Subject(s)
Fingers , Myoepithelioma/diagnosis , Soft Tissue Neoplasms/diagnosis , Aged , Humans , MaleABSTRACT
BACKGROUND: There are currently limited treatment options available to modify the appearance of scarring due to deliberate self-harm (DSH). The authors present two cases of Integra dermal matrix use for resurfacing scars due to past DSH. METHODS: By excising the scars and resurfacing with Integra, we present and describe a novel technique for treating the visible stigmata of previous DSH. RESULTS: No complications occurred, and patients noted improved appearance, skin quality and self-esteem following surgery. Both patients would recommend this treatment to others. CONCLUSIONS: Integra dermal matrix substitute may be used successfully to treat scarring from previous DSH.
Subject(s)
Chondroitin Sulfates/therapeutic use , Cicatrix/surgery , Collagen/therapeutic use , Self-Injurious Behavior/complications , Adult , Arm Injuries/complications , Cicatrix/etiology , Cicatrix/pathology , Female , Humans , Skin, Artificial , Treatment OutcomeABSTRACT
An application of the LeJour vertical mammaplasty skin pattern for skin-sparing mastectomy is presented. The approach provides adequate access for the mastectomy, axillary dissection, and immediate breast reconstruction. The technique is ideal for patients with large or ptotic breasts undergoing a simultaneous contralateral breast reduction or mastopexy. It is particularly suitable for autogenous tissue reconstruction. Its use in mastectomies for cancer and prophylactic subcutaneous mastectomies is described.
