We have all had cuts, abrasions and similar small-scale injuries in the facial area as a result of small-scale accidents either ourselves or someone close to us at some time in our lives.Nowadays, with the spread of plastic surgery in our country and the increase of doctors specializing in this subject and the media announcing this issue more, people are now aware that they need to apply to plastic surgery, which is a specialty, so that they can reduce the existing scar on facial incisions.

Although the issue of a scar is an event in itself, it should first be known that any attempts and injuries that disrupt the integrity of the skin in the body cause scars to remain on the skin, or rather, the rapid recovery and restoration of skin barrier integrity, which our body, which we call a scar today, uses to prevent danger, constitute our main problem.

Our body immediately takes action to repair an injury site and fills this area with defense cells by stimulating the migration of cells secreting special substances to heal this area, and other cells stimulated by these defense cells begin to secrete wound-concealing substances in the area. The main problem is in this part that these substances provide rapid healing, but during this healing, an uncontrolled repair process occurs due to Tue, shrinkage and rapid release of these substances in the skin. This rapid closure in nature protects a person from germs, but today this process is reflected as a cosmetic nuisance to people who use antibiotics, make daily dressings and eliminate the danger of contracting germs.

The only period when there is no permission left in the human body is the period in the womb, which is due to the fact that our body does not feel threatened in the womb, performs the healing process within months and closes the wound site in a controlled way. Recently, for this reason, intrauterine surgeries have been on the agenda for midwives who risk losing the baby from cleft lip surgeries.


The only basic basis for the lack of clearance is that the cut surfaces are approached as evenly as possible and this approximation can be maintained during recovery. Another most important factor is the depth of the injury that a scar is inevitable if the part that is the lifeblood of the skin that we call the dermis is damaged, and as for the thickness of our skin, even 1-2 mm deep incisions in the skin damage the dermis, so some scarring is inevitable in most injuries except superficial abrasions.


Unfortunately, there are obvious marks on the lips of wounds that are dirty, where the wound lips are fragmented and crushed as a result of hitting somewhere, compared to a smooth knife incision. In addition, incisions that are not parallel to the facial lines, popularly known as wrinkles, which appear as our body gets older, attract more attention, giving a more obvious decayed appearance.


Drugs sold in pharmacies called scar removers, and which everyone unconsciously holds out hope for, are used for a disease because they are medicines in name. The name of this disease is hypertrophic scarring, and an even more complicated dimension is keloid. Keloid treatment is more complex, but hypertrophic scar treatment is performed with creams or gels known as scar removal.

In some people, the rapid and uncontrolled healing period that creates a scar on the body does not pick up its speed and gets even more out of control and creates fluffy mushroom-style scars that cross the level of the skin. These scars mostly consist of fluffy, red and hard consistency, scars that are parallel to the incision line and do not overflow around. In order to eliminate these scars, it can be prevented by injecting steroids into the puffy places if it cannot be controlled even more by using creams that are applied in printed massage for about 6 months to 1 year or silicone gels that create pressure.

In other words, if we come to the conclusion, these scar removers cannot go beyond psychological satisfaction in people who do not have existing scars and do not have hyperthorphic scar disease, and it is useful to use these drugs under the control of a Turkish plastic surgeon.


So what is the difference between us that we have been adopted as a doctor who cannot leave a trace in society!

In fact, the rule is simple, firstly, because we have undergone a very demanding training and performed surgery in every area of the body except the internal organs, unlike other surgeons, we achieve a better surgical result by establishing superior dominance in all kinds of regions. Unlike other surgical branches, we have accustomed our brain to paying attention to details that a person would not normally pay attention to, even if the appearance of the dressing is at every stage of our education, by paying attention to aesthetic appearance and trying for a better aesthetic stitch, which leads us to success, and we have made it a habit. We know that no matter how it is sewn, there will be less permission, and we achieve excellent success by using suture techniques that will leave less marks in the right place at the right time, which will make other branches jealous of us.


Everything went perfectly, but there are a lot of scars left, or my stitches have opened, is there something strange about this!

For non-loosening of sutures, non-opening and increasing surgical perfection :

1- Protect from water.

2- Do not apply the cream too much and soften and loosen the sewing line.

3- Quit smoking during the recovery period.

4- Have your regular daily dressings done.

5- Do not take your painkiller because I have no pain, use it for at least 1 week after the suture procedure (anti-inflammatory effect) .

6- If you have moist skin, if there is sweating after excessive movement, there may be an opening in the suture line.


As is known, it is sufficient to numb and sew the incision area with a needle when sewing incisions, but in young children and infants it is more difficult to do this procedure by numbing with a needle, which we call local anesthesia.

The more compatible the patient is, the more motionless he stands, the better the job is done, and little scarring remains, but although the scarring event seems very important, it should never get in the way of a life, and the family and the doctor should not put young patients at unnecessary risk by giving general anesthesia so that there are few traces. Nowadays, the risk of anesthesia is very low, but it is never clear when what will happen to a person. The patient needs to stay hungry for 6 hours before anesthesia and 4 hours after surgery, and it is very difficult for small babies and children to withstand this fasting period.



Op. Dr.
MedicalPark Istanbul Hospital
Plastic, Reconstructive and Aesthetic Surgery Clinic



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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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