title: Recontouring, resurfacing, and scar revision in skin cancer reconstruction.
abstract: Residual disfigurement is a common problem for patients who have undergone skin cancer reconstruction. Restoring form and function in these patients is an artistic and technical endeavor. The efficacy of surgical scar revision, dermabrasion, chemical peels, and laser resurfacing is predicated upon the skin's innate ability to regenerate over time in response to mechanical, chemical, and thermal or ablative stresses. The patient and surgeon should be accepting of a process that is often gradual and may proceed in stages. Achieving proficiency with the secondary procedures for improving scars and local flaps may allow the motivated surgeon to mold an initially passable surgical result into an excellent one.
authors.affiliation: Department of Surgery, Southern Illinois University School of Medicine, Springfield, 62794-9649, USA. mjbrenner@gmail.com
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Brenner
authors.forename: Christopher A
authors.initials: CA
authors.lastname: Perro
mesh_terms: D001707:Biopsy, Needle; D002615:Chemexfoliation / Q000379:methods; D002921:Cicatrix / Q000209:etiology / Q000473:pathology* / Q000601:surgery*; D003869:Dermabrasion / Q000379:methods; D004954:Esthetics; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D015552:Injections, Intralesional; D053685:Laser Therapy / Q000379:methods; D008297:Male; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000379:methods; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D012828:Silicones / Q000627:therapeutic use; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D012828:Silicones