title: Surgical treatment of facial cutis verticis gyrata with direct excision.
abstract: BACKGROUND
  Cutis verticis gyrata (CVG) is a rare deformity of the skin presenting with thick gyrated folds and ridges, involving predominantly parts of the head and the face.
  
  
  OBJECTIVE
  We report on aspects of the surgical treatment of facial CVG based on our experiences with four patients, who had developed a progressive and enormous thickening and an extraordinary strong gyration of the facial skin.
  
  
  METHODS
  A single or staged repeated straightforward surgical treatment with direct excision of abundant and thickened gyriform folds, in one case accomplished by an upper face-lift, was performed.
  
  
  RESULTS
  Direct excision within the lines of tension resulted in a major reduction of the facial skin distortion, a reduced scalp, and facial skin thickening and avoided maceration in all four patients. The quality of life was considerably improved in all patients.
  
  
  CONCLUSIONS
  Direct excision of gyriform skin is a successful surgical approach to the rare skin deformity of CVG.
authors.affiliation: Department od Plastic and Hand Surgery, University Hospital of Erlangen-Nuremberg, Friedrich-Alexander-University Erlangen, Nuremberg, Germany.
authors.forename: Justus P
authors.initials: JP
authors.lastname: Beier
authors.forename: Ulrich
authors.initials: U
authors.lastname: Kneser
authors.forename: Raymund E
authors.initials: RE
authors.lastname: Horch
mesh_terms: D000328:Adult; D000368:Aged; D062109:Dermatologic Surgical Procedures; D005145:Face / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D006984:Hypertrophy; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012649:Self Concept; D012867:Skin / Q000473:pathology*; D012871:Skin Diseases / Q000473:pathology* / Q000601:surgery*