Dermal Steal Technique: A Single-Surgeon Retrospective Evaluation of Aesthetic Outcomes of Beveled versus Conventional Perpendicular Skin Incisions

真皮剥离技术:单名外科医生回顾性评估斜面切口与传统垂直切口的美容效果

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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.

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