April 2011



Clinical applications for skin surgery

Volume 40, No.4, April 2011 Pages 224-225

Peter Kim

Hyung-Joo Kim

Elliptical excision is a simple, cosmetically satisfying and popular technique for surgically removing skin lesions. However, in certain situations, elliptical excision can produce resulting permanent skin deformity that is cosmetically unsightly. This article provides a series of cases that demonstrate clinical applications using S-plasty to produce a more cosmetically satisfying outcome.

While elliptical excision is an effective technique for surgically removing skin lesions, in certain situations it can result in permanent skin deformity that is cosmetically unsightly, such as ‘dog ears’, depressed wounds (Figure 1) and unsightly scars. Such complications occur more frequently on contoured surfaces such as the face, arms, and legs, and not infrequently contributes to cosmetic dissatisfaction.1

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Correspondence afp@racgp.org.au

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