Double Skin Incision in Breast Operation

ABSTRACT

Now, in nearly all operations, bleeding is controlled by electric cautery (Bovie). Bovie discovered that a high-frequency alternating current could be used to incise tissue or coagulate blood to obtain hemostasis. The technique was popularized by other operations. In this procedure, a mild thermal injury occurs away from the plane of cautery, and blood vessels thrombose. Although this cautery is very useful for easily controlling the bleeding and for shortening the operation time, an electric hypertropic scar and a poor cosmetic skin incision margin remain; for young women, an operative scar assumes particular cosmetic importance. This study was made to improve the hypertropic scar and the poor cosmetic skin incision margin.