Treatment of post-operative and post-traumatic defects and scars
Care of postoperative wounds and scars is essential not only to ensure functional healing, but also to achieve an aesthetic result. At the Hello Beauty Clinic in Pilsen we offer a comprehensive approach to the treatment of post-operative and post-traumatic defects. This article will introduce you to the importance of scar care, modern therapeutic procedures and proven methods that promote fast and quality healing.
Key stages of post-operative care
Wound healing is an essential process in post-operative care that significantly affects the final functional and aesthetic outcome of treatment. This phase involves complex biological mechanisms and requires careful attention from both the medical staff and the patient. The correct course of healing is not only important to minimize the occurrence of complications, but also to prevent the formation of unwanted scars and to restore full functionality of the affected area.
Inflammatory phase
This phase begins immediately after the wound is created. Blood vessels dilate and blood flow to the area increases, allowing the flow of white blood cells that remove bacteria, dead cells and debris. Inflammation is necessary to begin healing, but prolonging it too long can slow the recovery process and increase the risk of complications such as infection.
Proliferative phase
During this phase, granulation tissue begins to form and fills the defect. New blood vessel growth (angiogenesis), collagen production and repair of the damaged epithelium occur. The process is dependent on adequate nutrition, hydration and the maintenance of a suitable environment for healing.
Remodelling phase
The last phase can last for several months. The collagen fibers gradually reorganize, the tissue gains strength and the scar becomes less noticeable.
Proper management of these processes is crucial. Inadequate care, infection or poor wound handling can lead to wound deterioration, pathological scarring or even functional limitation.
Manual therapy and taping - modern approaches to scar treatment
Manual therapy and taping are among the most effective methods to influence the appearance, elasticity and functionality of scars. These approaches can not only improve the aesthetic impression, but also prevent problems such as adhesions, soreness or limited mobility around the scar. These techniques are non-violent, non-invasive and can be tailored to the individual patient's needs.
Manual therapy involves targeted massage and manipulation of the scar and surrounding tissue. It can be started shortly after the sutures have been removed and the top layer of the wound has healed. The most common techniques include:
- Stroking and gentle circular movements - These help to release surface tension and improve skin elasticity.
- Aces Stroke - Used to gently loosen the scar and improve mobility of the surrounding tissues.
- Longitudinal scar stretching - Contributes to the removal of adhesions between the subcutaneous tissue and surrounding structures.
Manual therapy is suitable not only for new scars, but also for older ones that may be stiff, painful or prominent. Regular massage promotes blood circulation, accelerates recovery and reduces the risk of hypertrophic or keloid scars.
Taping promotes healing with advanced technology. Kinesio-tape is an elastic cotton tape that is applied to the scar and surrounding tissue. Its main function is to:
- Promote blood and lymph circulation - Better blood circulation speeds up healing and reduces swelling.
- Prevention of adhesions in the subcutaneous tissue - The elastic bandage gently lifts the skin, releasing tension between the different layers of tissue.
- Improving scar mobility and elasticity - Proper application promotes natural elasticity and prevents restrictions in movement.
Types of taping and their uses. There are two basic techniques of taping, which are chosen according to the shape, size and nature of the scar:
- The cruciform method - Suitable for smaller scars or irregularly shaped scars. Tape is applied in a grid shape, which ensures even distribution of pressure.
- Striped method - Used for longer, linear scars, such as scars from surgery or caesarean section. The strips are glued lengthwise with a slight overlap over the edges of the scar.
Practical procedure for applying the tape. Taping requires precision and regularity. For maximum effect, the following steps should be followed:
- Tape preparation - Cut the tape into strips approximately 0.5 cm wide. If the scar is longer, use longer strips to cover the entire length of the scar.
- Applying the tape - Remove the middle part of the backing paper and apply the tape, slightly stretched, to the scar. Attach the ends of the tape without further tension to avoid excessive pressure on the skin.
- Regularity and control - Taping should be done regularly, usually every two to three days. The tape must not cause uncomfortable tension or irritation.
For best effect, it is ideal to combine manual therapy and taping. Manual massage will prepare the tissues for the application of the tape and increase their elasticity, while taping will prolong the effects of the massage and provide long-term healing support.
