Distal, dorsal superior extremity plasty

Area of Science:

• Plastic Surgery
• Dermatology
• Cosmetic Procedures

Background:

• Aging leads to deep wrinkles and redundant skin on the dorsal hand, wrist, and forearm, causing cosmetic concerns for some patients.
• Existing cosmetic concerns necessitate effective surgical interventions to address skin laxity and aging signs in the upper extremities.

Purpose of the Study:

• To describe the surgical technique of distal dorsal superior extremity plasty for correcting redundant skin and wrinkles on the dorsal hand, wrist, and forearm.
• To evaluate the cosmetic outcomes, patient satisfaction, and potential complications associated with this specific surgical procedure.

Main Methods:

• The procedure involves elliptical excision of redundant skin, with precise measurement to avoid compromising wrist flexion.
• Techniques to minimize nerve injury include magnification, local anesthetic injection, and careful dissection of sensory nerve branches.
• Postoperative care involves splinting the wrist in extension to reduce wound tension and prevent complications like dehiscence or decreased range of motion.

Main Results:

• The distal dorsal superior extremity plasty resulted in long-lasting, good to excellent cosmetic improvements, enhancing the youthful appearance of the treated areas.
• Patient satisfaction was high, with relatively inconspicuous scarring reported.
• No complications, including nerve injury, wound dehiscence, or decreased wrist mobility, were observed in the study cohort.

Conclusions:

• Distal dorsal superior extremity plasty is an effective procedure for improving the cosmetic appearance of aging skin on the dorsal hand, wrist, and forearm.
• Meticulous surgical technique, including magnification and careful nerve handling, is crucial for minimizing risks and ensuring patient satisfaction.
• The procedure offers a safe and effective solution for redundant skin and wrinkles, leading to significant aesthetic enhancement.