SCAR REVISION FAQS 瘢痕修订的常见问题
Frequently asked questions (FAQs) are intended to answer a lot of the most commonly asked questions that you may have about a specific procedure.常见问题（ FAQ ）旨在回答了许多最常见的问题，您可能对某一特定程序。 By dividing the sections into procedural categories, you may be able to find the answer to the question you are seeking more easily.除以节，分为程序类别，您可以找到问题的答案您正在寻求更容易。 Please remember that what you read in this section is only intended to provide you with a general answer to a question and should not be considered in any way a substitute for a personal consultation with Dr. Lam.请记住，你阅读本节仅向您提供一般性回答问题，而不应被视为任何方式代替个人协商，蓝田博士。
I recently had an accident and have a very ugly scar. 我最近有一次事故，有一个非常丑陋的疤痕。 What can Dr. Lam do to help me? 怎么蓝田博士做能帮助我吗？ It is always a good idea to meet with Dr. Lam in consultation first to determine whether anything can be done early on after your injury.它始终是一个好主意，以满足蓝田博士第一次协商，以确定是否什么都可以做早期在您的伤害。 Scar revision prior to 6 months following an injury is oftentimes too early to intervene.疤痕修订前6个月以下的损伤往往过早进行干预。 In most cases, scar revision prior to a year following your injury can also be too early because some scars that look very bad early on almost completely fade away without any intervention after a year or more.在大多数情况下，瘢痕修订前一年以下的损伤也可以为时尚早，因为有些伤痕看起来非常糟糕的早期几乎完全消失在没有任何干预后一年或更长时间。 The reason to meet with Dr. Lam early on after your injury is to discuss options to help your scar mature well so as to avoid a scar revision in the future.其原因，以满足蓝田博士早期损伤后，您是讨论选项，以帮助您的疤痕成熟以及，以避免疤痕修订的未来。 At times with a very bad scar or if the scar appears to be healing poorly, Dr. Lam will intervene prior to 6 months following an injury, but the likelihood that Dr. Lam will perform a formal scar revision prior to 6 months following an injury is rare.有时一个非常不好的疤痕，或者如果疤痕似乎愈合不佳，蓝田博士将干预前6个月以下的损伤，但可能性，蓝田博士将执行一个正式的疤痕修订前6个月以下的损伤是罕见的。 During the first 6 months to a year, Dr. Lam can help a scar heal better through a variety of methods.在第一个6个月至一年，蓝田博士可以帮助疤痕愈合更好地通过各种不同的方法。 He will follow you carefully to make sure that the area does not thicken, which he will treat with a combination of injectables to reduce any unwanted hardness or fullness in the incision or near the incision.他将按照您仔细，以确保该地区不勾芡，他将治疗相结合的方式注射，以减少任何不必要的硬度或丰满的切口或附近的切口。 If the incision line stays red for too long, Dr. Lam will use his laser to lessen the undesirable redness.如果切口线保持红色太久，蓝田博士将利用他的激光，以减少不良发红。 If the area becomes slightly darker due to excessive sun exposure during the first 4 to 6 weeks, then he may counsel you about skin bleaching products to expedite resolution of this temporary condition.如果该地区变得稍微暗由于过度晒太阳的头4至6周，然后他的律师可能你的皮肤漂白产品，以加速解决这一临时状况。
Does Mederma (onion extract), Strivectin, or Vitamin E oil work to help improve my scar? 是否Mederma （洋葱提取物） ， Strivectin ，或维生素E油工作，帮助改善我的伤疤？ Dr. Lam does not believe that any of these remedies work to help a scar mature well.蓝田博士并不认为上述任何补救工作，帮助了一道深深的伤疤以及成熟。 In fact, rigorous scientific studies that have involved blinded, prospective, randomized, split scar analysis (in other words, good and controlled scientific research) have indicated that these treatments provide no improvement at all in an incision or scar.