Scar care - prevention is key
Proper care of the scar from the very beginning plays a key role in how it will heal and what its final appearance and functionality will be. Immediately after surgery or injury, it is important to follow a few basic rules to help minimize complications and promote the healing process.
Start by making sure you keep it clean. It is not advisable to soak a fresh scar in water, such as while bathing, as excessive moisture can interfere with the healing process. Instead, it's ideal to just gently shower the scar with lukewarm water and then gently dry it with a clean towel or sterile wipe without rubbing it. Another important step is to protect the scar from UV rays. Direct sun or tanning beds can significantly worsen the appearance of the scar, causing it to become pigmented and slowing healing. Therefore, it is essential to avoid sun exposure for at least three months, or use creams with a high SPF if sun exposure is unavoidable.
The mechanical load on the scar is another factor to pay attention to. Avoid wearing tight clothing that could irritate or compress the scar. It is also advisable to limit activities that excessively strain the skin in the scar area, such as vigorous physical activity, lifting heavy objects or sudden movements. Skin hydration plays a vital role in proper healing. The scar needs to be lubricated regularly to prevent drying and cracking. Oily creams such as calendula ointment, unsalted lard or special scar care products are great for this. Regular lubrication will keep the skin supple and promote its regeneration.
Treatment of pathological and older scars
Scar care does not stop even after years. Older or pathological scars can become active and cause discomfort such as soreness, stiffness or restricted movement. These problems can be effectively addressed with manual therapy, which focuses on restoring tissue elasticity and alleviating the scar's negative impact on the musculoskeletal system.
One proven technique is the "ace stretch", in which the scar is gently massaged in curves resembling the letter S. This method helps to release tension in the subcutaneous layers and improve tissue elasticity. Another option is 'stretching the scar apart', where the skin around the scar is gently stretched in opposite directions. This can prevent adhesions that could impair mobility and cause pain.
Manual therapy is always adapted to the age of the scar and the individual needs of the patient. Regular care and cooperation with a specialist, such as a physiotherapist, can bring significant improvements not only in aesthetics but also in the overall functionality of the area. While it may seem that older scars can no longer be affected, the right techniques often yield surprisingly positive results.
Aesthetic correction at Hello Beauty Clinic
Injuries, burns, surgical interventions or plastic surgery often leave scars and defects on the skin that can have a significant impact not only on appearance but also on psychological well-being. At Hello Beauty Clinic, we specialise in addressing these post-trauma and post-surgical defects using modern and effective methods of aesthetic correction.
Scars, whether common, hypertrophic, atrophic or keloid, require an individual approach. Depending on their type and nature, we offer several treatment options:
- Injectable Therapy - The use of substances such as corticosteroids or hyaluronic acid helps reduce the height, redness, and uncomfortable appearance of scars.
- Microneedling - This technique stimulates collagen production using fine needles, improving skin texture and making the scar less noticeable.
- Laser Therapy - Using different types of lasers, we can soften the appearance of scars and restore skin elasticity to the affected area.
- Chemical peels - Using specific acids, we encourage skin cell renewal, which leads to improved skin texture.
- Surgical correction - For extensive and deep scars, it is sometimes necessary to perform a surgical procedure to achieve a significant aesthetic improvement.
In many cases, we combine different techniques to achieve the best results, with treatment always tailored to the individual needs of the patient.
Addressing tissue loss after trauma
Another common problem is tissue loss that occurs after more severe injuries. We offer two main methods to replenish the missing volume:
- Hyaluronic Acid Fillers - This technique allows the affected area to be precisely filled with cross-linked hyaluronic acid. Although the result is not permanent and requires repetition, it is an effective and gentle method.
- Transfer of your own fat (lipotransfer) - Fat taken from an area where there is plenty of it is injected into the area with tissue loss after cleaning. This method offers a natural and long-lasting result.
Each patient comes with different needs and expectations. That's why at Hello Beauty Clinic we emphasize individual attention and collaboration. Our experienced practitioners will design an optimal solution that fits your specific situation and provide care that will not only promote your aesthetic appearance, but also your self-confidence.
If you are concerned about post-operative defects or scars, do not hesitate to arrange a free consultation.
