Plantar approach for excision of bilateral soft tissue masses in a child.

A painful soft tissue mass of the plantar aspect of both feet, in a 5-year-old child, is presented. Plantar incisions are ideal in specific cases as long as the surgeon adheres to certain principles, as outlined in this manuscript. A discussion of lipomas is also presented. Optimum exposure is the key to total eradication of soft tissue lesions and to proper maintenance of wound healing. Location of the lesion presented warranted use of the plantar approach. Minimal hypertrophy of the plantar scar was achieved, as well as few symptoms by the patient.