title: Successful resurfacing of scars from previous deliberate self-harm using Integra dermal matrix substitute.
abstract: BACKGROUND
  There are currently limited treatment options available to modify the appearance of scarring due to deliberate self-harm (DSH). The authors present two cases of Integra dermal matrix use for resurfacing scars due to past DSH.
  
  
  METHODS
  By excising the scars and resurfacing with Integra, we present and describe a novel technique for treating the visible stigmata of previous DSH.
  
  
  RESULTS
  No complications occurred, and patients noted improved appearance, skin quality and self-esteem following surgery. Both patients would recommend this treatment to others.
  
  
  CONCLUSIONS
  Integra dermal matrix substitute may be used successfully to treat scarring from previous DSH.
authors.affiliation: Department of Plastic Surgery, Addenbrooke's Hospital, Cambridge CB2 2QQ, UK. amirismail@doctors.net.uk
authors.forename: Amir
authors.initials: A
authors.lastname: Ismail
authors.forename: Kristiina
authors.initials: K
authors.lastname: Jarvi
authors.forename: Alessandra C E
authors.initials: AC
authors.lastname: Canal
mesh_terms: D000328:Adult; D001134:Arm Injuries / Q000150:complications; D002809:Chondroitin Sulfates / Q000627:therapeutic use*; D002921:Cicatrix / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D003094:Collagen / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D016728:Self-Injurious Behavior / Q000150:complications*; D017768:Skin, Artificial; D016896:Treatment Outcome
chemical_list: C114835:integra artificial skin; D002809:Chondroitin Sulfates; D003094:Collagen