事实上，严格的科学的研究，涉及到利令智昏，前瞻性，随机，分裂瘢痕分析（换句话说，良好和控制的科学研究）已表明，这些疗法没有改善提供所有的切口或疤痕。 In fact, Vitamin E oil has been shown actually to worsen wound healing in some cases.事实上，维生素E油已被证明实际上恶化的伤口愈合在某些情况下。 In the past, Dr. Lam used Vitamin E oil to help with wound healing.在过去，蓝田博士用维生素E油，以帮助伤口愈合。 However, with recent evidence to the contrary, he no longer believes that any of these topical ointments do any good to help with scar healing.然而，最近与此相反的证据，他不再相信任何这些局部药膏任何好处，以帮助疤痕愈合。
Will insurance cover my scar revision? 将我国保险瘢痕修订？ Dr. Lam does not accept insurance of any kind.蓝田博士不接受保险的任何一种。
I have a scar on my body. 我有一个疤痕，我的身体。 Will Dr. Lam help me with my scar revision? 蓝田博士将帮助我与我的疤痕修订？ In most cases, no.在大多数情况下，没有。 Dr. Lam specializes only in plastic and reconstructive surgery of the face and neck and will refer you to an appropriate body plastic surgeon who would help you with your situation.蓝田博士的专业只能在塑料和重建手术的脸和脖子，将参照您一个合适的机构整形外科医生谁会帮你的情况。 If your scar simply requires early treatment with injectables or laser therapy, he may elect to help you along until you may require the services of a body plastic surgeon for definitive surgical correction.如果您的疤痕只需要早期治疗与注射或激光治疗，他可以选择帮助您，直到您一起可能需要的服务机构的整形外科手术的彻底更正。
How does scar revision surgery work? 如何手术疤痕修订工作？ To learn how scar revision surgery works, you must first understand what makes a scar visible.要了解如何修改手术疤痕的作品，您必须先了解什么使疤痕清晰可见。 A scar is oftentimes noticeable because it is an obvious straight line that your eye can easily follow.伤疤是经常引人注目，因为这是一个明显的直线，你的眼睛可以很容易地遵循。 One of the principles of scar revision is to transform that straight line into a complicated, irregularized line (see next question) so that your eye simply has a very hard time following that line even with close inspection.的原则之一瘢痕修订是把该直线成一个复杂的， irregularized线（见下一个问题） ，这样你的眼睛仅仅有一个非常艰苦的时间线之后，即使有密切的检查。 The second reason a scar is visible is that the scar is darker or lighter than the surrounding skin color.第二个原因了一道深深的伤疤是可见的是，疤痕是黑暗的，或轻于周围的皮肤颜色。 Dark color fades over time, whereas a light color incision line will most likely need to be removed and resutured following the good principles of scar revision.黑暗的颜色随着时间的推移逐渐消退，而浅色切口线将最有可能需要拆除和resutured好以下原则瘢痕修订。 Third, a scar may be visible because the incision line or the area adjacent to it is depressed or raised, a so-called contour deformity.第三，可能是瘢痕明显，因为切口线或邻近地区是抑郁症或提出所谓的轮廓畸形。 The scar will then have to be revised to minimize or eliminate this contour problem.瘢痕就必须加以修订，以尽量减少或消除这种轮廓的问题。 Another reason that a scar is unfavorable in appearance is that the scar tethers a nearby structure either all the time or only when you move your face, eg, restricting or tethering the lip, the nose, or the eyelids.另一个原因，一个是不利的疤痕在外观的是，疤痕系绳附近的一个结构或者所有的时间或只有当你搬出你的脸，如限制或牵引的嘴唇，鼻子，或眼睑。 Sometimes a scar must be reoriented or lengthened in order to eliminate this problem (see z-plasty below for example).有时疤痕必须调整或延长，以消除这个问题（见Z成形术下面的例子） 。
