Will I have railroad tracks from the stitches on my face? (photo)

Question

I got the stitches on Thursday morning and got them out Monday morning. They were extremely tight. I also got hit in that area a few times while I had the stitches.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

Based on these photos, I would consider going to see a plastic surgeon or a dermatologic surgeon who specializes in scars.  You have larger than normal suture placement and they appear to be irregularly spaced, which makes me concerned for track marks.  I would be using a silicone based scar gel (biocorneum) at this time, and consider getting laser treatments as soon as 3 weeks after the sutures are removed to prevent any future scarring.  Best, Dr. Emer.

Nicholas Husni, MD, PhD, FACS · Answer

Too soon to tell, but you will likely get some suture marks.  Ask your surgeon about silicone sheeting for the scar to lessen its appearance.  Best of luck.

Darryl J. Blinski, MD · Answer

From the posted photos was this a ER doc or PA doing the repair? Seems very under experienced in laceration closure. Seek IN PERSON consults with Plastics...

Will I have railroad tracks from the stitches on my face? (photo)

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