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Kumar. Plast Aesthet Res 2020;7:27 Plastic and
DOI: 10.20517/2347-9264.2020.07 Aesthetic Research

Case Report Open Access

Role of limited access dressing in achieving
improved aesthetic results during resurfacing of

wounds

Pramod Kumar

Department of Plastic surgery, King Fahad Central Hospital, Jazan 82666, Saudi Arabia.

Correspondence to: Dr. Pramod Kumar, Department of Plastic Surgery, King Fahad Central Hospital, Jazan 82666, Saudi Arabia.
E-mail: pkumar86@hotmail.com

How to cite this article: Kumar P. Role of limited access dressing in achieving improved aesthetic results during resurfacing of
wounds. Plast Aesthet Res 2020;7:27. http://dx.doi.org/10.20517/2347-9264.2020.07
Received: 11 Jan 2020 First Decision: 14 Apr 2020 Revised: 18 Apr 2020 Accepted: 6 May 2020 Published: 27 May 2020

Science Editor: Raúl González-García Copy Editor: Jing-Wen Zhang Production Editor: Tian Zhang

Abstract
With refinement and better understanding of Plastic Surgery, there is increasing expectation of aesthetic
outcomes after resurfacing of wounds. The major problems in resurfacing procedures are tissue bulk, donor site
issues, excessive scarring and distal edema due to damaged lymphatics and veins after flap harvest from adjacent
areas in the extremities. Ultra-conservative debridement simplifies reconstruction by reducing the need for flaps
and improves the chances of skin graft take through limited access dressing, which can improve the final aesthetic
result following reconstruction. In this paper, we describe three representative cases treated under limited access
dressing.

Keywords: Aesthetic reconstruction, limited access dressing, LAD

INTRODUCTION
If reconstructive surgery restores a defect to a normal looking appearance, aesthetic surgery then surpasses
normal. Aesthetic surgery is fascinating because it improves the appearance and makes it pleasing to the
observer’s eye. After resurfacing procedures, commonly observed problems include a bulky reconstructed
part [1,2] , scarring and/or defects over the donor and recipient sites, and distal edema in the affected
extremities. Reconstructive surgeons have achieved reasonable aesthetic results in reconstruction by
utilizing super-thin flaps, reducing donor site scarring by harvesting small islanded flaps, avoiding skin
grafting by using rotational/Limberg flaps etc. Hence, in recent years the emphasis has switched towards
improving the appearance, texture and better color match in reconstruction.

© The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made.

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