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Modified dovetail-plasty in scar revision.
Suk Joon Oh1, Jihoon Yang, Seon Gyu Kim
1From the *Institute of Burn, Reconstructive and Plastic Surgery, Bestian Seoul Hospital, Seoul; and †Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Anyangsi, Republic of Korea.
The Journal of Craniofacial Surgery
|March 1, 2014
Summary
Modified dovetail-plasty offers an effective solution for revising difficult scars, including trapdoor scars and those with excessive tension. This plastic surgery technique aims to create less conspicuous scars by blurring scar lines and reducing skin tension.
Area of Science:
- Plastic and Reconstructive Surgery
- Dermatologic Surgery
- Scar Revision Techniques
Background:
- Scar revision is a core plastic surgery procedure.
- Traditional methods like Z-plasty and W-plasty have limitations in camouflaging challenging scars such as trapdoor scars and those from skin grafts.
- Difficult scar revision requires innovative techniques to improve aesthetic outcomes.
Purpose of the Study:
- To evaluate the efficacy of a modified dovetail-plasty technique for revising challenging scar types.
- To assess the outcomes and success rates of this novel local flap in plastic and reconstructive surgery.
- To determine if modified dovetail-plasty can create inconspicuous scars in difficult-to-treat areas.
Main Methods:
- A modified dovetail-plasty technique was employed for scar revision in 28 cases across 22 patients.
- The technique involves Y-shaped and trapezoid incision lines to manage skin tension.
- Scars were located on the face and extremities, with follow-up assessments over 6 months.
Main Results:
- The modified dovetail-plasty demonstrated high success rates: 75% excellent and 12.4% good outcomes.
- Minor complications included scar depressions (2 patients) and hypertrophic scarring (2 patients).
- The procedure effectively blurred scar lines and reduced tension, leading to improved scar appearance.
Conclusions:
- Modified dovetail-plasty is a recommended technique for revising difficult scars, particularly trapdoor scars and those under excessive tension.
- This local flap technique offers a method to achieve inconspicuous scar revision.
- The technique shows promise in improving patient satisfaction and aesthetic results in scar management.