Will my scar look better immediately after scar revision? 我的疤痕好看瘢痕后立即修改？ Actually, your scar will most likely look worse initially after scar revision.其实，你的疤痕很可能会更糟最初看后疤痕的修订。 In most cases, when you come to see Dr. Lam your scar has already faded to a large extent and looks much better than when you just sustained the injury.在大多数情况下，当您来看看你的博士林疤痕已消失在很大的程度上，并期待远胜当您刚才受伤。 However, Dr. Lam must not only make that incision line look fresh again but take a straight line and make it irregular so that it becomes more obvious initially but less visible only over time, ie, much later in time.然而，蓝田博士不仅必须使切口线再次寻找新的，但采取直线，使不规则，使之更加明显初期，但不太明显，只有随着时间的推移，即更晚的时间。 Initially, the repair will be quite visible and may remain so for many months thereafter.起初，修复将相当明显，并可能继续这样做许多个月以后。 Oftentimes, the scar does not look considerably better for even a year afterwards, especially in Hispanic, Asian, and darker skin types that tend to maintain redness or darkness along the incision line for many months following the scar-revision procedure.通常，瘢痕看来并不很大，甚至更好的一年以后，特别是在拉美，亚洲和肤色较深的类型，往往会保持黑暗发红或沿切口线的许多个月后瘢痕的修订程序。
What are some options for scar revision that Dr. Lam can use for me? 有什么办法修改瘢痕博士林可以使用吗？ There are many options for scar revision, which Dr. Lam will suggest to you based on the nature of your scar.有许多选择瘢痕修订，其中博士林会建议您根据您的性质疤痕。 Only after a formal consultation with Dr. Lam will you be able to understand which option(s) are the most suitable in your situation.只有在一个正式的协商，蓝田博士您将能够了解哪些选项（星期日）是最适合您的情况。 The following is a review of some of the basic types of scar revisions that Dr. Lam uses to transform a straight line that is very visible to the naked eye into a complex, irregular line that is much harder for the eye to see.以下是审查的一些基本类型的瘢痕修订，使用博士林改造一条直线，这是非常肉眼可见成一个复杂的，不规则的线，是更难的眼睛看到的。 Geometric Broken-Line Repair 几何打破线修复
Geometric broken-line repair (GBLR) is perhaps the Rolls Royce of all scar revisions.几何打破线修复（ GBLR ）也许是罗尔斯罗伊斯公司的所有瘢痕修改。 The principle of GBLR is to make an irregularly irregular pattern so that your eye has the hardest time following the incision line and thereby makes the incision virtually undetectable.的原则GBLR是使不规则的不规则模式，让您的眼睛已经最难的时间后，切口线，从而使切口几乎。 Using precise and randomly alternating squares, rectangles, triangles, and trapezoids that measure between 3 to 5 mm and that interlock with one another (as illustrated), the scar is transformed from a straight line into a very difficult to follow micro zig-zag appearance.利用精确和随机交替广场，长方形，三角形，并trapezoids这一措施3至5毫米，并联锁与其他（说明） ，瘢痕是从一条直线进入一个非常困难的后续微锯齿字外观。 Oftentimes for the best results Dr. Lam will follow a GBLR with mechanical dermabrasion about 6 to 8 weeks following the procedure (see response to next question for details regarding mechanical dermabrasion).通常最好的结果蓝田博士将采取GBLR机械磨削约6至8周后的程序（见响应下一个问题的细节机械磨削） 。 
This gentleman underwent a mid-forehead browlift elsewhere leaving him with white scars that were visible from even a social distance necessitating him to wear his hairstyle a certain way.这老先生经历了中期的额头browlift让他在其他地方有白色伤疤清晰可见，甚至一个社会的距离需要他穿着他的发型以某种方式。 He is shown a year and a half after geometric broken line scar revision and one session of mechanical dermabrasion.他是表现出了一年半后的几何折线瘢痕修订和一次会议的机械磨削。 It is very hard to detect the scar even at close range.这是很难检测瘢痕，即使在近距离。
Multiple Z-plasty 多Z成形术
