeon used an intradermal technique (using a fishing line that connects 2 skin flaps without interrupting its stroke). Some interventions - due to the severity of the subcutaneous fat layer - are forced to end with the installation of devices that allow "tightening" the skin. In this case, the chance of scar formation is 99%.
Was the seam suppuration or dehiscence occurring? These factors increase the chance of over-developing scar tissue at the incision sites.
Is there a tendency to form keloids, which is genetically determined.

Types of postoperative scars

How to remove the scar after surgery, the dermatologist decides by assessing the type of defect. There are 3 types.

Normally, after damage to the skin, 2 processes of the opposite direction are launched in it at once. The first is the formation of connective (that is, scar) tissue, the second is its splitting. When they are matched, a normotrophic scar is formed - an inconspicuous defect of the same color as the surrounding skin.

If the dissolution of the scar tissue predominates over its formation, the scar will resemble a fossa and be named. Such defects are more often formed after those operations that did not require stitching:, moles,.

With the predominance of education over destruction, a pinkish hypertrophic scar appears above the skin. Its appearance is facilitated by suppuration or constant trauma to the wound area. It is formed when the operation was performed in an area with a large amount of subcutaneous fat. The likelihood of the formation of such defects decreases if, after removing the stitches, you use an ointment to heal scars after surgery: "Levomekol", "Actovegin", "Methyluracil" or "Solcoseryl".

If there is a genetic predisposition to the skin, it can form. This is a formation protruding above the rest of the skin, having a pink or whitish color, smooth and shiny. It begins to grow 1-3 months after the removal of the stitches. The chance of its occurrence increases if the skin is dark, the operation was performed on the chest, the intervention was performed during pregnancy or adolescence. The appearance of this type of defect cannot be prevented.

Scar removal methods

The choice of the method by which the removal of postoperative scars and scars is to be carried out is in the competence of the dermatocosmetologist. Only he, based on an assessment of not only the type of skin defect, but also the blood supply to the integumentary tissue, can decide whether the following are applicable here:

ointment for scars after surgery;
injection method of treatment (mesotherapy, drug injections or steroid injections);
physiotherapeutic methods of influence;
deep dermabrasion;
the method of chemical peeling of cicatricial changes;
one of the mini-operations, when the scar can be removed either by exposure to liquid nitrogen, or by a laser, or by current pulses;
Plastic surgery.

Do not self-medicate: a folk remedy for postoperative scars often becomes a waste of time, which makes it difficult for a laser to cope with them later. The dermatologist will tell you exactly when you can try to apply the ointment, and when more aggressive methods are needed.

How to treat postoperative scars at home

At home, you can use such local remedies as: creams for resorption of scars after surgery, ointment-based preparations, special plasters. An excellent help for such therapy is the use of physiotherapeutic procedures (phonophoresis with lidase and hydrocortisone) and compression methods (pressure treatment, when the same drugs are applied under a pressure bandage).

Kelofibraza

This is a drug based on urea - a substance that dissolves tissues, as well as sodium heparin - a compound that thinns the blood (this improves microcirculation) and has an anti-inflammatory effect. Effective for removing fresh post-oeration scars.

Contractubex

It is a gel based on onion extract, which has an anti-inflammatory effect. It inhibits the growth of cells that give rise to scar tissue. This also includes heparin, which has anti-inflammatory, anti-allergic effects, softening scar tissue. The third main substance of the drug is allantoin, which promotes wound healing, increasing the ability of tissues to bind water.

Kelo-cat gel and spray

The preparations are based on silicone and polysiloxane. Together, they form a film on the surface of the scar, which will prevent the growth of scar tissue, restore interstitial water balance, eliminate itching, and a feeling of skin tightness.

Dermatix

It contains silicon dioxide (abrasive particles) and polysiloxanes. Its action differs little from the Kelo-cat effect: moisturizing the skin, eliminating itching, fighting scars and the appearance of pigmentation on them.

Skargard

This is a cream for scars after surgery. It contains silicone, the actions of which are described above, hydrocortisone, a hormone that has a pronounced anti-inflammatory effect, and vitamin E, which softens scar tissue.

Fermenkol gel

It consists of enzymes that break down collagen (collagen fibers form the basis of scar tissue). It can be used both for the treatment of fresh postoperative scars, and those that are more than 6 years old. In the latter case, it is better not to smear the scar, but to use Fermencol under the influence of electrophoresis.

Clearwin

This is an ointment based on natural ingredients, made according to an Ayurvedic recipe. Thanks to its active ingredients, it penetrates deep into the tissues, "switches" regeneration into them, so that they themselves begin to displace the scar defect, replacing it with normal skin.

Scar patch Mepiderm

It is a silicone patch that is combined with a compress

ionic (squeezing) layer. Such a complex creates sufficient moisture in the scar tissue, which leads to its rapid resorption.

It has various sizes, which allows you to choose it individually. Its color is flesh. Before applying, the skin must be treated with an aqueous lotion, dried with a dry cloth. It is advisable to remove the scalp at the site of application.

Contraindications to home treatment

It is better not to decide the question of how to smear the formed scar, while at the site of the defect there are conditions such as:

redness;
herpes;
the appearance of reddish blood vessels;
manifestations: weeping areas with individual blisters and crusts on them.

It is contraindicated to begin treatment of scars with an exacerbation of an existing chronic disease, with allergies, especially with its skin manifestations, during any infectious disease.

Treatment in a dermatocosmetologist's office

Let's consider what methods of scar correction are offered by professionals.

Mesotherapy

The method consists in the introduction of a "cocktail" of (the main natural "filler" of the skin), vitamins and enzymes, into the area near the scar. The effectiveness of the method is low.

Administration of glucocorticoid hormones

The method is based on the introduction into the scar tissue of preparations based on synthetic analogs of hormones produced in the human adrenal glands ("Triamcinolone acetate", "Hydrocortisone suspension"). There they, having a pronounced anti-inflammatory effect, should stop the production of connective tissue, and this will significantly reduce the scar after surgery.

This is how hypertrophic and keloid scars are treated.

Peelings

This is the name of exfoliation of the surface layers of the skin within the epidermis so that new, already healthy layers appear in their place. Since the scar is not the epidermis, but the connective tissue, there is no need to be afraid to cause deeper damage (the growth layer will still not be deformed due to its absence).

For the treatment of scars, mechanical peeling is performed (microdermabrasion, using small abrasive particles,) or its chemical analogue, when acids are applied (for example).

Removal of scars using deep mechanical dermabrasion

Cryotherapy

It is based on the effect of liquid nitrogen. It causes necrosis of pathological tissue, in the place of which healthy skin is formed.

The depth of cryotherapy is 100% uncontrollable. It may take more than one procedure to remove a scar. Healing after each of them up to 14 days, the wound is wet, it can become infected.

Laser resurfacing

This is the best way to remove scars after surgery. It involves the application of microburns on the very area of the defect (because of this, the scar is "compressed"), and on a small area around its perimeter. As a result of the last exposure, healthy skin begins to form, which displaces scarring.

For a complete correction, you may need not 1, but several procedures. Healing occurs under a dry crust, so infection is impossible here. The crust falls off after 10 days.

Scar correction using laser resurfacing

Surgery

Plastic surgeons know how to get rid of a scar after surgery if it occupies a large area, is keloid or hypertrophic. They excise the scar tissue, after which they either immediately apply cosmetic stitches, or close the defect with a flap of their own skin. The flap is pre-prepared so that it does not lose blood supply.