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Aesthetic Plastic Surgery

, Volume 42, Issue 1, pp 304–309 | Cite as

Keloid Skin Flap Retention and Resurfacing in Facial Keloid Treatment

  • Shu Liu
  • Weizhong Liang
  • Kexin Song
  • Youbin WangEmail author
Original Article Special Topics
  • 419 Downloads

Abstract

Objective

Facial keloids commonly occur in young patients. Multiple keloid masses often converge into a large lesion on the face, representing a significant obstacle to keloid mass excision and reconstruction. We describe a new surgical method that excises the keloid mass and resurfaces the wound by saving the keloid skin as a skin flap during facial keloid treatment.

Methods

Forty-five patients with facial keloids were treated in our department between January 2013 and January 2016. Multiple incisions were made along the facial esthetic line on the keloid mass. The keloid skin was dissected and elevated as a skin flap with one or two pedicles. The scar tissue in the keloid was then removed through the incision. The wound was covered with the preserved keloid skin flap and closed without tension. Radiotherapy and hyperbaric oxygen were applied after surgery. Patients underwent follow-up examinations 6 and 12 months after surgery.

Results

Of the 45 total patients, 32 patients were cured and seven patients were partially cured. The efficacy rate was 88.9%, and 38 patients (84.4%) were satisfied with the esthetic result.

Conclusion

We describe an efficacious and esthetically satisfactory surgical method for managing facial keloids by preserving the keloid skin as a skin flap.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Keywords

Facial keloid Keloid skin flap Radiotherapy 

Notes

Acknowledgement

The authors have indicated no significant interest with commercial supporters.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

Supplementary material 1 (MOV 107265 kb)

Supplementary material 2 (MOV 72577 kb)

Supplementary material 3 (MOV 59621 kb)

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Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2017

Authors and Affiliations

  • Shu Liu
    • 1
  • Weizhong Liang
    • 2
  • Kexin Song
    • 3
  • Youbin Wang
    • 3
    Email author
  1. 1.Meitan General Hospital Affiliated to North China University of Science and TechnologyBeijingChina
  2. 2.Department of Plastic SurgeryMeitan General HospitalBeijingChina
  3. 3.Department of Plastic SurgeryPeking Union Medical College HospitalBeijingChina

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