Double vest lipodermal flaps for depressed facial scars

Abstract

Introduction Depressed tethered scar is a common problem that can cause emotional, social and behavioural problems, especially when it involves the exposed body parts. Several techniques have been described for treating these depressed scars, but none of these can fulfil the optimal results. Aim Evaluating the aesthetic outcome of using a double vest lipodermal flaps for treating depressed facial scars. Materials and methods The study included 25 patients with depressed facial scars who underwent scar revision. Their mean age was 31 years. Under local anaesthesia, the scarred area was de-epithelialised and double dart lipodermal flaps were used for revision. Visual analogue and Vancouver scar scales were used as subjective and objective parameters of evaluation, respectively. Results All the patients followed up for five to eight months. No complications were observed during the scar healing period. Patients satisfaction according to the visual analogue scale showed an average value of 8. The mean total scale according to the Vancouver scar scale was 2.6. Conclusion The new technique of using double vest lipodermal flaps is simple and offers a promising alternative for revising depressed scars.

The buried guide suture method: a novel technique to correct traumatic facial dimples

“…Local lipodermal flaps are used to create a more tension-free state on closure in previous studies. [7][8][9] However, it might not be an optimal treatment to leave a linear incision on unscarred skin to eliminate dimpling, especially for darker skin. Subcision is easily performed with less surgical trauma but lacks long-term durability, and might leave stitch marking.…”

Classification of Facial Fibrosis: A Guideline

“…Furthermore, remodeling with type I collagen replacement will determine the composition of the final fibrosis [3,7]. At around 4 to 6 weeks, fibrosis formation reaches about 60% of its original strength [4].…”

Classification of facial fibrosis: a guideline

“…In this context, to understand the effects of the lesion and the potential for fibrosis formation, the professional in facial aesthetic procedures must first understand the histology and physiology of the skin [3][4][5]. The skin is separated into an epidermis, dermis, and hypodermis [1,6].…”

“…Furthermore, remodeling with type I collagen replacement will determine the composition of the final fibrosis [3,7]. At around 4 to 6 weeks, fibrosis formation reaches about 60% of its original strength [4].…”

“…Finally, if the surgeon is to perform a surgical revision before 6 months, it is prudent to perform massages on the fibrosis, avoid the sun, intense hydration, silicone covering, and steroid injections, to accelerate the maturation of the fibrosis and minimize the erythema adjacent tissue or edema [3,4].…”