The Optimal Scars of Facial Skin Wounds, Operational Technique and Conditions Used for Healing

Nino Chuchulashvili

We were aimed to achieve cosmetically and functionally acceptable scars after surgical operation in case of facial skin wounds. 36 consecutive patients with facial skin wounds were selected for study. They underwent restorative surgical operation. Wounds were processed by the method elaborated and suggested by us. Among these 36 patients 11 had traumatic cutaneous wounds and 21 had postoperational wounds. Dexasone with the dose of 4 to 8 mg or dexamethasone were administered in wounds. In the process of suturing magnifying glass (binocular lens - with magnification 6x) was used and wounds were sutured with the use of subcuticular continuous suture that had been modified by us. The operational technique was as following: needle pricking was performed at the epidermal and dermal border vertically, through the full thickness of the dermis and then pricking out on the opposite edge of the wound at the same level and depth. After removal of sutures, the scars were processed by Contractubex ointment applications. In all cases wounds were healed by first intention.

Keywords:  wound, scar, healing, subcuticular continuous suture, Contractubex, dexamethasone