PMC7433955_01
Preoperative hypotrophic scar on forehead
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F1
A 38-year-old man reported to our hospital with the chief complaint of a scar on the forehead [Figure 1].
Preoperative computed tomography scan showing normal findings
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F2
Tissue expander in situ
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F3
The port of the expander was placed in the subgaleal layer in the pocket created on the left side lateral to the scar, and the expander part was inserted anteroinferiorly to the scar in the subgaleal plane on the right side of the incision line, and closure was done in two layers with 3-0 vicryl and 6-0 prolene [Figure 3].
Fifth week postexpansion showing ballooning of forehead flap
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F4
After 10 days, sutures were removed, and inflation was done with a no 24 scalp vein set along with 10 ml syringe [Figure 4].
Second stage surgery, removal of tissue expander
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F5
The expander along with the port was removed 2 weeks' postexpansion [Figure 5].
Excision of the hypotrophic scar
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F6
The hypotrophic scar was excised [Figure 6], and primary closure was done with 3-0 vicryl 6-0 prolene and staples, respectively [Figure 7].
Primary closure using 3-0 vicryl, 6-0 prolene and staples, respectively. Negative suction drain placed for 48 h and removed postoperatively
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F7
The hypotrophic scar was excised [Figure 6], and primary closure was done with 3-0 vicryl 6-0 prolene and staples, respectively [Figure 7].
Follow-up post 1 week
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F8
This can result into a wide stretched scar, a secondary distortion of adjacent mobile structure or hypertrophicity of the scar and suture removal was done after 15 days [Figure 8].