Plastic surgery; its principles and practice . Fig. 151.—Methods of dealing with depressed scars (Aymard).—i. Usual method ofseparating skin from fat, as shown by dotted Hnes. The fat from each side is then drawntogether and held by sutures. 2. Aymards method. The thick black lines represent theincision through the desired amount of fat. The block of fat depends on the skin flap forits blood supply. 3. Shows the fat flap rolled in and sutured. The skin is then closed. are superficial ulcers of varying size scattered over the surface. Thescars are as unstable as wet tissue paper and the slighte
Plastic surgery; its principles and practice . Fig. 151.—Methods of dealing with depressed scars (Aymard).—i. Usual method ofseparating skin from fat, as shown by dotted Hnes. The fat from each side is then drawntogether and held by sutures. 2. Aymards method. The thick black lines represent theincision through the desired amount of fat. The block of fat depends on the skin flap forits blood supply. 3. Shows the fat flap rolled in and sutured. The skin is then closed. are superficial ulcers of varying size scattered over the surface. Thescars are as unstable as wet tissue paper and the slightest injury willstart an ulcer that -^-ill require weeks to heal. ;^H. Fig. 152.—Depressed scar of the cheek following a cut.—This scar is directh across allthe natural folds of the face and neck, and for that reason is especially difiicult to is also deep and the adjacent tissue is infiltrated with scar. Complete excision with theuse of a pedicled narrow flap of subcutaneous fat turned into the defect is the method ofchoice, with, of course, verj careful adjustment and suturing of the skin. There is little resistance to trauma or infection and an area that ishealed mxay without any apparent cause, in a very short time breakdown entirely, or multiple ulcers may develop.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
