Surgical treatment of facial cutis verticis gyrata with direct excision.
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.
Beier
Justus P
JP
Department od Plastic and Hand Surgery, University Hospital of Erlangen-Nuremberg, Friedrich-Alexander-University Erlangen, Nuremberg, Germany.
Kneser
Ulrich
U
Horch
Raymund E
RE
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*