Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 63, Issue 10 , Pages 1682-1687, October 2010

Lambda incision for effective tissue expansion

Department of Plastic and Reconstructive Surgery, Osaka Medical College, 2-7 Daigaku-cho, Takatsuki-city, Osaka 569-8686, Japan

Received 19 May 2009; accepted 20 September 2009. published online 12 November 2009.

Summary 

By using a rectangular type tissue expander, the skin is expanded as a cuboid. To cover a skin defect effectively, it is necessary to cut the expanded skin and to spread it out as a flap. We designed the lambda incision of the lateral wall of the expanded cuboid.

In principle we make one lambda incision on each lateral wall (a total of 2 incisions). However, if the defect is triangular, one lambda on one side is sufficient. If it is a trapezoid, one lambda on one side and two lambdas on the opposite side are used. The lambda incision was applied in 11 cases. In almost all, the expanded skin could be spread out well and the lesions could be resected. There were no complication due to lambda incisions.

Keywords: Tissue expander, Tissue expansion, Rectangular type expander, Lambda incision

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 These findings were reported in part at the 52nd annual meeting of Japan Society of Plastic and Reconstructive Surgery, held in Yokohama, Japan, in 2009.

PII: S1748-6815(09)00712-8

doi:10.1016/j.bjps.2009.09.015

Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 63, Issue 10 , Pages 1682-1687, October 2010