FETHIYE SCAR SURGERY | OP. DR. UĞUR ÇAKMAK

Fethiye Scar Surgery | Op. Dr. Uğur Çakmak

Whether accident, surgery or injury; Skin wounds caused by skin inflammations, burns and different reasons carry a scar during the healing process and leave a scar on the skin. This tissue called scar can be a simple scar and can also be seen in the form of contractions and hardening that affect the patient's movement, even function.
Wound-related reasons: The wounds are seen in different ways according to the severity, depth and inflammation. Large and deep wounds leave much more and longer-lasting scars. Dirty, tense wounds with impaired blood supply cause difficulties for the patient in the healing process.
Causes related to the patient: These are the wounds that are directly related to the patient's attitude towards wounds. There are fewer scars in fair-skinned people and elderly people. Coarse scars may remain in dark skinned individuals. Despite all kinds of methods, the scars of swollen wounds in some people may be genetic.
Surgery related reasons: These are scars that occur during surgical interventions. Wounds, incisions and scars made in invisible areas and in proportion to body lines can be easily hidden. Stitches should not reduce the strength of the wound or increase the tension. Taking them as early as possible will prevent the formation of scars.
Systemic factors: Since wound healing may be delayed due to Vitamin A and Vitamin C deficiencies, scarring is possible. The use of steroids and immunosuppressive drugs also delays wound healing.

Factors such as diabetes, collagen synthesis disorders, radiation make it difficult for wounds to heal. Also smoking,
alcohol use; Lack of iron, zinc, copper and protein prevents wounds from healing.

Wound Healing Process

It consists of three stages.
1- Inflammatory (Inflammatory) phase: It is the first response of the body to protect against trauma. The aftermath takes 3 - 10 days. Collecting blood flakes to the injured area,
The contraction of the vessels and the cessation of bleeding, followed by the expansion of the vessels, the inflammation process occurs due to the inflammatory cells that rush to the injured area. If the wound is not closed immediately with stitches, it is left open,
The injured area will heal itself and the first phase will continue until new epithelization occurs until it is covered with the layer on the skin.

2- Proliferative (Proliferative) phase: It will last for 3-4 weeks and starts on the second day. There is an increase in the cells called fibroblasts under the skin.
New vessel formation increases and the wound lips contract in this process and makes an effort to reduce the wound. Then red tissue formation begins. In the wound, the tension strength increases and epithelization begins.

3- Remodeling phase: It is the process that starts from 3 weeks and lasts up to 2 years.
Although the wound is stretched and its strength increases, the tensile strength of the wound can never reach its original, natural strength. The scar formation process begins as an organized wound.