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Author’s contributions
Study concept and data acquisition, data interpretation and manuscript drafting: LemperleG
Availability of data and materials
Some of the photographs herein were found in Google Search without mention of any author or copyright;
in others, the authors are named if found. Most of the scar photographs originate from my former
Department of Plastic Surgery at the Markus-Hospital in Frankfurt am Main, