What are the methods of facial skin resurfacing surgery

The facial skin is the part of the human body that is exposed the longest. The quality of the facial skin can reflect a person's health. At the same time, the facial skin is also very easy to be damaged, such as severe damage, inflammation, etc. Therefore, the worst case for facial skin repair is to use skin resurfacing surgery. So, what are the methods of facial skin resurfacing surgery?

1. Simple excision and suture method: Simple excision and suture method is suitable for small and medium-sized facial scars of the third type. After the skin scar is removed, the wound is carefully closed with a small needle and fine thread, preferably along the skin grain, leaving only a thin scar line after the operation. Sometimes, for people with larger scars and tight skin, fractional scar excision can be used. However, the first and second operations are usually separated by more than half a year.

2. Facial scar excision and skin grafting: Scars of larger areas cannot be sutured directly after scar excision because these patients do not have much normal skin on their faces. At this time, you can fill in a whole piece of skin in a natural facial area according to the natural shape of the face (forehead, upper and lower eyelids, nose, upper and lower lips and mandible), and decide how many parts of skin to transplant based on the amount of scar removed. There is another method suitable for patients with facial scars covering the entire face, that is, the entire facial scar can be removed at one time; and a whole piece of skin can be transplanted. This can avoid the formation of scars at the connection points during partitioned skin grafting, and the postoperative appearance is better than that of partitioned skin grafting. The best skin grafts to use are full-thickness skin grafts or skin grafts with subdermal vascular networks, because after these two types of skin grafts survive as free transplants, the color of the face will not be too dark, and the cosmetic effect will be better.

3. Use skin flap method to repair scars: Since skin flap contains more subcutaneous fat tissue, in addition to being used to repair skin defects after facial scar excision, it also has the function of protecting deep tissues. Skin flap transplantation is also a commonly used method for scar repair near some facial organs. For example, defects such as nasal wing defects, ectropion deformity, and corner of mouth deformity all require cosmetic surgery based on skin flap transplantation. After skin flap transplantation, its color is closer to facial skin, and it can also be used to fill and repair some facial tissue defects. In addition, skin flap has better blood supply and higher survival rate than free skin grafting. Therefore, it is also a commonly used method in facial scar plastic surgery.