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DOI: 10.1055/s-0044-1787566
Dermal Steal Technique: A Single-Surgeon Retrospective Evaluation of Aesthetic Outcomes of Beveled versus Conventional Perpendicular Skin Incisions.
Funding None.
Abstract
Background Beveled skin incision was proposed 30 years back to improve scar outcome. But we could not find any existing literature that studied the outcomes of beveled excision in a non-hair-bearing skin objectively.
Methods Twenty-eight patients undergoing skin excision during various aesthetic procedures were divided equally into two groups. In group I patients, both the apposing edges of skin had beveled incisions, while in group II conventional 90-degree incisions were given. The scar outcomes were measured using Patient and Observer Scar Assessment Scale v 2.0/EN (POSAS 2.0).
Results The means of the total score of the patient scale of POSAS had a statistically significant difference (p = 0.012) between the two groups, so had the means of the observer scale (p = 0.048). The difference in scores between overall patient opinion in the two groups was statistically significant (p = 0.0119); however, it was not significant in the overall observer opinion (p = 0.405).
Conclusion The beveled incision group had a better scar outcome than the perpendicular incision group.
Note
The poster presentation of this technique by the primary author won the silver medal in ISAPS Olympiad, 2023.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Patients' Consent
All participants have given their informed consent in writing prior to inclusion in the study. Identifying details (names, dates of birth, identity numbers, and other information) of the participants have not been revealed in the article.
Publikationsverlauf
Artikel online veröffentlicht:
05. Juni 2024
© 2024. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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