By Alexander Berlin

Achieving the easiest aesthetic leads to Mohs and different cutaneous surgical procedure calls for right sufferer choice, cautious surgical process, and meticulous postoperative care. but regardless of the easiest efforts of either health practitioner and sufferer, problems may perhaps increase, occasionally leading to suboptimal or objectionable scarring.

Mohs and Cutaneous surgical procedure: Maximizing Aesthetic results

describes intimately the concepts and methods that aid in attaining the main aesthetic leads to cutaneous surgery. The e-book covers wound therapeutic, surgical making plans, intraoperative options, and issues. additionally lined are surgical scar revision, dermabrasion, laser scar revision, neuromodulators and fillers, in addition to topical and intralesional remedies for the advance of scars.

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42 Mohs and Cutaneous Surgery: Maximizing Aesthetic Outcomes 11. Soon SL, Washington CV, Jr. Electrosurgery, electrocoagulation, electrofulguration, electrodesiccation, electrosection, electrocautery. In: Robinson JK, Hanke CW, Siegel DM, Fratila A (eds). Surgery of the Skin. 2nd ed. Philadelphia: Mosby; 2010, pp. 143–4. 12. Lenzy Y, Cummins D, Finn D. Bipolar forceps: A hemostatic tool for patients with electrocoagulation-induced dental pain. J Am Acad Dermatol 2011;65(2):441–2. 13. Rohrer T. Planning the closure.

During knot tying, the surgeon’s hands and suturing instruments should be kept close to the surgical site. This is much more efficient than chasing large loops of suture material across the surgical field. Also, very tight knots can lead to tissue strangulation. To avoid this complication, only low to moderate tension is placed on the suture ends while tying the first and second knots of a square knot, with only the third knot tied tightly and securely. Flaps and Grafts When primary closure is not possible, the next consideration is often a local skin flap or a graft.

9). 8 (a) Mid-cheek defect immediately after Mohs surgery. (b) Incisions placed parallel to relaxed skin tension lines and along cosmetic unit junctions. (c) Appearance at suture removal. (d) Scar camouflaged within the relaxed skin tension lines and along the cosmetic unit junctions of the eyelid and cheek. crease and marionette lines. 10). The complex topography of the ear presents unique challenges in surgical reconstruction. For defects on the helical rim, wedge resections or skin grafts have often been used.

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