There is more incidence of epicanthal fold in oriental and sometimes the epicanthal fold serves as an unacceptable appearence, so many seek cosmetic improvement in the medial canthal area to eliminate the epicanthal folds. Epicanthoplasty can give the aesthetic improvement by lenthening the palpebral fissure, thus producing the image of a larger and open-eye and especially it can enhance the aesthetic result of the double-lid procedure, but the epicanthal area is delicate and prone to produce a noticeable scar after epicanthoplasty, which is due to multiple incision and undue tension during the epicanthoplasty. We present a simple, tension free, and reproducible method of Z-epicanthoplasty based on our experience with 84 cases performed during the past 10 months in oriental eyelids. The advantages of this procedure are simplicity in design and minimal scaring produced in the medial canthal area without fear of hypertrophic scar as compared with complexed W-plasty, four flap, or Y-V plasty, which require multiple incision or undue tension and often creates unsightly scarring.
Cicatrix ; Cicatrix, Hypertrophic ; Eyelids ; Incidence

No abstract available.
Cicatrix, Hypertrophic* ; Skin*

No abstract available.
Cicatrix, Hypertrophic ; Toes

No abstract available.
Carcinoma, Basal Cell ; Cicatrix, Hypertrophic

No abstract available.
Carcinoma, Basal Cell ; Cicatrix, Hypertrophic

Burns ; complications ; Cicatrix, Hypertrophic ; therapy ; Humans

PURPOSE: We evaluated the surgical correction for upper lid epiblepharon and epicanthal fold. METHODS: Epiblepharon repair of the upper lid and epicanthoplasty were performed for patients who had a significant epicanthal fold, by which resultant cilia-cornea touch would be expected of the epiblepharon repair alone. From June, 1998 to February, 2004, 21 patients were operated on and 7 of the patients had Down's syndrome. RESULTS: The mean age of the patients at the time of the surgery was 8.6 years. In all the patients, the epicanthal folds were type 3, according to the Park's classification. Thirteen patients, including Down's syndrome patients, underwent modified Y-V advancement and eight patients underwent root Z-epicanthoplasty. The cilia-cornea touch was relieved in all of the patients except for those with Down's syndrome. Hypertrophic scar was seen in 7 patients with modified Y-V advancement and in 1 patient with root Z-epicanthoplasty until postoperative 3 months. CONCLUSIONS: Epiblepharon repair along with epicanthoplasty was effective in relieving cilia-cornea touch in children with upper lid epiblepharon and significant epicanthal fold. Root Z-epicanthoplasty can be recommended for growing children, considering that it provides moderate degree epicanthal correction and does not leave noticeable scar.
Child* ; Cicatrix ; Cicatrix, Hypertrophic ; Classification ; Down Syndrome ; Humans

BACKGOUND: Pulsed dye laser (PDL) is recommended as a good treatment for scars and keloids. However, there has been no absolute indications and standard laser parameters. Some proposed that only hypertrophic and atrophic/flat scars were effectively treated, but others reported that all scars and even keloids responded well to PDL treatment. OBJECTIVE: To determine whether 595nm PDL treatment is effective for scars and keloids, and if so, which group responds better to treatment between the atrophic/flat scars group and hypertropic scars/keloids group. METHOD: Twenty-two patients (skin types III-V) with scars and keloids were treated with 595nm PDL (0.45 or 1.5 msec, 4-8J/cm(2), 7mm spot size). Eleven patients had hypertrophic scars/keloids (6 had hypertropic scars, 5 had keloids), and eleven patients had atrophic/flat scars. After several treatments of each lesion, the results were evaluated by extent of the patient's satisfaction and comparision of pre-and post-laser photography and divided into the four categories: excellent, good, fair and poor. RESULTS: The clinical improvement and patient's satisfaction were better in the atrophic/flat scars group than the hypertrophic scars/keloid group. With keloid potients, the result of treatment were found to be particularly poor. CONCLUSION: From our results, only atrophic/flat scars respond well to 595nm PDL treatment, and hypertrophic scars and keloids should be excluded from this treatments method.
Cicatrix* ; Cicatrix, Hypertrophic ; Humans ; Keloid* ; Lasers, Dye* ; Photography

Multiple cutaneous neurofibromas are the most common skin manifestation of Von Recklinghausen neurofibromatosis(NF-1). CO2 laser surgery is a treatment modality for multiple cutaneous neurofibromas and a simple procedure that quickly removes the tumor with minimal postoperative discomfort and acceptable cosmetic results. But, hypertrophic and atrophic scars can result from treatment with CO2 laser surgery. We herein report a case of multiple cutaneous neurofibromas that developed hypertrophic scars postoperatively.
Cicatrix ; Cicatrix, Hypertrophic* ; Lasers, Gas* ; Neurofibroma* ; Skin Manifestations

BACKGROUND: The degree of scar formation varies according to the sites. Oral mucosa heals faster with lesser scar formation than skin and it is very rare for oral mucosa to develop hypertrophic scars. Collagen gel seeded with fibroblasts is considered as a valuable model for studying wound healing in vitro. OBJECTIVE: The purpose of this study was to find out whether there are any differences in contractiliy of collagen gel by fibroblasts derived from different sites. METHODS: Fibroblasts were cultured from normal skin, oral mucosa, and hypertrophic scar. They were seeded into collagen gel with or without serum, and the degree of contraction of the collagen gel was measured for 5 days. RESULTS: Hypertrophic scar fibroblasts in collagen gel possessed the greatest contraction potency followed by normal skin fibroblasts and oral mucosal fibroblasts. Serum significantly increased the contractility of each of the fibroblasts. The differences of contractility of collagen gel between oral mucosal fibroblasts and others became more obvious in the presence of serum, however, those between normal skin fibroblasts and hypertrophic scar fibroblasts became less obvious. CONCLUSION: The degree of contraction of collagen gel by fibroblasts correlated with the degree of scar formation. Addition of serum modified the degree of contractile potency which may reflect the differences in the fibroblasts with phenotypic alteration and the subtype of fibroblasts.
Cicatrix ; Cicatrix, Hypertrophic* ; Collagen* ; Fibroblasts* ; Mouth Mucosa* ; Skin* ; Wound Healing