A z-plasty involves redirecting the forces of tension and also lengthening a contracted or shortened scar.阿Z成形术涉及调整的力量紧张，也延长合同或缩短疤痕。 By irregularizing a straight line, it also serves to make it more difficult to see the scar and thereby camouflage it.由irregularizing一条直线，但它也可以使其更难以见瘢痕，从而掩盖它。 The other major benefit of a z-plasty is that it is perhaps the most tissue sparing.其他主要受益于Z成形术是，它或许是最组织不遗余力。 In areas where tissue distortion would arise from removal of too much tissue, the z-plasty is the preferred treatment.在地区组织中会出现失真的去除太多组织， Z成形术是首选治疗。 Oftentimes, Dr. Lam uses a combination of scar revision techniques depending on the area of the face and what kind of scar is present.通常，蓝田博士利用相结合的疤痕修订根据技术领域面对什么样的瘢痕是本。
W-plasty 钨成形
The w-plasty like the z-plasty serves to irregularize a straight line and break up contractile forces but does not lengthen or redirect the forces of tension like a z-plasty does.在W -整形像Z成形术有助于irregularize一条直线，打破了收缩力量，但不延长或重新导向的力量紧张像Z成形术的。 The w-plasty works well to make it difficult to see a straight line but does not lengthen the incision like a z-plasty does, which at times may be more desirable.在W -整形行之有效使它很难看到一条直线，但不延长切口像Z成形术不，这有时可能会更理想。
Are there any options for me to make my scar look better without real surgery? 是否有任何的选择对我来说，让我期待更好的疤痕没有真正手术？ Yes, there are.有，有。 If your scar is only mildly visible or there is a mild contour deformity at the edges of the incision, mechanical dermabrasion can be used to sand down the areas to make the area flatter and the incision line less visible.如果您的疤痕只有轻度可见或有轻度变形轮廓的边缘切口，机械磨削可用于沙下跌的地区，使该地区奉承和切口线不太明显。 In fact, Dr. Lam oftentimes uses mechanical dermabrasion following a formal scar revision approximately 6 weeks after the procedure in order to enhance the result.事实上，博士林经常使用的机械磨削后正式瘢痕修订大约6周后的程序，以提高的结果。 Mechanical dermabrasion employs an instrument equipped with a wire-brush spinning at 35,000-rpm that can precisely remove the outer layer of skin.机械磨削采用的一种手段配备了铁丝刷纺纱在35000转，可以精确地去除外层的皮肤。 The recovery time is similar to a physician-strength chemical peel or plasma resurfacing, ie, about a week.恢复时间相似，医生强度化学剥离或血浆重，也就是说，大约一个星期。 You must also remain out of prolonged sun exposure for about 6 weeks following treatment.您还必须留出爆晒约6个星期后的待遇。 Instead, if you notice a slight depression to the scar, wire subcision can release any tethering of the scar to the deeper tissues.相反，如果您发现略有凹陷的疤痕，电线subcision可以释放任何牵引的疤痕的深层组织。 Alternatively, silicone microdroplets can be used to raise areas of depression.另外，有机硅microdroplets可以用来提高地区的抑郁症。
I have keloids that have occurred in my body. 我有瘢痕疙瘩发生在我的身体。 Does that prevent Dr. Lam from performing a scar revision on my face? 请问，防止蓝田博士从表演了一道深深的伤疤修订我的脸？ First of all, it is important to distinguish between a frank keloid and what is known as a hypertrophic scar.首先，重要的是要区分坦率瘢痕疙瘩和所谓的增生性瘢痕。 A keloid is a scar that is so enlarged that it extends beyond the borders of the scar.阿瘢痕疙瘩是疤痕是这样的扩大，它超越国界的疤痕。 A hypertrophic scar, on the other hand, is simply a very thickened and maybe slightly widened scar.阿增生性瘢痕，另一方面，仅仅是一个非常增厚，也许稍微扩大了一道深深的伤疤。 Both conditions can respond to steroid and 5-fluoruouracil (5-FU) injections to reduce their bulk.这两个条件下才能作出反应类固醇和5 fluoruouracil （ 5 - FU的）注射液，以减少他们的大部分。 