Injuries, Trauma, Lacerations

You or your child has fallen and sustained a significant laceration to the face, arm, leg or anywhere else…what are your options?

For many lacerations and injuries, treatment at a medical aid unit or emergency room will be more than adequate and provide with an acceptable scar. But if the cut is complex, jagged, irregular or simply somewhere very cosmetically important (eyelid, lip, etc.), the board certified plastic surgeons of Advanced Plastic Surgery & Nouveau Cosmetic Center near Wilmington, Delaware can lend their expertise to help minimize the scar. Unfortunately we cannot perform ‘scarless’ surgery or ‘erase’ the scar from the injury, but what we can do is everything possible to minimize that scar and maximize your or your child’s aesthetic outcome.

Highlights

  • Traumatic injury is identified and plan of repair
  • Local anesthesia utilized (topical and/or injectable)
  • Neatly approximated repair with small sutures
  • Early removal of sutures to prevent ‘train tracks’
  • Post procedure scar care
  • Can be done ‘next day’ with optimal results

Procedure

Depending on the person, the injury location and severity, topical anesthetic or injectable anesthesia is utilized to numb the area adequately for the procedure to begin.

As noted, these repairs are often performed in our office, and since not all injuries will occur during the day while the office is open, people are often instructed to come the next day. Why is this ok you ask? Or perhaps your pediatrician or doctor has told you it must be closed immediately? The answer is with the fine details of scar optimization and management that we utilize we can maximize your outcome.

Since most traumatic wounds were not created with a razor sharp scalpel, there is often a jagged, irregular, and traumatized wound to deal with. By removing a tiny bit of tissue from the edges of the wound we are able to turn your traumatic damaged wound into a razor sharp controlled and new surgical wound for closure. This is the first step in ensuring the wound has the best chance of healing.

Following this the fresh, sharp edges are tediously and precisely put together with our best skill to ensure the edges will heal nicely together and limit the scar by keeping it even and narrow.

What to expect

Most areas are treated with a topical antibiotic ointment 2-3 times per day. The area is kept dry for the first 24-48 hours depending on location and strenuous exercise, sports, gym is restricted for the first 2-3 weeks.

Sutures are removed when appropriate, but usually within 4-7 days to ensure adequate healing but also to prevent the dot mark/train tracks that are associated with leaving sutures too long.

Scar optimization

After the meticulous repair, appropriate suture removal, a program of moisturizing, massage, and optional treatments are discussed and begun. Moisturizers are started at 2-3 weeks after the injury and may be basic or can utilize advanced scar treatments such as Mederma or NewGel+E. Additionally IPL (intensed pulsed light) a laser type technology, can be added to minimize the scarring as well.

Who Should I Call…

Advanced Plastic Surgery Center located in Newark, Delaware, is convenient to Wilmington, Elkton Maryland, Chester County Pennsylvania, and Southern New Jersey. Our well trained staff and highly qualified surgeons are available to assist you with your cut or laceration to ensure the least noticeable scar possible. Please contact us today or have your pediatrician or medical aid unit do so to discuss the best options for your injury