Wound Care Boston

As one of the busiest plastic surgeons in the world, Dr. Spiegel performs numerous procedures each week including blepharoplasty (eyelifts), brow lifts, facelifts, implants, neck lifts, rhinoplasty (nose shaping), otoplasty (ear shaping), and ear lobe repairs always with the latest technology and utmost care to prevent scarring.

Every surgery results in some kind of a scar, but Dr. Spiegel is able to minimize the scarring so that the end result is you look much better than before. There are several ways this is done.

First, Dr. Spiegel chooses very well hidden locations for any incisions. Often these are inside your nose, mouth, or ear so that no visible scarring occurs! Other times the surgical approach is done from within your hair, a natural skin crease, or other areas where any scarring becomes very hard to find.

Second, Dr. Spiegel uses very advanced techniques so that the resulting scar looks like a natural skin feature, rather than a straight line. Even something as small as a mole removal is done in a way that the resulting mark looks as though you may have once had a small pimple, rather than a big mole.

Third, Dr. Spiegel uses meticulous surgical technique. You may be surprised with the number of stitches even a small area receives when Dr. Spiegel is the surgeon. Carefully selected and positioned stitches make sure that all wounds heal in the best way possible.

Fourth, Dr. Spiegel is very concerned about creating a healthy environment for wound healing. He has published important studies on wound healing including the first experiments to show that “vaping” or using e-cigarettes is as harmful to wound healing as smoking. If you smoke or vape, please make sure to tell Dr. Spiegel as far ahead of surgery as possible (several weeks) so that you can get the best surgical results.

Finally, preoperative and postoperative skin care regimens are important. Dr. Spiegel and the expert team at The Spiegel Center will recommend medications to use and medications not to use around the time of surgery. These skin care regimens will help you have the best possible outcome.

If you’ve had surgery elsewhere and had poor healing with an unattractive scar, or, if you have a scar from an injury, don’t fret. Most of the time Dr. Spiegel can help and the end result will look much better.

Specific care for your particular surgery will be discussed with you before and after your procedures, but here are some general suggestions:

Keeping your wounds clean is extremely important. It not only prevents infection, but it results in a better healing outcome. About 48 hours after your surgery you will want to take a shower. This will help clean up the old blood and crust that forms around the wound edges.

Typically a member of our team will do the first dressing change the day after surgery. At this time, the specific protocol for you will be demonstrated. On subsequent days you’ll want to remove the elastic wraps to check your wound. Please always remember to wash your hands (and wear gloves if you are a family member or friend helping) before a dressing change. After the wraps are removed, look for scabbing or crusting along the incision. To help with this you can mix, in equal parts, water and hydrogen peroxide. This can be applied to the crusts and scabs with a cotton swab, cotton ball, gauze, or washcloth. Often times you’ll see the scab start to “fizzle”. This fizzle is the solution breaking up the little blood clots and other debris on your wound. Be very gentle in this process. Make sure not to pull the wound apart while applying this solution. After applying the half strength peroxide solution, clean the skin around the cut with a soft cloth or gauze pad soaked in soapy water or a mixture or saline solution. Sometimes you may be told to shower and shampoo. Finish with clean water, then gently dab the skin dry. Following this, petroleum jelly (e.g. Vaseline) or an antibiotic ointment can be applied.

After the wound is properly cleaned apply the elastic wrap bandages around the area. The care team at The Spiegel Center will tell you how snug they should be.

The most important thing to remember is to follow ouv instructions on how to manage and keep the area clean. If you notice that the stitches have broken or that the wound is weeping, red, or swollen, contact Dr. Spiegel immediately as this might be a sign of a developing infection.

As with any surgery, minor or major, make sure to avoid alcohol and other drugs without discussing them with the doctor. Pain medications such as oxycodone, vicodin, percocet, codeine, and even acetaminophen do not mix well with alcohol and can be very dangerous to you and others. Of course, do not operate a motor vehicle or other machinery when taking narcotic pain medication. Take all medication only as prescribed and check with us if you have any questions.

A balanced diet is always recommended for general well being and good healing. If you have had an incision inside your mouth you may want to avoid hard, crusty, crunchy, acidic, and spicy foods in the beginning.

We at the Spiegel Center are always available to help. If you have any questions or concern contact us and we will provide support and advice.

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