However, oftentimes the first treatment measure is to excise them followed by aforementioned injections as necessary (see next question).但是，往往第一次治疗措施是消费他们随后上述注射必要的（见下一个问题） 。 Further, real keloids are almost unheard of on the face.此外，真正的瘢痕疙瘩几乎是闻所未闻的脸。 The face is defined as the area in front of the ears and not involving the scalp and the neck.面对被界定为在该地区前面的耳朵和不涉及的头皮和颈部。 The areas where keloids are often distributed include the earlobes after ear piercing, the neck after shaving, and the back of the head after hair trimming and most often are found in African-Americans or darker complected races.地方瘢痕疙瘩往往分布包括耳后，耳垂穿孔，颈部后剃须，并脑后头发修剪后和最经常被发现在非裔美国人或暗肤色的比赛。 Keloids manifest and may continue to grow after a very minor insult like an ingrown hair or after shaving.瘢痕疙瘩清单，并可能继续增长后，一个很小的侮辱像嵌头发剃齿或之后。 Hypertrophic scars usually arise from a real injury of some kind and tend not to continue to grow.增生性瘢痕通常出现真正的损伤的一些实物和往往不继续增长。 Remember two facts.请记住两个事实。 First, keloids are almost unheard of in the face proper even if you may have keloids on other parts of your body or in the neck/scalp/earlobes.首先，瘢痕疙瘩几乎是闻所未闻的，面对正确的，即使您可能有瘢痕疙瘩的其他部分你的身体或颈部/头皮/耳垂。 Second, the scar revision technique is a very precise plastic surgical closure, which is different from the rough injury that you may have sustained to lead to a hypertrophic scar or keloid on the body.第二，瘢痕修订技术是一种非常精确的整形外科关闭，这是不同于粗糙损伤，您可能持续将导致增生性瘢痕瘢痕疙瘩或身体上。 For these reasons, even if you have a keloid or hypertrophic scar on the body, you may very well still be a good candidate for facial scar revision.由于这些原因，即使你有一个瘢痕疙瘩或增生性瘢痕的身体，你很可能仍然是一个很好的候选人，面部瘢痕的修订。
How does Dr. Lam treat keloids? 如何对待蓝田博士瘢痕疙瘩？ Please read the response to the previous question to understand what makes a keloid different from a hypertrophic scar.请阅读回应先前的问题了解作出了瘢痕疙瘩不同于增生性瘢痕。 A keloid is treated very differently.阿瘢痕疙瘩是非常不同的对待。 Simple excision and meticulous closure after removal of a hypertrophic scar may be sufficient.简单切除，细致的关闭搬迁后的增生性瘢痕可能是不够的。 However, simple excision and closure after removal of a keloid is almost never adequate.然而，简单的切除和关闭搬迁后的瘢痕疙瘩是几乎从来没有足够的。 Serial steroid, 5-FU, and bleomycin injections are often necessary to control and to minimize re-expansion of a keloid.串行类固醇， 5 - FU的，并注射博莱霉素往往是必要的，以控制和减少重新扩大瘢痕疙瘩。 Without these follow-up treatments, your keloid may grow even larger than before Dr. Lam's excision of it.如果没有这些后续治疗，您的瘢痕疙瘩增长甚至可能比以前更大的博士Lam的切除它。 As the histological architecture of a keloid exhibits collagen disarray, silicone sheeting and silicone gels should be applied daily to realign the collagen bundles by virtue of the electrostatic properties of the silicone.由于组织架构的展品瘢痕疙瘩胶原混乱，硅薄膜和硅凝胶应适用于调整每天的胶原束，由于静电性能的有机硅。 In addition, ongoing pressure dressing to the affected area can also minimize regrowth.此外，正在进行的压力更衣室向受影响的地区还可以最大限度地减少再生。 If these conservative measures fail, low-dose radiation therapy may need to be performed to provide more definitive control.如果这些保守的措施失败，低剂量放射治疗可能需要履行提供更明确的控制。
I have acne scarring. 我有痤疮疤痕。 How can Dr. Lam help me? 如何才能蓝田博士能帮助我吗？ In the past, Dr. Lam used mechanical dermabrasion to manage acne scarring.在过去，蓝田博士磨削机械使用管理痤疮疤痕。 | 
