title: Enhancing aesthetic outcomes of soft-tissue coverage of the hand.
abstract: Hand aesthetics in general and aesthetic refinements of soft-tissue coverage of the hand in particular have been increasingly considered over the past few years. Advancements of microsurgery together with the traditional methods of tissue transfer have expanded the number of techniques available to the reconstructive surgeon, thus shifting the reconstructive paradigm from simply "filling the defect" to reconstructive refinement to provide the best functional and aesthetic results. However, drawing the boundary between what does and what does not constitute "aesthetic" reconstruction of the hand is not straightforward. The selection among the vast amount of currently available reconstructive methods and the difficulties in objectively measuring or quantifying aesthetics have made this task complex and rather arbitrary. In this article, the authors divide the hand into several units and subunits to simplify the understanding of the basic functional and aesthetic requirements of these regions that may ultimately bring order to complexity.
authors: Ann Arbor, Mich. From the Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, and the Section of Plastic Surgery, University of Michigan Medical School.
authors: Shady A
authors: SA
authors: Rehim
authors: Evan
authors: E
authors: Kowalski
authors: Kevin C
authors: KC
authors: Chung
mesh_terms: D002921:Cicatrix / Q000517:prevention & control; D004954:Esthetics; D005385:Fingers / Q000098:blood supply / Q000294:innervation / Q000601:surgery; D006225:Hand / Q000033:anatomy & histology / Q000098:blood supply / Q000294:innervation / Q000601:surgery*; D006226:Hand Deformities / Q000601:surgery; D006230:Hand Injuries / Q000601:surgery; D006801:Humans; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods* / Q000523:psychology; D012867:Skin / Q000098:blood supply / Q000294:innervation; D012880:Skin Pigmentation; D013499:Surface Properties; D013524:Surgical Flaps; D016896:Treatment Outcome; D014796:Visual Perception
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