title: A New Technique for Correction of Tethered and Depressed Scars: Layered Dermal Support.
abstract: BACKGROUND
  Many methods have been used for correcting tethered and depressed scars, but most of these methods have had unsatisfying results and ended up with recurrence. The aim of this study is to present a new surgical technique that overcomes these problems.
  
  
  METHODS
  Twenty-two depressed scars were corrected using the layered dermal support technique. With this technique, the depressed part of the scar is deepithelialized and used in a layered fashion to support the skin flaps.
  
  
  RESULTS
  All of the patients were evaluated 1 year postoperatively. There was no recurrence of tethering or depression.
  
  
  CONCLUSIONS
  The layered dermal support technique is a relatively quick procedure that uses only basic plastic surgery principles. It offers a good solution for the correction of tethered and depressed scars without recurrence.
  
  
  METHODS
  This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
authors.affiliation: Plastic Reconstructive and Aesthetic Surgery Department, Ataturk Training and Research Hospital, Ankara, Turkey.
authors.forename: Candemir
authors.initials: C
authors.lastname: Ceran
authors.affiliation: Plastic Reconstructive and Aesthetic Surgery Department, Akhisar State Hospital, Manisa, Turkey. ersinaksam@gmail.com.
authors.forename: Ersin
authors.identifier: http://orcid.org/0000-0003-3123-0397
authors.initials: E
authors.lastname: Aksam
authors.affiliation: Plastic Reconstructive and Aesthetic Surgery Department, Ataturk Training and Research Hospital, Ankara, Turkey.
authors.forename: Cagla
authors.initials: C
authors.lastname: Cicek
authors.affiliation: Plastic Reconstructive and Aesthetic Surgery Department, Kecioren Training and Research Hospital, Ankara, Turkey.
authors.forename: Soner
authors.initials: S
authors.lastname: Tezcan
authors.affiliation: Plastic Reconstructive and Aesthetic Surgery Department, Yildirim Beyazit University Ataturk Training and Research Hospital, Ankara, Turkey.
authors.forename: Mustafa Erol
authors.initials: ME
authors.lastname: Demirseren
mesh_terms: D000293:Adolescent; D000328:Adult; D002921:Cicatrix / Q000473:pathology / Q000601:surgery*; D015331:Cohort Studies; D062109:Dermatologic Surgical Procedures / Q000379:methods*; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013518:Surgery, Plastic / Q000379:methods*; D013524:Surgical Flaps / Q000637:transplantation*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology; D055815:Young Adult
keywords: Deepithelialization; Scar revision; Surgical technique