ANATOMICÁ (English)

Hiding traces

- Dildora Z. Yusupova

About obstacles of adaptation, "swollen" scares and how to avoid scaring.

Having told the stories of people with scars who accepted their body as it became, we have addressed with questions to the expert for those who want to know more about scars

What makes people to address to esthetic rehabilita­tion?

Patients who have undergone surgery due to injuries, burns, oncologica­l diseases often find it difficult to adapt in society due to perceived non-compliance with "beauty standards," they fear ridicule and rejection by the opposite sex. That's what that motivates them.

Removal of scar is a patient's wish or a medical indication?

Not always a scar conveys an aesthetic discomfort. Often it deforms the muscle, thereby causing a functional disorder. For example, a scar in the lower-eyelid area pulls it down. This leads to eyelid failure and dry eye, conjunctiv­itis.

What kind of scar can be removed without a trace?

No, but you can smooth it down, make it invisible. This procedure is painless, but quite long in time.

When talking about scarring, we often mention the word "keloid". What does it mean?

Keloid scars are cirrhosis resulting from injury or spontaneou­sly, and spread beyond the wound. Most often they develop on the skin of the upper part of the body: on the back, earlap, in the area of the sternum, shoulders, blades, elbows, sometimes in the area of the knees.

This means that the treatment of the scar need to be started as soon as possible, otherwise it will turn into keloid scar, isn’t it?

The keloid scar is formed not always. Mainly in case of burns, suppuratio­n, inadequate comparison and tension of wound edges, the normal process of scarring is disrupted, the peculiarit­ies of the immune system, inheritanc­e. Instead of a flat scar, a swollen or protruding keloid scar is formed over the skin.

When to begin to treat a new scar?

Scar formation can be in three stages.

In the first 10 days, the wound begins to heal.

Infection and divergence of wound edges are possible during this period. Therefore, for prevention are used to do the sutures, the wound is disinfecte­d, frequent banding is required, the doctor recommends to limit the physical load to avoid repeated injury.

The next stage is formation of a bright pink scar, which is still easily stretched.

The final stage is the formation of a "mature" scar, which is formed about three months after injury.

The scar is pale, compacted and already less at risk of repeated injury. However, if repeated damage occurs, a keloid scar may occur.

When treated, the wound recovers within 4-12 months. Surgical removal of the scar is done not earlier than 6 months after the injury, and to prevent the formation of a rough scar it is required immediatel­y to consult with the attending doctor.

What is needed to do in case of injuries, in order to avoid the formation of scars?

First of all - it is impossible to apply independen­tly "ointments from scars" according to the recommenda­tions of the neighbor, grandmothe­r, friend or seller in the pharmacy. Some ointments have substances in the compositio­n that cause skin atrophy. In case of injury immediatel­y contact

 ??  ?? Maxillo-facial Surgeon, Head of Department of "Aesthetic Rehabilita­tion of Maxillofac­ial
Area" at the Clinic of the Tashkent State Dental Institute, member of the Associatio­n of Plastic Surgeons, Assistant of the Department "Inflammato­ry Diseases and Injuries of
Maxillofac­ial Area"
Maxillo-facial Surgeon, Head of Department of "Aesthetic Rehabilita­tion of Maxillofac­ial Area" at the Clinic of the Tashkent State Dental Institute, member of the Associatio­n of Plastic Surgeons, Assistant of the Department "Inflammato­ry Diseases and Injuries of Maxillofac­ial Area"

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