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The Use of Tissue Adhesive for Skin Closure in Body Contouring Surgery

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Abstract

Background

Abdominoplasty and mammoplasty are cosmetic surgeries that demand relatively more time for skin closure.

Methods

Skin closure with 4.0 Mononylon (Ethicon, Summerville, NJ, USA) continuous subcuticular suture and with Dermabond (Ethicon, USA) (octylcyanoacrylate) was compared among 37 patients who had undergone body contouring surgery (23 abdominoplasties and 14 mammoplasties). Each side of the scar, randomly selected, was closed either with adhesive or suture. The time required for skin closure and the aesthetic aspect of these scars were compared. Three observers evaluated the scars at 3, 6, and 12  months postoperatively using a categorical and a modified visual analog scale.

Results

The average time for closure using suture was 7  min and 45  s for the abdominoplasty and 4  min and 25  s for the vertical incision of the mammoplasty. This was significantly different statistically, as compared with the 2  min required for polymerization of the skin adhesive. The mammoplasty and abdominoplasty scars showed no statistical difference at 3, 6, and 12  months according to both scales.

Conclusions

The aesthetic aspects of the mammoplasty and abdominoplasty scars were similar on both sides at 3, 6, and 12  months. However, the adhesive allowed a shorter surgical time.

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Authors and Affiliations

  1. Division of Plastic Surgery of the Federal University of São Paulo—EPM and Plastic Surgery Residency Program, Hospital Jaraguá—São Paulo, São Paulo, Brasil

    Fabio Xerfan Nahas MD, PhD, FACS, Danielle Solia MD, Lydia Masako Ferreira MD, PhD & Neil Ferreira Novo MD

  2. Universidade Federal de São Paulo/EPM, Disciplina de Cirurgia Plástica, Rua Napoleão de Barros, 715-4 °. Andar, 04024-002, São Paulo-SP, Brazil

    Fabio Xerfan Nahas MD, PhD, FACS

Authors
  1. Fabio Xerfan Nahas MD, PhD, FACS
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  2. Danielle Solia MD
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  3. Lydia Masako Ferreira MD, PhD
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  4. Neil Ferreira Novo MD
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Corresponding author

Correspondence to Fabio Xerfan Nahas MD, PhD, FACS.

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Nahas, F.X., Solia, D., Ferreira, L.M. et al. The Use of Tissue Adhesive for Skin Closure in Body Contouring Surgery. Aesth. Plast. Surg. 28, 165–169 (2004). https://doi.org/10.1007/s00266-004-3110-x

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  • DOI: https://doi.org/10.1007/s00266-004-3110-x

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