Cosmetic Surgery Las Vegas Laser and Lipo
In order to make incisions heal more nicely, Cosmetic Surgeons consider how to make the incision, where the incision should be made, and how deep the incision should be. They also need to consider what layers to close, which will minimize tension on the wound, as well as bulging or indentation. They also need to know what type of suture they will leave in place, and how long it will stay there in order to treat and protect the wound as it heals, minimizing visible scarring.
Cosmetic Surgeons usually plan to make their incisions parallel to the existing lines of tension exhibited by the skin.
Incisions are made with a flowing, steady, even pressure rather than sawing. The incision is created in a perpendicular or beveled fashion in order to bring the new edges together in a slightly averted manner, so that an inward pucker is not produced as the incision heals. The skin may be undermined at the level of the fat and dead space closed with buried sutures in order to take pressure off the wound and stop indentation. Cosmetic Surgeons choose the size, color and type of skin suture, skin closures or staples to maximize healing and decrease the visible scar.
Skin goes through several stages of inflammation, remodeling, and finally relaxation over the course of weeks to months before wound healing is complete and strong. During healing, it is important to shield the wound from excessive traction that could pull it apart or widen the scar. Heat or sunlight can also induce hyper or hypo-pigmentation or pressure that could cause a permanent indentation.
Typically, after cosmetic surgery initial healing occurs in a warm, moist environment. Once the tissue is sealed, daily application of external silicone gel or a silicone dressing helps the wound heal smoothly and eliminates redness.
Redness and pigmentation can be further reduced or blended with low energy Intense Pulsed Light or Nd-Yag laser treatments starting at 6 to 8 weeks after the injury. Texture can be blended with fractional Erbium or CO2 laser if needed. Finally, if hypertrophic or keloid type healing seems to be occurring, it may help to inject the area with 5 Flourouracil and/or dilute steroids to reduce the inflammation which is causing the “over healing”, in addition to the above modalities.
Time heals all wounds…but some heal prettier than others!