Abstract
OBJECTIVE: This study aims to investigate the efficacy of the layer-by-layer moderate tension reduction suture technique in head and facial aesthetic plastic surgery. METHODS: A retrospective analysis was performed on the clinical data of 80 patients who underwent head and facial cosmetic and plastic surgery in the outpatient department of our hospital from April 2022 to April 2024. Among these, the experimental group received the layer-by-layer moderate tension reduction suture technique, whereas the control group received the traditional suture technique. The incidence of surgical complications, scar width, and scar quality metrics derived from the Patient and Observer Scar Assessment Scale (POSAS) and Vancouver Scar Scale (VSS) scores were compared between the two groups. RESULTS: The experimental group had a longer operation time but no complications (0%), compared to the control group's 17.5% complication rate. The χ² test confirmed the experimental group's significantly lower complication rate (P < 0.05). At one, three, six, and 12 months postoperatively, the experimental group had significantly smaller scar widths, lower POSAS scores, and lower VSS scores compared to the control group (all P < 0.05). CONCLUSION: The layer-by-layer moderate tension reduction suture technique demonstrated substantial advantages in head and facial aesthetic plastic surgery. It effectively minimized surgical complications, reduced scar width, and enhanced patients' scar appearance scores, making it highly worthy of clinical promotion.