Bhingradia Yogesh M, Vetal Akshay Arun, Singdia Heena, Kinjalk Aarushi
Department of Dermatology, Venereology and Leprosy, Shivani Skin Care and Cosmetic Clinic, Surat, Gujarat, India.
Department of Skin and VD, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India.
J Cutan Aesthet Surg. 2024 Oct-Dec;17(4):325-329. doi: 10.25259/jcas_189_22. Epub 2024 Oct 11.
Patients seeking reconstructive facial surgery desire aesthetically pleasing outcomes with minimal visible scarring. For scalp incisions, beveled angle of 45° is typically preferred to preserve hair follicles. However, no consensus exists regarding the ideal incision angle for the brow area. This observational study analyzed the surgical outcomes of 12 patients with eyebrow defects treated using a simple elliptical excision with a beveled incision, addressing various indications such as posttraumatic scars, post-burn scars, and tumors. Outcomes were evaluated using the Physician Global Esthetic Improvement Scale at 7 days and 3 months post-surgery. At 7 days, 50% of patients showed very good improvement, and the other 50%showed moderate improvement. By 3 months, 33% of patients exhibited exceptional improvement, 50% showed very good improvement, and 17% demonstrated moderate improvement. This study concludes that direct excision and approximation with an angled incision along the hair follicle direction provide favorable aesthetic results for eyebrow reconstruction.
寻求面部整形手术的患者期望获得美观的效果，同时疤痕尽可能不明显。对于头皮切口，通常首选45°的斜角以保留毛囊。然而，关于眉区的理想切口角度尚无共识。这项观察性研究分析了12例眉部缺损患者的手术结果，这些患者采用简单的椭圆形切除并带有斜切口进行治疗，涉及各种适应症，如创伤后疤痕、烧伤后疤痕和肿瘤。在术后7天和3个月使用医生整体美学改善量表评估结果。在术后7天，50%的患者显示出非常好的改善，另外50%显示出中等改善。到3个月时，33%的患者表现出卓越改善，50%显示出非常好的改善，17%表现出中等改善。本研究得出结论，沿着毛囊方向直接切除并采用斜切口缝合可为眉部重建提供良好的美学效果。
