STITCHES AFTER SURGERY

Scar is the fibrous tissue that occurs after skin injury or after cutting the skin in surgeries. It is a physiological formation that occurs as a result of skin healing. Sometimes there may be some obvious wounds healing that can be seen very prominently or even cause blistering, although it may be too little to be certain. However, every wound healing, with or without stitches, necessarily results in more or less scarring. There are some factors that play a role in the formation of scarring. The most important factor among these is the genetic factor. Because as a result of the incisions made by the same surgeon in the same size, with the same instruments, exactly and in the same way, different scars can occur in different people.
Scar tissue is actually a biological process that occurs in the post-wound healing process that occurs not only in the skin but also in different tissues in the body. In the process of scar formation, if the collagen tissue is synthesized too much, the scars that occur in the skin with obvious fluffy and red color are called "hypertrophic scar". Those that are formed as a more prominent and tumoral mass are called "keloids". It usually occurs in people with black skin color. If there are so many scars that have occurred after the surgery, in this case, aesthetic surgery can be corrected.
Factors affecting scar formation:
- As the age progresses, the elasticity and thickness of the skin decreases. This is because the collagen in the skin changes and the adipose tissue decreases. For this reason, the healing of the skin tissue at an advanced age becomes worse, it takes longer, the scar may be more pronounced.
- Black race is more prone to scarring. Larger and thicker scars are formed.
- Genetics and family: A similar situation can be observed in people who are prone to scarring in their parents and siblings.
- Large and deep skin incisions tend to create more scar tissue. Because large cuts take longer to heal and the tension force on the wound becomes greater.
- Smoking may increase scar formation as it will delay healing of some wounds. For this reason, some plastic surgeons require no smoking for a few weeks before surgery.
- Since alcohol and caffeine cause loss of water in the body, it can increase the formation of sutures. Therefore, it is necessary to stay away until the wound healing is completed.
- A healthy and balanced diet affects the wound healing process. It is especially important to eat meat and dairy products and protein rich.
- It is important to drink plenty of water. When dehydrated, the skin elasticity decreases, which negatively affects wound healing.
- Overweight negatively affects wound healing.
- If your doctor has made suggestions about wound care after returning home, you should apply them without changing them.
- Infection at the wound site delays wound healing and causes excessive scar formation.
- Diabetes and other chronic diseases have negative effects. Keeping blood sugars normal before and after surgery in diabetes patients positively affects wound healing.
- It is necessary to avoid actions that put pressure on the wound, that is, pulling, stretching, and pressing the seam area. These delay wound healing and lead to excessive scarring.
- It is necessary to avoid excessive exposure of the seam to direct sunlight.
Maintenance of the sewing area:
- Before going home after the surgery, ask your doctor about how many days your wound should remain dry and when you can start bathing and apply them carefully.
- Check your wound for redness, discharge or bleeding every day.
- Avoid rubbing the sore spot and over the seams.
- Do not take threads or staples in the sewing area without your dotor unaware.
- Do not apply cream, oil, powder, lotion, etc. instead of sewing without your doctor knowing.
- Do not expose the seam area to direct sun for 3-6 months.
- If your doctor recommends, do the dressing appropriately.
- Avoid molding and moistening between the skin fold of the wound.
- Take care not to contaminate the wound.
Normal postpartum sutures:
If an episiotomy (birth incision) was performed at normal delivery, a slight stitch scar of 3-4 cm in length is usually evident on the outside. Episiotomy incision is frequently applied in the first births, but the frequency of administration decreases more in subsequent births. If an episiotomy incision has not been performed and a tear has not occurred, no scar or scar tissue will occur on the outside after normal delivery, as the suturing will not be removed.
Stitch marks after cesarean delivery:
Since the most commonly applied incision in caesarean section is an incision applied just above the horizontal and pubic hairs, even if the post-operative scar is evident, it usually stays under the clothes such as swimwear and bikini and is not visible from the outside.
Herbal solutions, oils, creams, ointments:
Such items should never be applied to the suture area without the doctor's advice. It may have objectionable and adverse effects. Some creams, ointments can be used for wound healing, according to the doctor's recommendation. Herbal solutions, herbs, herbal treatments do not benefit in wound healing or stitch scar.


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