Patients often present with multiple skin lesions requiring excision. In some instances, one or more of the lesions once excised will require a skin graft to close the resulting defect. In some but not all such cases, we suggest a technique to optimize the use of redundant skin excised during surgery in such a way as not to require a separate incision from which to harvest a skin graft. We suggest using the redundant but healthy skin from the elliptical skin portions removed following excision of a benign lesion as a skin graft to cover the defect from a second lesion, excised from the same patient.
In a case used to illustrate our technique, the patient had two lesions requiring excision: a benign lesion on the left temple and a second lesion on the left alar region. An elliptical excision was performed to remove the lesion from the left temple (Fig. 1). The lesion around the left alar region was excised as marked. The skin from the excision ellipse of the lesion from the temple was then used as a full-thickness skin graft to cover the resultant defect to the left ala. The left temple wound was closed directly. Should the size of skin from the ellipse be judged to be too small for the defect, a slightly longer ellipse can be performed in some instances to obtain enough skin to reconstruct the defect. This method obviates the need for making a further incision to harvest skin, therefore reducing scarring and operative time.
One method of optimizing the use of redundant skin has been described.1 We suggest that the technique described is another method of using skin that would otherwise be discarded; however, only skin remaining following excision of a benign lesion (and not malignant) should be used. Our technique also removes the need for an additional donor-site scar.
Waseem Bhat, M.R.C.S.
Sohail Akhtar, M.R.C.S.
Augustine Akali, F.R.C.S.(Plast.)
Department of Plastic Surgery
Castle Hill Hospital
Hull, United Kingdom
The patient provided written consent for the use of his image.
1.Nambi GI, Gupta KA. An insurance policy for wound healing in abdominoplasty patients. J Plast Reconstr Aesthet Surg
Viewpoints, pertaining to issues of general interest, are welcome, even if they are not related to items previously published. Viewpoints may present unique techniques, brief technology updates, technical notes, and so on. Viewpoints will be published on a space-available basis because they are typically less timesensitive than Letters and other types of articles. Please note the following criteria:
Authors will be listed in the order in which they appear in the submission. Viewpoints should be submitted electronically via PRS' enkwell, at www.editorialmanager.com/prs/. We strongly encourage authors to submit figures in color.
We reserve the right to edit Viewpoints to meet requirements of space and format. Any financial interests relevant to the content must be disclosed. Submission of a Viewpoint constitutes permission for the American Society of Plastic Surgeons and its licensees and assignees to publish it in the Journal and in any other form or medium.
The views, opinions, and conclusions expressed in the Viewpoints represent the personal opinions of the individual writers and not those of the publisher, the Editorial Board, or the sponsors of the Journal. Any stated views, opinions, and conclusions do not reflect the policy of any of the sponsoring organizations or of the institutions with which the writer is affiliated, and the publisher, the Editorial Board, and the sponsoring organizations assume no responsibility for the content of such correspondence.