V-Y-S-plasty closure of circular defects.

Area of Science:

• Plastic Surgery
• Dermatologic Surgery
• Wound Healing

Background:

• Standard ellipse excision and direct closure of skin lesions can lead to linear scar contracture.
• Scar contracture near facial structures or on extremities can cause negative functional and cosmetic outcomes.
• This is especially problematic around paired anatomical structures.

Purpose of the Study:

• To introduce and describe the V-Y-S-plasty technique for closing circular defects.
• To highlight the advantages of V-Y-S-plasty in tissue conservation and minimizing wound undermining.
• To demonstrate its suitability for specific anatomical locations and high-tension areas.

Main Methods:

• The V-Y-S-plasty closure technique for circular defects was employed.
• Refinements to the standard V-Y-S-plasty technique were detailed.
• Application in areas adjacent to canthi, eyelids, eyebrows, lip commissures, nasal alae, and extremities was discussed.

Main Results:

• The V-Y-S-plasty technique conserves tissue effectively.
• It significantly reduces or eliminates the need for extensive wound undermining.
• The method proves ideal for defects near sensitive facial structures and on high-tension skin areas.

Conclusions:

• V-Y-S-plasty is an effective method for closing circular skin defects.
• It offers improved functional and cosmetic outcomes by preventing scar contracture.
• The technique is versatile and particularly beneficial in specific anatomical locations and challenging wound scenarios.