After surgery, especially for cosmetic surgery procedures, wound healing involves the same phases as any other healing process. Intervention preparation, aseptic measures and sterilization conditions in the operating room protect against infectious risks and facilitate the formation of normal healing after removal of stitches. However, in many cases, scarring is of poor quality and may leave scars more or less marked resulting in aesthetic and psychological damage to the patient.
The purpose of this article is to propose a complete approach to ideally support the postoperative scar.
After the intervention, the shower of the patient is allowed in the absence of infectious risk and the changes of dressings will be done after a cleaning of the wound according to a predefined frequency depending on the wound. But the monitoring must be regular to verify the good course of healing and to prevent the dressing engorges secretions, which could cause maceration.

There are several types of abnormal scars, including:
It is a scar that normally evolves until around the 3rd week but continues to swell beyond this period, which can become very red and painful. Then, after a few months, it will present a relatively large relief which however tends to decrease spontaneously after one or two years.

It is a fibrous, puffy scar that is hard to the touch, sometimes painful and may be the site of many small vessels (telangiectasia). This evolution is seen generally from the inflammatory phase of healing. Keloid scars can produce pruritus and, contrary to what is sometimes heard, the cause and the factors that promote the formation of this type of scar are unknown.

They often result from a lack of subcutaneous support and occur in case of lack of blood supply and can be promoted by corticosteroid treatment.

Darker pigmentation may appear in case of circulation problems or on black or very dark skins.

It is also important to identify some factors that may delay
healing and, as a result, promote the formation of an abnormal definitive scar. These factors may be local, general or secondary to treatments:

• Among the general factors: smoking, malnutrition, stress, hypovolemia, vascular diseases such as diabetes, kidney failure, immune deficiency and certain genetic diseases.
As mentioned above, it is clear that many factors can hinder a good healing process, so adopting measures to promote good healing is essential, especially to avoid the damage that the scar could add to the initial damage of the operation. . This need is even greater in cases of cosmetic surgery. These measures include:

Mechanical dermabrasion:
It has the same indications and objectives as the chemical peel, except that it is carried out mechanically generally using a rotary electric drill with rough surface. The level of abrasion is controlled by the speed of rotation of the cutter and the pressure exerted by the operating doctor.
Dermarollex® is the leading brand of dermarollers for gentle dermabrasion. It’s a great quality with solid titanium steel needles for better comfort. After years of research, scientists have developed a micro-needle device, which is used by leading cosmetic dermatologists for quick and effective results.

The results obtained with Dermarollex® are not temporary but can last several years.

The Dermarollex® device effects on cicatrisation:
• Increases the penetration of cosmetics deep into the skin.
• Promotes healing by stimulating the production of collagen and elastin in the skin without damaging it.
• Promotes the synthesis of new blood vessels without damaging the epidermis.
• Promoting the removal of surgical scars and stretch marks.
• Anti-aging

The use of healing cream:
Scar Repairex® Ultra Cream is formulated specifically to avoid and reduce old resistant scars in Asian, African and ethnic skin. This cream often helps to recover a healthier and smoother skin than before. Scar Repairex® Ultra contains professional strength active ingredients to promote rapid healing with minimal scarring.
Among these active ingredients are silicones, vitamin E, retinaldehyde, hyaluronic acid, salicylic acid, bromelain, rutin, allantoin. They work together to:

• Reduce the size of the scar, and reduce itching.
• Reduce inflammation and promote healing.

Scar Repairex® Ultra is a high-strength silicone cream that has a clear micro-film, which provides maximum hydration and occlusion to encourage healing and counteract scars.

Highly resistant anti-inflammatory agents reduce the healing stimulus, causing healing of the injured dermis.

Scar Repairex® Ultra also contains 10% vitamin C, essential for healthy collagen formation.

As a medical practitioner, I strongly advise the use of Scar Repairex® Ultra twice daily with the Dermarollex dermaroller for effective management of post surgery scars, especially after Tummy tuck interventions.

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