The use of a nasolabial island flap in vestibulo-sulcoplasty in a patient with recurrent depressed scar on the modiolus

Tuncel, Umut; Turan, Aynur; Kostakoğlu, Naci

doi:10.4103/2006-8808.100358

Cited by 1 publication

(1 citation statement)

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“…A similar technique was introduced by Gillies and Millard in 1957, using the scar tissue overlapping technique, along with application of the double-breasted vest principle [12,13]. When surgical revision is chosen, three-dimensional tissue rearrangement is needed [14][15][16][17]. In reports of many other surgical methods, it was stated that the scar tissue was not discarded, and that de-epithelialized scar tissue was utilized for volume replacement [11,18,19].…”

Section: Discussionmentioning

confidence: 99%

Scar dermal transposition flap for depressed scars: A valuable technique for depressed scar management

Kim

Kwon

Moon

et al. 2019

Arch Aesthetic Plast Surg

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Scar formation is a natural, physiological response to the healing of damaged tissue. However, abnormal or disturbed collagen synthesis can cause skin texture irregularities, such as depression. Scar treatments should improve both functional and aesthetic aspects of the scarred area to optimize patient satisfaction. Plastic surgeons use surgical, nonsurgical, and multimodal strategies to treat scars, which begin with an accurate understanding of the characteristics of the scar, as well as the patient's needs. Depressed scars may occur when the injured tissue is replaced by scar tissue, which causes adhesion and tethering between the overlying skin and the underlying tissues, such as muscle or fascia. The main technique used to resolve depressed scars is to disrupt the connection between the skin and underlying tissue and to prevent re-adhesion [1,2]. However, many patients present with combined scar problems. In such cases, making an additional skin incision over a depression site is considered to be uneconomical. Therefore, we used de-epithelialized scar tissue of the widened scar portion as a transposition flap to fill under the depressed area for volume augmentation and to prevent re-adhesion.

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