My friend's 10 year old son was attacked by a dog. Right now, he has 42 stitches on his right cheek. There are three different cuts along his cheek from the dog's teeth. I am wondering what can be done to prevent scarring and what my friend should or should not be doing to help the wounds heal properly? Thank you in advance for your advice.
April 8, 2010
Answer: Scarring can be optimized by topical silicone and massage Scarring occurs anytime there is a break in the skin down to the middle portion of the dermal layer, such as with a cut or puncture wound. Unfortunately, it sounds as if the cuts are deep enough to scar. While scarring can't be completely avoided, the cosmetic appearance can be optimized by using cosmetic reconstructive techniques during the repair. Now that the repair (suturing) is done, there are 4 things you can do to help optimize the ultimate scar: 1. Keep the area moist with ointment over the next 2 weeks. Polysporin works great, but so does petrolatum (Vaseline) or Aquaphor. Try not to let the area dry out and form a thick scab 2. Minimize activities for 2 weeks. No excercise or any activities that will put stress or tension across the wound and spread the wound. 3. After 2 weeks of healing, apply topical silicone to the area for 2 months. This can be silicone sheeting worn at night while you sleep, or silicone gel to the area. Silicone is the only topical product proven to help with scarring. 4. After 4 weeks of healing, begin massaging the area. Use medium pressure and massage 5-6 times a day for 45 seconds to 1 minute. Scars take several months to improve. If, after 2-3 months, the scar is not where you would like it to be, see a dermatologist or plastic surgeon to talk about other options such as dermabrasion, steroid injection, or laser treatment.
Helpful
April 8, 2010
Answer: Scarring can be optimized by topical silicone and massage Scarring occurs anytime there is a break in the skin down to the middle portion of the dermal layer, such as with a cut or puncture wound. Unfortunately, it sounds as if the cuts are deep enough to scar. While scarring can't be completely avoided, the cosmetic appearance can be optimized by using cosmetic reconstructive techniques during the repair. Now that the repair (suturing) is done, there are 4 things you can do to help optimize the ultimate scar: 1. Keep the area moist with ointment over the next 2 weeks. Polysporin works great, but so does petrolatum (Vaseline) or Aquaphor. Try not to let the area dry out and form a thick scab 2. Minimize activities for 2 weeks. No excercise or any activities that will put stress or tension across the wound and spread the wound. 3. After 2 weeks of healing, apply topical silicone to the area for 2 months. This can be silicone sheeting worn at night while you sleep, or silicone gel to the area. Silicone is the only topical product proven to help with scarring. 4. After 4 weeks of healing, begin massaging the area. Use medium pressure and massage 5-6 times a day for 45 seconds to 1 minute. Scars take several months to improve. If, after 2-3 months, the scar is not where you would like it to be, see a dermatologist or plastic surgeon to talk about other options such as dermabrasion, steroid injection, or laser treatment.
Helpful
April 8, 2010
Answer: Scar treatments Use vitamin E cream, aloe, lanolin, silicone sheeting, hydrocortisone, or combinations of these. Rub in daily. If not helping than IPL laser next therapy. Hope this helps. From MIAMI Dr. B
Helpful
April 8, 2010
Answer: Scar treatments Use vitamin E cream, aloe, lanolin, silicone sheeting, hydrocortisone, or combinations of these. Rub in daily. If not helping than IPL laser next therapy. Hope this helps. From MIAMI Dr. B
Helpful