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Staged Excision Technique to Reduce Scar Length.
Sik Namgoong1, Kyu-Il Lee1, Seung-Kyu Han1
1Department of Plastic Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea.
Summary
This study introduces an improved staged excision technique for large skin lesions, significantly reducing final scar length compared to conventional methods. The novel approach enhances patient satisfaction with aesthetic outcomes.
Area of Science:
- Dermatologic Surgery
- Plastic Surgery
- Wound Healing
Background:
- Conventional staged excision for large skin lesions often results in unsatisfactory scar length.
- Patient and surgeon dissatisfaction with cosmetic outcomes is a common issue.
Purpose of the Study:
- To evaluate the efficacy of an alternative staged excision method for reducing scar length.
- To compare the aesthetic results of the novel technique with conventional methods.
Main Methods:
- A modified staged excision involving hexagonal-pattern excision, wide undermining, and purse-string suture was performed on 65 patients.
- Lesion dimensions and scar area were measured at each stage.
- Final scar length was compared to a theoretical model of conventional staged excision.
- Patient satisfaction was assessed using a rating scale.
Main Results:
- The modified technique resulted in a significantly shorter final scar length compared to conventional methods.
- Mean lesion width decreased substantially after each stage of the modified procedure.
- Patient satisfaction score averaged 8.8 out of 10.0.
Conclusions:
- Staged excision incorporating hexagonal-pattern excision, wide undermining, and purse-string closure offers improved aesthetic results for large skin lesions.
- This technique effectively reduces scar length and increases patient satisfaction.
