[Wounded skin is fragile and sensitive] Wounded skin is extremely fragile.
It's even more vulnerable to XXX.
[Post-Inflammatory Hyperpigmentation, which can be severe] Post-inflammatory hyperpigmentation, PIH,
can appear quite intensely.
That’s why I strongly recommend applying it!
PD: Dr.Lee, I got a cut earlier. Can I borrow a Medifoam, please?
(Drawer opening sound)
Here’s the Medifoam!
PD: Not this one, I mean the thin one you use after mole removal.
Duoderm?
Here’s the Duoderm!
PD: I’ve seen both at the pharmacy a lot.
Which one is better?
(Hmm...)
It’s hard to say which one is better.
They serve slightly different purposes.
〈Effective scar management methods 1. Today's topic〉 Hello.
[Dr.Lee, Chief Director of Jfeel clinic] I'm Dr.Lee, and I'm all about bringing out your most beautiful look.
When we get a cut, fall,
or injure ourselves, what's left behind?
[Scar] A scar is left behind.
Especially when it happens on the face,
the first thought might be,
"What if a scar forms..?"
If left unattended, thinking it’ll heal on its own,
it could lead to pigmentation
or fail to heal in its original form.
However, we can minimize scars.
Today, I’ll be sharing effective scar management methods.
〈Effective scar management methods 2. Why do scars form?〉 So, why do scars form?
When there’s a wound or skin damage,
[Immune response and inflammation in the skin] an immune response and inflammation occur.
That’s when fibroblasts get activated
and start producing things like new collagen tissue.
If your skin is really sensitive,
it might overproduce
and form something we all hate, like keloids.
But if it doesn’t produce enough,
it can heal with sunken, indented scars.
〈Effective scar management methods 3. What to do if you get a wound〉
[Scar prevention relies heavily on early management!] Early care is super important.
If the scar gets infected
and causes inflammation,
[Higher likelihood of scar formation] there's a much higher chance it’ll leave a mark.
When the wound is dirty,
[Clean dirty wounds with sterile saline] it’s good to clean it with sterile saline.
[What if you have nothing at home??] If you have absolutely nothing at home,
[Rinse under running tap water] rinsing with running tap water is very effective.
In the case of burns,
it’s really important to cool the area with cold water
until the heat subsides.
[Hydrogen peroxide, Alcohol] Hydrogen peroxide, alcohol,
[Povidone] and povidone, the red one
[Not used quite often these days] are all pretty harsh on the skin, so they’re not commonly used anymore.
Especially with povidone,
it can damage healthy cells too.
So unless you're using it strictly for sterilization,
it's best not to apply it on open wounds.
[Deep or contaminated wound] If you feel like the wound’s already heavily contaminated,
[Use povidone when there's a high chance of infection] then using povidone strictly for sterilization can be helpful.
After applying it, wait about 1 to 2 minutes
for it to dry and fully take effect.
To prevent inflammatory reactions,
[Normally, we use antibiotic ointments] we usually apply antibiotic ointments
and at home, people typically use ointments like Fusidic acid or Madecassol.
Once you’ve cleaned the wound and applied an antibiotic ointment,
[Next step is sealing and moisturizing] it’s really important to seal it and keep it well-moisturized.
When the wound dries, scabs form easily.
[If scabs form, the likelihood of scars increases] If scabs form, the likelihood of scars increases significantly.
When scabs are forming
or when the wound starts to heal through inflammatory reaction,
it often becomes very itchy.
[Don't scratch even if itchy!] Please avoid scratching at all costs during this time.
〈Effective scar management methods 4. Duoderm VS Medifoam〉 Then,
what type of treatment is suitable?
Conventional bandages or gauze
are traditional dry dressings
which simply keep the wound dry.
[bandages or gauze are used for minor abrasions] These are used for minor abrasions
and primarily serve to protect the wound from external exposure.
[These days, moist dressings (healing tape) are commonly used] These days, it’s pretty standard to use moist dressings,
what most people call healing tape.
(Duoderm - hydrocolloid) There’s the hydrocolloid type, commonly known as Duoderm,
(Medifoam - foam-type) and the foam type, which is referred to as Medifoam.
[Foam-type : soft like sponge] As you can see, the foam type has a soft, sponge-like feel.
[Hydrocolloid: Thin film material] And this one’s much thinner.
Each has its pros and cons.
