Après une intervention chirurgicale, quelle quelle soit, le phénomène de la cicatrisation se met en place…
Il est imprévisible, même si on a identifié différents facteurs de risque de mauvaise cicatrisation:
*L’age: les peaux jeunes, proches de la période de la puberté, fabriquent plus souvent trop de tissu cicatriciel.
* La localisation: certaines parties du corps sont plus à risque: Lobe de l’oreille, nuque, sternum, épaules,zones de tension articulaires.
*Taille des cicatrices: plus elle est petite, plus vite une plaie chirurgicale cictrise.
*Le terrain: génétique (populations asiatiques et noires) sont plus à risque de mauvaise cicatrisation statistiquement, diabète, tabagisme…..
A quel rythme je surveille mes patients opérés et j’examine les cicatrices ?:
4 à 10 jours après l’intervention, puis au bout d’un mois et de 3 mois (phase inflammatoire normale) puis au bout de 6 mois et d’un an et tout cela systématiquement.
Le phénomène cicatriciel se stabilise généralement au bout de un an à 18 mois, d’où la nécessité de surveiller toute cicatrice pendant cette durée et dans ma pratique d’inclure les consultations post opératoire dans le forfait de toute intervention esthétique….C’est une sécurité pour vous et une garantie de résultat optimal.
Peut on maquiller une cicatrice? bien sûr et ce dès le huitième jour post opératoire. Il existe des produits spécifiques à cet effet et je vous les prescrirai si nécessaire.
De plus il est important de protéger toute cicatrice de l’exposition au soleil et aux UV pendant au moins une année…
Quel sont les signes d’alerte faisant envisager un problème de cicatrisation ?:
Rougeur, coloration violacée après un mois, gonflement de la cicatrice , douleur et surtout prurit (la cicatrice démange…ce n’est pas normal).
Que faire si cela se produit?
Me revoir en contactant mon secrétariat dans les jours qui suivent (pas d’urgence à quelques jours près).
Je pourrai vous prescrire un traitement par silicone en gel ou en plaques, utilisable même préventivement matin et soir pendant 2 à 3 mois, si vous avez des antécédents de trouble de la cicatrisation.
Ce traitement peut être associé à la compression cicatricielle (pressothérapie), les corticoïdes locaux en crèmes, voire en micro injections…
On ne sait jamais comment vous allez cicatriser, alors je choisis la vigilance , la surveillance….Toutes les techniques chirurgicales que j’utilise on pour objectif de minimiser la surface des cicatrices, de les dissimuler…
Chirurgien esthétique Dijon
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