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A New Modified S-plasty for Skin Defect Closure.

Huxian Liu1, Nanze Yu, Jun Shi

  • 1Department of Plastic and Reconstructive Surgery, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing, 100853, China.

Aesthetic Plastic Surgery
|December 7, 2014
PubMed
Summary

A novel modified S-plasty effectively corrects dog-ear deformities from skin defects. This simple surgical technique minimizes scarring and preserves healthy skin, offering favorable aesthetic outcomes.

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Area of Science:

  • Plastic Surgery
  • Dermatologic Surgery

Background:

  • Dog-ear deformity, also known as standing cone deformity, is a frequent complication in surgical excisions.
  • Existing correction methods often lead to extended scarring and significant loss of healthy skin.

Observation:

  • A new, simplified surgical procedure was developed for excising small to medium skin defects.
  • This technique is based on mathematical principles, ensuring ease of design and execution.

Findings:

  • The modified S-plasty procedure resulted in shortened surgical incisions.
  • It successfully preserved a greater amount of healthy skin compared to traditional methods.
  • Patients experienced uneventful healing with minimal complications and favorable "S-shaped" curvilinear scar outcomes.

Implications:

  • This modified S-plasty offers a valuable, simple surgical tool for managing skin defects.
  • The technique presents a low risk of residual deformity, enhancing patient aesthetics.
  • It provides an effective alternative for skin defect closure, prioritizing tissue preservation and scar quality.