plastic surgery procedures

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cosmetic surgery procedures
  • BOTOX Cosmetic
  • Restylane
  • Perlane
  • Juvederm Ultra
  • Juvederm Ultra Plus
  • Radiesse
  • Sculptra
  • TCA Chemical Peel
  • Cosmelan Mask
  • Refinity Peel

Healing and Scars

introduction and phases of wound healing
personal factors that affect wound healing - nutrition, fluids, smoking
personal factors that affect wound healing - diabetes, movement, steroids, alcohol, stress, sun exposure, other factors
surgical and post operative factors that affect wound healing
healing supplements - arnica
healing supplements - bromelain, vitamin K cream
scar formation and treatment
hyperbaric oxygen therapy

Personal Factors That Affect Wound Healing

Diabetes -Diabetes is a disease in which blood glucose (sugar) levels can swing out of control. Studies show that high levels of sugar in the blood impair healing. In addition, the physical stress of surgery can cause blood sugar levels to deviate from their norm.

If you have diabetes, careful monitoring of blood glucose to keep it within normal levels (80-120) will be required during after surgery to maximize your healing potential and keep you safe.

Movement - Too much movement can cause fluid accumulation (swelling) and prevent cross-linking of collagen and fibrin which are necessary to hold the wound together. In more drastic cases, the force of movement can pull the incision apart. Your doctor may limit your mobility with special instructions or post op garments to speed your healing.

Steroids- Systemic steroids commonly used to treat inflammation, pain, asthma, or allergies can significantly slow healing and thin the skin. Many surgeons will not operate on patients taking chronic steroid medications such as prednisone, methylprednisolone, prednisolone or dexamethasone. (Steroid medication names usually end with the letters -sone or -one).

Alcohol - Alcohol thins the blood, slows healing, and increases bruising. You should stop drinking at least 1 week before surgery, and abstain for 1 week after or longer if you are taking narcotic pain medications.

Stress- Studies have shown that your mood affects your ability to heal. Optimistic, positive personalities heal more quickly than depressed, anxious individuals. Stress, sleep, and hormone levels can contribute to your mood and your healing potential.

Sun Exposure- Sun exposure can cause darkening and thickening of scars for up to a year after surgery. Therefore, your incisions or wounds should be covered during the day and blocked from UV light to prevent this needless complication. Sun-block can be applied usually after 2 weeks, but check with your doctor for approval.

Other Factors Out of Your Control-There are some things you have no control over when it comes to healing. Oily, thick skin heals better than dry, thin skin. Younger people heal quicker than older people, but by the same token, this also means that younger patients tend to form thicker scars because they're youthful bodies are very good at building collagen. Those with chronic illness, poor nutrition and low hormone levels also heal poorly.

To Next Section - Surgical and Post Operative Factors That Affect Wound Healing

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