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Цель — улучшить эстетичность кожи, уменьшить видимость рубца и восстановить подвижность тканей [3](https://doctorpershukova.ru/uslugi/shvi/hirurgi-issechen-shramov/)[5](https://med-iv.ru/services/dlya-vzrozlykh/hirurgiya/issechenie-rubtsov-s-nalozheniem-kosmeticheskikh-shvov/)[16](https://peresadka-volos.ru/uslugi/rubcy-shvi/hirurgi-issechen-shramov/). Полностью удалить рубец невозможно, но хирург может сделать его менее заметным за счёт уменьшения ширины и сглаживания с окружающей поверхностью [1](https://amcclinic.ru/o-klinike/articles/issechenie-rubtsov/)[19](https://milmmed.ru/issechenie-rubtsov/).\n\n## Показания\nОперация проводится при: \n* грубых, гипертрофических и келоидных рубцах, мешающих эстетике кожи [5](https://med-iv.ru/services/dlya-vzrozlykh/hirurgiya/issechenie-rubtsov-s-nalozheniem-kosmeticheskikh-shvov/); \n* контрактурах рубцов, ограничивающих подвижность тканей [5](https://med-iv.ru/services/dlya-vzrozlykh/hirurgiya/issechenie-rubtsov-s-nalozheniem-kosmeticheskikh-shvov/); \n* застарелых или неправильно заживших шрамах [5](https://med-iv.ru/services/dlya-vzrozlykh/hirurgiya/issechenie-rubtsov-s-nalozheniem-kosmeticheskikh-shvov/); \n* физических или психологических неудобствах, связанных с рубцами [5](https://med-iv.ru/services/dlya-vzrozlykh/hirurgiya/issechenie-rubtsov-s-nalozheniem-kosmeticheskikh-shvov/). \n\nЧаще всего процедура проводится на лице, шее, руках, животе и других открытых участках тела, где рубец привлекает внимание или вызывает дискомфорт [5](https://med-iv.ru/services/dlya-vzrozlykh/hirurgiya/issechenie-rubtsov-s-nalozheniem-kosmeticheskikh-shvov/).\n\n## Противопоказания\nНекоторые противопоказания к иссечению рубца: \n* острые воспалительные процессы в зоне предполагаемого вмешательства [9](https://wmtmed.ru/surgery/plastic/udalenie-rubtsov-i-shramov/); \n* онкологические заболевания кожи или наличие злокачественных новообразований [9](https://wmtmed.ru/surgery/plastic/udalenie-rubtsov-i-shramov/); \n* тяжёлые хронические патологии в стадии обострения [9](https://wmtmed.ru/surgery/plastic/udalenie-rubtsov-i-shramov/); \n* индивидуальная непереносимость используемых препаратов или анестетиков [9](https://wmtmed.ru/surgery/plastic/udalenie-rubtsov-i-shramov/); \n* беременность и период грудного вскармливания (относительное противопоказание в зависимости от метода) [9](https://wmtmed.ru/surgery/plastic/udalenie-rubtsov-i-shramov/). \n\nПеред операцией врач собирает анамнез и проводит осмотр, чтобы исключить возможные риски [9](https://wmtmed.ru/surgery/plastic/udalenie-rubtsov-i-shramov/).\n\n## Методика проведения\nПроцедура включает несколько этапов [5](https://med-iv.ru/services/dlya-vzrozlykh/hirurgiya/issechenie-rubtsov-s-nalozheniem-kosmeticheskikh-shvov/): \n1. **Первичная консультация** — врач-хирург проводит осмотр, оценивает структуру рубца, тип кожи и определяет методику коррекции [5](https://med-iv.ru/services/dlya-vzrozlykh/hirurgiya/issechenie-rubtsov-s-nalozheniem-kosmeticheskikh-shvov/). \n2. **Обезболивание** — используется местная анестезия, позволяющая полностью исключить болевые ощущения [5](https://med-iv.ru/services/dlya-vzrozlykh/hirurgiya/issechenie-rubtsov-s-nalozheniem-kosmeticheskikh-shvov/). \n3. **Иссечение рубца** — специалист аккуратно удаляет рубцовую ткань, стараясь минимизировать повреждение окружающих здоровых участков [5](https://med-iv.ru/services/dlya-vzrozlykh/hirurgiya/issechenie-rubtsov-s-nalozheniem-kosmeticheskikh-shvov/). \n4. **Наложение косметических швов** — применяются тонкие, саморассасывающиеся нити, которые не оставляют грубых следов [5](https://med-iv.ru/services/dlya-vzrozlykh/hirurgiya/issechenie-rubtsov-s-nalozheniem-kosmeticheskikh-shvov/). \n\nДлительность операции — 30 минут — 1 час, в зависимости от сложности [2](https://globalclinic.su/otdeleniya/khirurgiya/issechenie-rubcov/).\n\n## Осложнения\nНекоторые возможные осложнения после иссечения рубца: \n* покраснение и отёк в области швов [7](https://doctorchesalin.ru/uslugi/shvi/hirurgi-issechen-shramov/); \n* временная болезненность или зуд [7](https://doctorchesalin.ru/uslugi/shvi/hirurgi-issechen-shramov/); \n* образование небольших гематом [7](https://doctorchesalin.ru/uslugi/shvi/hirurgi-issechen-shramov/). \n\nЭти явления проходят в течение нескольких дней или недель и не требуют дополнительного лечения 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