Effect of Dermal Thickness on Scars in Women with Type III-IV Fitzpatrick Skin

Aesthetic Plastic Surgery
Bilsev İnceFatma Bilgen

Abstract

Both patients and physicians desire minimal scarring after surgical procedures. The removal of foreign bodies from around the wound, prevention of infection, and wound closure without tension is recommended for reducing scarring. The reasons underlying the differing appearance of scars between different anatomical regions of the same individual are not fully understood. Moreover, to our knowledge, the relationship between incision width and dermal thickness in different anatomical regions has yet to be investigated. Hence, in the present study, we aimed to determine the effect of dermal thickness on scar formation. Fifty patients who were treated and followed up for breast hypertrophy between 2010 and 2013 were retrospectively investigated. In all patients, a 2 × 2-cm skin biopsy specimen was obtained from the medial right breast at the horizontal line of the T scar. A routine superomedial pedicle breast reduction was subsequently performed. The extracted excision materials and skin biopsy specimens were examined pathologically. Dermal thickness was measured from the starting point of the subcutaneous tissue to the end point of the epidermis, at four different sites. The average dermal thickness was then calculated for each pat...Continue Reading

References

Dec 6, 2001·Facial Plastic Surgery : FPS·A E Brissett, D A Sherris
Jul 27, 2002·Plastic and Reconstructive Surgery·Thomas A MustoeUNKNOWN International Advisory Panel on Scar Management
Jul 16, 2004·Plastic and Reconstructive Surgery·Lieneke J DraaijersPaul P M van Zuijlen
Jan 6, 2006·Indian Journal of Dermatology, Venereology and Leprology·Sharad Mutalik
Jan 13, 2006·Plastic and Reconstructive Surgery·M MurakamiH Hyakusoku
Apr 5, 2008·Journal of the American College of Surgeons·Paris D ButlerGeorge P Yang
Jan 28, 2009·Indian Journal of Dermatology, Venereology and Leprology·Silonie Sachdeva
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Sep 21, 2013·JAMA Dermatology·Steven EilersJune K Robinson

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Citations

Feb 3, 2018·JAMA Facial Plastic Surgery·Junqian ZhangJoseph F Sobanko
Sep 12, 2018·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Bilsev InceMehmet Dadaci
Aug 14, 2019·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Yuxi Su, Guoxin Nan
Jul 31, 2020·Aesthetic Plastic Surgery·Li-Ping Ouyang, Ning-Xin Cheng
Jul 13, 2018·Archives of Craniofacial Surgery·Hong Il KimJin Hyung Park

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