Double vest lipodermal flaps for depressed facial scars.

Introduction: Depressed tethered scar is a common problem that can cause emotional, social and behavioural problems, especially when it involves the exposed body parts. Several techniques have been described for treating these depressed scars, but none of these can fulfil the optimal results.

Aim: Evaluating the aesthetic outcome of using a double vest lipodermal flaps for treating depressed facial scars.

Materials And Methods: The study included 25 patients with depressed facial scars who underwent scar revision. Their mean age was 31 years. Under local anaesthesia, the scarred area was de-epithelialised and double dart lipodermal flaps were used for revision. Visual analogue and Vancouver scar scales were used as subjective and objective parameters of evaluation, respectively.

Results: All the patients followed up for five to eight months. No complications were observed during the scar healing period. Patients satisfaction according to the visual analogue scale showed an average value of 8. The mean total scale according to the Vancouver scar scale was 2.6.

Conclusion: The new technique of using double vest lipodermal flaps is simple and offers a promising alternative for revising depressed scars.