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Inverted triangle repair of dog-ear

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1 Inverted triangle repair of dog-ear
Francisco Russo, MD  Journal of the American Academy of Dermatology  Volume 76, Issue 3, Pages e95-e97 (March 2017) DOI: /j.jaad Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

2 Fig 1 Pig's feet as surgical model. A, Circular defect. B, Three stitches are placed at the middle of the wound to clearly define 2 dog-ears. The inferior dog-ear was removed as an M-plasty. C, An inverted triangular piece of excess tissue was removed in the superior dog-ear. D, Y-shaped closure of the resulting defect was performed. E, Frontal view of both techniques of repair. Inverted triangle allowed for larger reduction in the scar's length than M-plasty. Journal of the American Academy of Dermatology  , e95-e97DOI: ( /j.jaad ) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

3 Fig 2 Schema comparing traditional M-plasty with inverted triangle technique. Inverted triangle allows for larger reduction in the scar's length than M-plasty. Journal of the American Academy of Dermatology  , e95-e97DOI: ( /j.jaad ) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

4 Fig 3 Patient. A, Primary defect. B, Marked inverted triangle before excision. C, Status after excision of the inverted triangle. D, Corner suture placement. E, Tightened suture with Y-shaped closure. F, Final postoperative outcome. Journal of the American Academy of Dermatology  , e95-e97DOI: ( /j.jaad ) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions


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