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|Posted By : Dr.Priti Shukla, MBBS, MS, MCh, fellowship in cosmetic surgery USA|
|Posted On : 26 Jun 2008 (Total Views : 8906)|
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The word scar brings to mind the irregular long hatched marks one remembers seeing on the tummy of some relative who had surgery , or ugly marks left after an accident or some cut which was stitched in haste by a doctor/ nurse in emergency. . The word “scar” in medical language means any mark after any injury or surgery, however faint it may be. Plastic surgery is widely believed to be a scarless surgery. But do you really think any surgery can be performed without a cut- or without a scar? So what is the fact?
Plastic surgery scars differ from all other surgical scars because if well healed and matured , they look like fine line with no cross hatching. They are neither elevated, nor depressed and are skin coloured. The truth is that even plastic surgery involves cutting the tissues and thus a scar. Only difference is that plastic surgeons use special tricks to minimize the scar:
CONCEALED LOCATION: Plastic surgeons choose deep creases or hidden areas to operate so that scar is not obvious even if it is there.
Liposuction surgery can remove a lot of fat through 4 mm cuts. Similarly gynaecomastia surgery can remove enlarged male breast through a very small cut.
FINER MATERIALS AND TECHNIQUES:
Plastic surgeons use delicate instruments and fine suture material( threads), and fine needles. They also put a lot of absorbable stitches under the level of skin and sometimes avoid skin stitches altogether. Instead of using few coarse stitches on skin they use tens and hundreds of fine stitches, both under and on the skin. They use magnification to stitch exactly. These finer techniques are time consuming. Plastic surgery work can be equated to darning versus ordinary stitching.
EARLY STITCH REMOVAL:
Plastic surgery stitches are at multiple levels, therefore the outer skin stitches can be removed early , so there are no stitch marks. Sometimes there are no skin stitches at all, only stitches under the skin which need not be removed.
GOOD CARE AFTER SURGERY:
Plastic surgeons look after the scars till they are fully matured in 6 -12 months
All scars are not alike nor are all scars ugly- especially not the plastic surgery scars. Only in exceptional circumstances depending on individual’s scarring tendency, can the scars be prominent. Otherwise they tend to fade with each passing year.
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