Repair of lacerations throughout the body is one of the most common services provided by Plastic Surgeons. Dr. Neil Zemmel, founder of Richmond Aesthetic Surgery, is pleased to offer laceration repair to the greater Richmond, Virginia community.
Most lacerations occur in the settings of falls, motor vehicle accidents, sporting injuries, dog bites, and work related injuries.
The areas treated by our surgeon includes:
- Head, neck, and scalp
- Nose, ears, lips, eyelids, and cheeks
- Chest, breast, shoulders, and back
- Abdomen and buttocks
- Arms, hands, and fingers
- Legs, feet, and toes
We truly can’t thank you enough for everything and Dr. Zemmel is the only doctor that I have ever recommended to my friends and family.”
Laceration repair requires a number of steps to allow the wounds to heal in an optimal fashion. The quality of your healing depends on a number of factors, some of which can be helped during treatment, while others cannot. Our board-certified plastic surgeon will go over each detail with you during your treatment to ease your worries and to give you as much information as possible. This will allow you to heal in the best way possible. The most important factors that influence wound healing are:
- Your own intrinsic healing capacity: At the most basic level, each person has unique characteristics or genetic influences that affect wound healing. Some patients may heal with a barely perceptible scar, while others may heal with a thicker, more visible scar that requires further treatment.
- Smoking: People who smoke heal at approximately half the rate of non-smokers. Furthermore, smoking increases the risk of severe scarring, infections, and failure of the wound repair.
- The mechanism of injury: Lacerations that occur in a straight line typically heal better than more jagged lacerations. Sharp lacerations typically heal better than avulsions (i.e. tears).
- Your medical history: Certain medical conditions such as diabetes mellitus and certain medications such as chemotherapy agents inhibit wound healing and can increase the risk of infection and less than optimal wound healing.
There are a number of different methods to repair lacerations. As a Board Certified Plastic Surgeon, Dr. Zemmel use only meticulous plastic surgery techniques. This includes gentle handling of tissue, careful tissue approximation, and the use of fine sutures for wound closure.
During your treatment, the following steps will typically be performed:
- Cleansing of the wounds with several liters of antibiotic solution
- Removal of foreign bodies and devitalized tissue
- Closure of the deep layers with absorbable sutures
- Closure of the skin edges with non-reactive sutures for small defects
- Rearrangement of tissue for the closure of large skin defects
While infection is rare, you should expect to have some evidence of the laceration in the future (i.e. a scar). Our surgeon has a number of techniques to help minimize post-treatment scarring, including topical medicines such as Mederma™ and Scarguard™, laser scar removal, compression garment therapy, and later surgical revision if necessary. Scar maturation takes between 12 and 18 months to complete. During this period you will see the scar change from slightly firm, red, and raised, to a flat, soft, lighter scar. Your surgeon will guide you through the entire process to ease your worries and to ensure you heal to your best capabilities.
*Individual Results May Vary
Contact Richmond Aesthetic Surgery
If you require the services of our team at Richmond Aesthetic Surgery please contact us and make an appointment by calling (804) 423-2100 during normal business hours (5 pm). If this is an emergency after hours, please call the office number and follow the telephone prompts to speak to the on-call physician.