A Simple Approach to the S-Plasty in Cutaneous Surgery

Finite element models of wound closure

“…1). This shape of excision frequently needs further revision to remove excessive extrusion of skin at the edges of the closed wound (known as dog-ears) [1]. Elliptical and fusiform excisions are considered to be relatively simple and fast to perform (Fig.…”

“…The healing of a closed wound depends on a number of factors including the size and shape of the incision or excision [1], anatomic location [2] and the distribution and magnitude of the surrounding tension field [3,4]. As a result of these factors, the achievement of a good quality closed wound is a challenging task for any surgeon.…”

Plastia en "S" para la escisión de lesiones circulares en el hallux: caso clínico

“…No obstante, existen variaciones a la escisión fusiforme básica que pueden ser importantes en determinadas situaciones, aportando ciertas ventajas sobre la tensión de la herida y la cicatriz final. Una de estas variaciones es la plastia en "S" (Figura 1) [2][3][4][5][6][7] . Esta variación consiste en una plastia circular convexa doble que aumenta la longitud total de la incisión sin aumentar la longitud entre los bordes de la incisión, comparándola con la línea recta de la elipse estándar.…”

Modern approach to facial skin defects reconstruction

“…The procedure itself is quite simple: outline skin lesion to be removed by marking the S-shape around the lesion, make the S-shaped incision, secure hemostasis and place sutures. The advantages of this technique include, easier control of the wound tension, good aesthetic outcome and amplified length to width ration due to S-shaped incision [13].…”