Lacerations

Philosophy
If you have experienced an injury that has resulted in a facial wound, Doctor Dagan is the facial reconstructive expert in the New York Area to repair your facial laceration. Facial lacerations can occur in areas of the face such as the eyelid, lip, nose, and ears that require the delicate expertise of a facial plastic surgeon. Deep penetrating injuries and tearing lacerations of the face, lips or ears should definitely be cared for by an expert.

Doctor Dagan specializes in facial reconstructive surgery not only to improve the function of the face but also to restore the appearance to a more normal aesthetic. Our practice focuses exclusively on cosmetic and reconstructive enhancement of the face and neck. Doctor Dagan has a combined eight years of surgical and advanced fellowship training dedicated to the anatomy of the face and neck. His expertise and commitment to service will clearly delineate why he is uniquely qualified to handle your facial laceration.

How is the procedure performed?
Doctor Dagan is able to perform facial laceration repair in the office under local anesthesia. He also specializes in the repair of pediatric facial lacerations. Children’s lacerations can be repaired in the office or under minor sedation. In children local anesthesia is first achieved with a local cream that makes local anesthesia tolerable even for the most timid. The skin edges are freshened and meticulously closed under magnification with great precision and meticulous sterility. Dr. Dagan’s minimally invasive techniques stand out with the use of the thinnest and strongest suture material.

What will life be like after repair of your facial laceration?
The sutures on the face are usually removed 3-5 days after the procedure. There will be some swelling and redness that persists in the area for a few weeks. It is important that patients are followed for six to twelve months to ensure adequate scar outcomes.

What to Expect After Facial Lacerations (Trauma Cuts)?
There will be a mild to moderate amount of pain and discomfort associated with the surgery. This should be easily controlled with oral medications.

The discomfort and pain should begin to decrease within 48 hours after surgery and a significant increase in pain after this period should prompt you to call the office.

All incisions that are made in the skin will heal by forming a scar. Dr. Dagan will always make your incision as hidden as possible. Secondary procedures on scars (dermabrasion, resurfacing or scar revision) may be suggested by Dr. Dagan to further camouflage it.

Initially after surgery, incisions will often appear to be raised and more red than desirable. Don’t worry, they will eventually flatten and the redness will generally fade.

Things To Remember After Facial Lacerations (Trauma Cuts)
Be sure to fill your prescriptions before your procedfure since it means one less thing for you to worry about afterwards. If prescribed antibiotics, make sure you complete the treatment – do not stop taking the antibiotics prior to the recommended date.

If you are a smoker, you should not smoke for at least 2 weeks prior to surgery and 2 weeks after surgery. Smoking and chewing tobacco inhibit your circulation and can significantly compromise the healing of your wound.

Do not take any aspirin or any anti-inflammatory compounds for 2 weeks before and 2 weeks after your surgery unless you first discuss it with Dr. Dagan. For some smaller procedures this may not be necessary so be sure to ask Dr. Dagan if you have any question.

Sleep with your head elevated 40 degrees for two weeks; an additional pillow or two under your mattress may help, if necessary.

If you notice some bleeding from the incision, simply apply firm pressure to the area for 15 to 20 minutes. If the bleeding persists, contact the office.

Stay up (sitting, standing, walking around) as much as possible after you return home – this promotes a decrease in facial swelling. Of course, you should rest when you tire.

Avoid bending or lifting heavy things for one week. Besides aggravating swelling, this may raise your blood pressure and start bleeding. No lifting over 5 pounds the first week, 25 pounds the second week.

In some instances, you can begin light exercise after 10 to 14 days. In such a circumstance, small surgical paper tapes across the incision may be very useful.

Avoid straining at stool, which also raises your blood pressure. If you feel you need a laxative, consult your local pharmacist as most stool softeners do not require a prescription.

Avoid sunning the incision for 1 year. Whenever you go out in the sun, use at least an SPF 15 sunscreen.

If external stitches were used during the surgery to close your incision, do not get the area wet for 1 week after surgery. Instead, you should clean the area by rolling a Q-tip moistened (not soaked) with hydrogen peroxide over the incision, and then gently applying a small amount of antibiotic ointment on it. This procedure should be repeated about 4 times per day. You may purchase the ointment in any drug store without a prescription (polytopic, polysporin, or bacitracin). Do not use Neosporin ointment as this can cause a topical allergic reaction. After 1 week, you should generally use a small amount of vaseline on the incision (after cleaning with hydrogen peroxide) instead of the antibiotic ointment because some people will develop a slight local skin reaction (redness) if antibiotic ointments are used for longer periods. Occasionally, Dr. Dagan will ask you to use antibiotic ointments for longer than 1 week.

Do not allow drying of the incision or crust formation. Keeping the site moist with the above procedures will hasten healing and provide you with the nicest scar possible.

Take only prescribed medication or Tylenol, never aspirin or other NSAIDS, as they promote bleeding.

You may shower or bathe the day after surgery, but do not let the spray directly strike the area of your incision. Do not be afraid to get the sutures lines or sutures wet.

Don’t go swimming, diving, water skiing, or participate in strenuous athletic activity for at least one month after surgery.

Do not wear make up over the incisions until the sutures are removed (or have dissolved), and a thin layer of new skin covers the area. This usually takes 7 to 10 days. You should generally not wear make up directly over the incision until you are told it is all right to do so by Dr. Dagan.

Placing bandages or gauze dressings on the incisions is generally optional after the first full day beyond surgery. Dr. Dagan may ask you to place small surgical paper tapes across the incision (steristrips). These tapes are useful to take tension off of some incisions, giving a thinner scar in the end.

External sutures should be kept clean and dry. Dissolvable sutures will disappear on their own within 5 to 7 days. Non dissolvable sutures should generally be removed (unless you are told otherwise) within 1 week of surgery. If surgical staples have been used in closing an incision in the scalp, they are often removed between 10 to 14 days after surgery. Sometimes, they will be gradually removed over a couple of visits to the office.

You can expect to experience some numbness in the area of the incision for several weeks after the surgery. Occasionally, this numbness may persist to a small degree indefinitely.

It is not unusual during the healing phase to note some irregularities under the skin. These small distortions will gradually subside and eventually resolve. Small bumps under the skin may be present if deep sutures were used during the surgery. These bumps will almost always flatten out as the deep sutures are dissolved by your body.

Our practice is located in midtown Manhattan and serves the local community as well as the New York greater area. Doctor Dagan is on staff at the prestigious New York Eye and Ear Infirmary, Manhattan Eye Ear Throat Hospital, Lenox Hill Hospital and Beth Israel Medical Center. For more information about facial laceration repair and surgery, or to schedule a consultation please call (212) 585-3242.