Staged Excision Technique To Reduce Scar Length
Seung-Kyu Han1, Sik Namgoong1, Jae-youn Kim2, Ji-Won Son2.
1Korea University College of Medicine, Seoul, Korea, Republic of, 2Korea University Guro Hospital, Seoul, Korea, Republic of.
Background: Patients and surgeons are often disappointed with the scar length after conventional staged excision. We developed an alternative approach to facilitate scar length reduction. This study aimed to report the efficacy of our staged excision method, which comprises hexagonal-pattern excision, wide undermining, and a purse-string suture. Methods: Sixty-five patients with 65 lesions were included in this study. Lesion length and width were recorded, and the scar area was calculated at every stage. We compared the final scar length with that obtained after the conventional staged excision method using a theoretical scar model. Patient satisfaction was also evaluated. Results: The mean longest axis length was 9.41 ± 3.83 cm preoperatively, 9.50 ± 3.92 cm after the first stage postoperatively, and 10.19 ± 3.98 cm after the final stage. The mean lesion width was 6.50 ± 3.48 cm preoperatively, 3.60 ± 1.77 cm after the first stage postoperatively, and 0.42 ± 0.31 cm after the final stage. The actual scar length was much shorter than what would have been possible using the conventional staged excision. The patient satisfaction score was 8.8 ± 1.1/10.0. Conclusion: Staged excision with a hexagonal-pattern excision, wide undermining, and purse-string closure may improve aesthetic results.
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