【Child Injury Case】Forearm Abrasion in a 1-Year-Old Girl Successfully Treated with “Natsui-Style Moist Wound Healing”｜Scar-Free Result After 4 Years
Hello, I’m Dr. Hirotaka Kohrita, director of
Kohrita-Hiro Orthopedic & Plastic Surgery Clinic in Shin-Osaka, Japan.
This article introduces a valuable case where a 1-year-5-month-old girl suffered a deep abrasion on her forearm, which was treated using
Natsui-Style Moist Wound Healing,
resulting in a completely scar-free outcome even 4 years later.
■ Initial Visit (Before)
Initial visit
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She fell at her nursery school and scraped her forearm.
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The skin was widely abraded and red.
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Her mother was worried: “Will the scar remain…?”
■ Treatment: Natsui-Style Moist Wound Healing
● What is Natsui-Style Moist Wound Healing?
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No disinfection, no gauze
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Maintains a moist environment
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Less pain, faster healing
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Excellent for injuries in children
● Explained how to apply hydrocolloid dressings
I demonstrated the correct method so her mother could confidently
continue care at home.
● No disinfection
Because there were no signs of infection, the wound was never disinfected.
● No antibiotics
As always, no prophylactic antibiotics were prescribed.
● Daily bathing & shower allowed
Moist wound healing works better when the skin is exposed to water,
so daily showering was recommended.
Initial visit photo of a 1-year-4-month-old girl with a forearm abrasion showing mild bleeding. Treatment was initiated using Natsui-Style Moist Wound Healing.
Day 1 photo. Bleeding has stopped, and treatment could be continued with almost no pain. Healing is progressing well under Natsui-Style Moist Wound Healing.
Day 7 photo. The wound has healed well with no signs of infection. It was treated without disinfection or antibiotics, using Natsui-Style Moist Wound Healing.
■ After 4 Years
Four years later, the forearm shows no visible scar. This case demonstrates the long-term effectiveness of Natsui-Style Moist Wound Healing.
Four years later, she returned for another condition.
She had grown into a lovely young girl.
Her mother said:
“Which arm was injured? I can’t tell at all!”
This made me very happy as a plastic surgeon—
a life without having to worry about noticeable scars is
exactly what we aim for.
■ Why Moist Treatment Heals Children’s Abrasions Beautifully
Moist wound care results in:
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Less pain
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Faster healing
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Minimal scarring
In contrast, the following delay healing and may worsen scars:
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Gauze
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Disinfection
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Drying the wound
■ Summary
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Patient: 1-year-5-month-old girl
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Injury: Forearm abrasion
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Treatment: Natsui-Style Moist Wound Healing
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Outcome: Completely scar-free after 4 years
If your child experiences an injury, feel free to visit us anytime.
☎ [06-6151-0055]
Walk-ins are welcome.
🌿 Frequently Asked Questions (FAQ)
about Natsui-Style Moist Wound Healing
Q1: What is Natsui-style Moist Wound Healing?
A: It is a treatment that keeps wounds moist to support natural healing.
No disinfectants or gauze are used.
This approach reduces pain and helps wounds heal with minimal scarring.
Q2: Why don’t you disinfect the wound?
A: Disinfectants harm not only bacteria but also cells vital for healing,
delaying recovery and worsening scars.
Q3: What kind of treatment is done?
A: We use hydrocolloid dressings or polyurethane films
to keep the wound moist.
Depending on the case, we may also use Vaseline.
Bathing and showering at home are usually permitted.
Q4: Does it hurt?
A: Because we don’t use gauze that sticks to wounds,
there’s no pain from removal.
Wounds also heal faster,
and pain relief medication is often unnecessary.
Q5: Will the scar be minimal?
A: Results vary based on depth and location,
but compared to dry healing,
this method usually results in less noticeable scarring
—especially on visible areas like the palm.
Q6: Do I need daily clinic visits?
A: Usually, no. We teach simple home care methods.
Occasionally, a follow-up visit every few days may be needed.
Q7: Is there a risk of infection?
A: When moist conditions are properly maintained,
infection risk is actually lower.
But if you notice severe pain, swelling, or redness,
please consult us promptly.
Q8: Is it suitable for children?
A: Absolutely. This method is ideal for young children.
It’s less painful and doesn’t require traumatic gauze removal.
We have extensive experience treating pediatric wounds.
Q9: Are there many hospitals that use this method?
A: Unfortunately, not yet.
Few hospitals actively practice Natsui-style Moist Wound Healing.
At our clinic, I personally treat all wounds using this method
based on many years of experience.
🔗 [View All Blog Posts on Natsui-Style Moist Wound Healing]
Our Philosophy: Natsui-Style Moist Wound Healing
The “Natsui-Style Moist Wound Healing“ method was
established by Dr. Makoto Natsui,
a highly respected Japanese plastic surgeon.
This approach avoids disinfection and gauze,
maintaining a moist wound environment to minimize pain
and promote natural,rapid healing.
Our clinic practices wound management based on
Dr. Natsui’s effective treatment philosophy.
▶ Official Website: “New Wound Treatment” by Dr. Makoto Natsui (Japanese)
▶Learn more about Natsui-Style Moist Wound Healing
※ All our blog posts are personally written by the clinic director.
We receive many offers from SEO agencies,
but we will continue to share only real cases and
accurate medical information, written with responsibility.
🖊️ Author Information
Author: Dr. Hirotaka Kohrita
(Director, Kohrita Hiro Orthopedic & Plastic Surgery Clinic)
Specialties: Orthopedic surgery, plastic surgery, burn care, epidermoid cyst surgery
Experience: Over 6,000 total surgeries (approx. 500 per year),
with more than 1,000 clinical cases published on our official blog.
All cases are personally diagnosed, operated on, and followed up by the director himself.
