There are many ways to treat a wound; however, treatment depends on the size, location, severity, and nature of the wound. At MidAmerica Plastic Surgery, we treat all kinds of wounds ranging from diabetic ulcers to lacerations. When deciding how to treat the wound, it is important to determine if nerves and muscles have been damaged, if skin is missing, and if supportive tissues are involved.
After assessment of the wound, the best treatment option will be implemented. Your procedure will be individualized to create a cosmetically pleasing result.
Some wounds may only require cleaning and stitching. More involved wounds may require more advanced treatment and closure such as grafts, flaps, or tissue expansion.
A skin graft is completed by taking healthy skin from one part of the body, the “donor site,” and transplanting it to another part of the body. The healthy skin is usually taken from an area that can be easily covered or hidden by clothing because a scar will develop. Similar to a graft, a skin flap takes healthy tissue from one part of the body and moves it to a different part of the body. With a flap, muscle, skin, or bone is transplanted with the original blood supply to the new area. Finally, tissue expansion is used to help the body produce new, healthy skin. A tissue expander is placed in the area where new skin is needed. Over time, the expander is filled with volume; thus, stretching the skin and promoting new skin growth. Once enough skin has been created, it can be used for reconstructive procedures.
Based on the quality of the skin in the base of the wound, surgical debridement may be necessary. This would include surgically cleaning out the wound bed and removing dead tissue. This process makes it easier for new, healthy tissue to grow and facilitate healing.
If you suffer from chronic wounds, or would like a new wound evaluated, we would be happy to help!
Dr. Ryan Diederich is a board-certified plastic surgeon specializing in a range of aesthetic and reconstructive plastic surgery procedures at Mid-America Institute of Plastic & Cosmetic Surgery in Glen Carbon, IL. If you’re looking for a plastic surgeon east of St. Louis, you can schedule a consultation online schedule a consultation online, or call us at (618) 288-7855 to schedule an appointment.
*This article is intended as a guideline only. This is not intended as medical advice. There are no guarantees written or implied from the information presented here. Only a consultation can provide an appropriate evaluation and discussion regarding any procedure. Refer to your physician for medical decision making and advice.