Beveled Incisions: What is the Evidence?

Aesthetic Plastic Surgery
Shelby BrownLee L Q Pu

Abstract

Although many aesthetic surgeons believe that beveling the angle of an incision improves the aesthetic outcome with regard to scaring, the literature remains scarce largely because few studies have been conducted. This systematic review therefore aims to identify whether using a beveled incision adds an aesthetic benefit, to determine whether there is a specific angle that yields a superior outcome, and for the first time, to present a complete discussion of this subject for practicing surgeons. A comprehensive literature search was performed using the PubMed database to search for primary articles. The main inclusion criteria were primary journal articles investigating the use of a beveled angle via a controlled study. A total of fifty-four publications were reviewed, with only four publications including 124 patients suitable for use in this systematic review. All the studies concluded that the use of a beveled angle incision improved aesthetic outcomes, with the ideal angle ranging from 10° to 45°. The use of a beveled angle incision can improve scar aesthetics and encourages the regrowth of hair follicles and shafts through the scars via multiple mechanisms. Nevertheless, the paucity of literature available to the practitio...Continue Reading

References

Feb 1, 1983·Annals of Plastic Surgery·J R Lewis
Jul 17, 2008·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Joe Niamtu
Jul 13, 2011·Aesthetic Plastic Surgery·Dominik Ludwig Feinendegen
Jun 22, 2016·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Dominik L FeinendegenJ Camilo Roldán

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Citations

Nov 20, 2019·The Journal of Antimicrobial Chemotherapy·Lingyan SunYunsong Yu
Feb 15, 2020·PloS One·Terence LeeUNKNOWN Australian Group on Antimicrobial Resistance
Jul 25, 2019·Plastic and Reconstructive Surgery. Global Open·Dominik L FeinendegenMathias Tremp
Aug 28, 2020·Ophthalmic Plastic and Reconstructive Surgery·Daniel P ButlerRaman Malhotra
Jun 15, 2021·Seminars in Plastic Surgery·Rami P DibbsJeffrey D Friedman

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