[Hydrocolloid(Duoderm)] Hydrocolloid dressings like Duoderm
[Adhesive and waterproof] are adhesive and waterproof
so they’re often applied after mole removal on the face.
[Hydrocolloid] It’s used for smaller wounds
that ooze just a little, nothing too deep.
It’s great for light wounds
that don’t really need antibiotic ointment.
And when used on the face,
it blends in with your skin tone,
so it’s barely noticeable.
The foam type, known as Medifoam,
is often used for larger wounds that ooze a lot,
like scrapes or burns.
When there’s a risk of infection,
you can apply antibiotic ointment first and then use Medifoam.
So if there’s a lot of oozing or you need the ointment,
[Recommend foam type more] Medifoam is the better choice.
Shh! Keep this to yourself!
〈Effective scar management methods 5. Healing Tape Q&A〉 PD: People change their healing tape at different times.
PD: What do you recommend?
[Normally recommended for 5 days to a week] Generally, it's good to keep it on for about 5 to a week.
Especially in the first 2–3 days, the fluid that comes out
contains growth factors.
[In the beginning, the more ooze it holds] The longer Duoderm holds onto that,
the faster it regenerates.
But if it starts swelling up
and the fluid’s leaking out,
[It's not helpful] it’s no longer really helping.
[If it's swollen, grind it!] If it's too swollen, change the band.
I have a tape allergy..
It's usually the adhesive that causes the reaction.
If you feel itchy, take it off right away
[Recommend using ointment] and apply something like Fucidin on Madecassol.
[Pigmentation due to allergy is more annoying] If you end up with pigmentation from a tape allergy,
that can be even more of a hassle to deal with.
PD : If I have a scab, can I put a regenerative bandaid on it?
Since this is a hydrocolloid tape,
it's helpful to put on when the ooze is coming out.
No matter how much you stick it on a dried wound,
you don't even need to replace it.
Because ooze doesn't come out,
there is no point in using a hydrocolloid bandaid!
PD : Then what about a really small scab?
When the scab is just about to form,
[At that time, stick it on] it's helpful to stick it on.
PD : Some people stick regenerative bandaid on acne,
PD : does that work?
There is a special tape for acne,
and it has ingredients to calm it down.
So the acne tape
is definitely effective on acne.
[What if you stick a regular hydrocolloid bandaid on acne??] When you stick Duoderm on acne,
there are pimples where ooze keep coming out,
it's effective on those.
But acne is likely to have bacteria inside.
So when you stick Duoderm on,
there's a chance that it's holding the bacteria itself.
Just get an anti-inflammatory injection.
〈Effective scar management methods 6. What is important after a wound heals?〉
[Moisturizing is important after a wound heals] The most important thing after a wound heals is moisturizing.
Because it needs good moisturizing
for our skin to regenerate well.
And the most important thing is
[It's essential to block the sun!] UV protection.
If healthy skin is exposed to UV rays
pigmentation occurs.
[Wounded skin is fragile and sensitive] Wounded skin is extremely fragile.
It's even more vulnerable to UV rays.
[Post-Inflammatory Hyperpigmentation, which can be severe] Post-inflammatory hyperpigmentation, PIH,
can appear quite intensely.
That’s why I strongly recommend applying it!
[What about old scars?] So what’s the best way to treat older scars?
The basic rule with scars is,
if it’s still red, that means it’s still in the healing phase,
so treatment tends to be more effective.
But if the scar’s turned white,
results may take longer to show.
[For early-stage scars, use scar ointment] In the beginning, I recommend
using scar-specific ointments
like Dermatix Ultra Gel or Scar Gel.
You can easily find them at your local pharmacy.
[Older scars may need laser treatment] If it’s been too long and the scar isn’t improving,
laser treatment is usually the way to go.
Especially for keloids or hypertrophic scars,
you may need to consider steroid injections.
You can also see some improvement with treatments
like peeling or microneedling.
These days, microneedling
or a treatment called needle RF
which uses fine needles and high frequency
can give you some better results
Today we went over how to care for scars, how was it?
If you get a wound,
make sure to take care of it properly from the start.
Even if a scar is left behind,
it usually fades
over time.
So try not to worry too much.
[Scar care takes consistency] Scar care takes time,
so don’t rush it.
Just stay consistent and take it step by step.
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don’t forget to like, subscribe, and turn on notifications.
Thank you for watching until the end.
All of you will look beautiful.
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