Su Xuefeng, Zhou Xuchuan, Tang Yueling, Ma Gejia, Wu Junzheng, Liu Bin
Department of Burn, Plastic and Cosmetic Surgery, Xi'an Central Hospital, Xi'an Jiaotong University, Xi'an, China.
J Cosmet Dermatol. 2025 Jun;24(6):e70266. doi: 10.1111/jocd.70266.
The Modified Buried Vertical Mattress Suture (MBVMS) has demonstrated potential in mitigating postoperative incision scar hyperplasia. This study aimed to retrospectively evaluate the efficacy of combining MBVMS with tension-reducing tape in minimizing scar formation following forearm tattoo resection.
A total of 46 patients undergoing forearm tattoo resection or partial resection were included. Participants were stratified into two cohorts: a control group (n = 17) receiving traditional intradermal sutures and a research group (n = 29) treated with MBVMS combined with tension-reducing tape. Scar width was measured at predefined intervals (3, 6, and 12 months postoperatively). Scar hyperplasia was assessed using the Observer Scar Assessment Scale (OSAS) and Patient Scar Assessment Scale (PSAS).
Both groups exhibited initial scar widening between 3 and 6 months postoperatively, followed by gradual narrowing from 6 to 12 months. However, the research group demonstrated significantly reduced scar width at all time points compared to the control group (p < 0.05). Similarly, OSAS and PSAS scores were consistently lower in the research group (p < 0.05), indicating superior cosmetic and patient-reported outcomes.
These findings suggest that MBVMS combined with tension-reducing tape effectively reduces scar hyperplasia in forearm tattoo resection, offering a promising approach for improving postoperative aesthetic outcomes.
改良埋藏垂直褥式缝合术（MBVMS）已显示出减轻术后切口瘢痕增生的潜力。本研究旨在回顾性评估MBVMS联合减张带在前臂纹身切除术后减少瘢痕形成的疗效。
纳入46例行前臂纹身切除或部分切除术的患者。参与者被分为两个队列：对照组（n = 17）接受传统皮内缝合，研究组（n = 29）采用MBVMS联合减张带治疗。在预定时间间隔（术后3、6和12个月）测量瘢痕宽度。使用观察者瘢痕评估量表（OSAS）和患者瘢痕评估量表（PSAS）评估瘢痕增生情况。
两组在术后3至6个月均出现初始瘢痕增宽，随后从6至12个月逐渐变窄。然而，与对照组相比，研究组在所有时间点的瘢痕宽度均显著降低（p < 0.05）。同样，研究组的OSAS和PSAS评分始终较低（p < 0.05），表明美容效果和患者报告的结果更佳。
这些发现表明，MBVMS联合减张带可有效减少前臂纹身切除术后的瘢痕增生，为改善术后美学效果提供了一种有前景的方法。
