Aesthetic

Skin, Soft Tissue, and Hair

A simple and effective technique for improving the appearance of pin-site scars

Thione A, Gandolfi E, Mortarino C (Plastic and Reconstructive Surgery Private Practice, Como, Italy; Aesthetic Surgery Unit, Como, Italy; Plastic and Reconstructive Surgery Private Practice, Varese, Italy) Injury 41:e15-e16, 2010^§

Abstract

The use of an external fixator in reconstructive surgery may leave retracted and depressed scars where pins have passed through the skin; these scars do not resolve or improve spontaneously and, at the end of the reconstructive surgery, patients complain about them.

In 1994, Saleh and Howard described a method of surgical revision combining W-plasty and a buried dermal island to improve pin scars.

In 2002, Oznur and Aycan proposed a simple elevation procedure by scissors, making a 1-cm-longitudinal incision, arguing that controlled haematoma formation helps to elevate the depressed area, having experience only with scars of the thigh.

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