Refaat B. Karim, MD, PhD, is plastic surgeon and chief of department and Beatriz L.R. Brito, MD, is plastic surgeon, Department of Plastic and Reconstructive Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands. J. Joris Hage, MD, PhD, is plastic surgeon and chief of department, Department of Plastic and Reconstructive Surgery, Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands. Fernanda P. Lassance, PhD, is biologist, Department of Biology, State University Londrina, Brazil. Richard P. Dutrieux, MD, is pathologist, Department of Pathology, Heel Hospital, Zaandam, the Netherlands.
The authors have disclosed that Dermagenics Europe, Kaatsheuvel, the Netherlands, supplied DerMax for use in this study.
Submitted May 3, 2005; accepted in revised form February 22, 2006.