Background: Various surgical techniques and modalities have been used to treat scars, but non showed definite efficacy controlling that abnormally-placed fibrous tissue. Contractile forces of healing in addition to the nature of primary injury greatly influence the final scar appearance. Atrophic depressed scars are a major challenge that a Plastic Surgeon may ever face. Lack of dermal skin lay...

BACKGROUND A large, multicenter, 10-year observational study is comparing the long-term safety and effectiveness of Natrelle silicone breast implants versus saline implants or national norms. METHODS Women who underwent primary augmentation, revision-augmentation, primary reconstruction, or revision-reconstruction were invited to participate. Enrolled subjects had completed surgery and receiv...

Frontal sinusitis after middle turbinate resection occurs because of stenosis of the frontal ostium by soft tissue scarring or residual bony fragments (which are pulled to the medial orbital wall by scar contracture). Standard endoscopic techniques cannot address this problem; however, revision endoscopic frontal sinusotomy with mucoperiosteal flap advancement (the frontal sinus rescue procedur...

Dear Sir, We present a 43-year-old man with ca larynx who underwent tracheostomy, secondary to subtotal laryngectomy operation. The patient’s respiratory problems were resolved and tracheostomy was removed. He presented to our clinic with a depressed scar and a tracheal tug (Fig 1). Tracheostomy is a life-saving maneuver used in respiratory emergencies, maxillofacial trauma, and oncologic surge...

OBJECTIVE To describe the experience of a single department using uncovered subcutaneous hinge flaps to repair the nasal portion and adjacent facial subunits of defects after skin tumor excision. DESIGN Case series of 16 patients needing reconstruction for lesions of the alar subunit with 1 or more adjacent facial subunits after Mohs surgery for cutaneous malignant neoplasms. RESULTS All fl...

OBJECTIVE We present a patient with persistent hypertrophic skin surrounding the percutaneous implant of a bone-anchored hearing aid system, successfully treated with intralesional applied corticosteroids. METHOD Case report and review of the world literature concerning bone-anchored hearing aid implantation and intralesional applied corticosteroids for the treatment of hypertrophic scars and...

Reconstruction of the upper lip requires symmetrical reconstruction of hairy male skin according to the aesthetic principle. A moderate defect of the upper lip had nonhairy skin on the upper one-third and hairy skin on the lower two-thirds in a Korean man. A hairy preauricular free flap is useful for correcting superficial-thickness skin defects of the upper lip, when local and regional flaps a...

BACKGROUND Wound healing complications can occur after calvarial vault expansion due to tension on the scalp flaps. OBJECTIVES To compare wound healing outcomes in patients with craniosynostosis undergoing calvarial vault expansion with and without intraoperative tissue expansion of the scalp. METHODS The present analysis was an institutional review board-approved, retrospective cohort stud...

BACKGROUND Scar revision with CO2 and Er:YAG lasers has become popular in recent years. Reports on the newest (modulated, dual-mode) Er:YAG systems have been limited mostly to the treatment of photodamaged skin and rhytides. OBJECTIVE To prospectively evaluate the efficacy and safety of a dual-mode 2940 nm Er:YAG laser for atrophic scar revision. METHODS Twenty-five consecutive patients wit...

OBJECTIVE To determine factors predictive of complications and the need for adjunctive treatments repair of facial Mohs defects. METHODS Charts of patients undergoing repair of facial defects from 2000 to 2010 in an academic facial plastic surgery practice were reviewed for patient medical history, tumor type, defect site and size, method of repair, postoperative sequelae, and adjunctive trea...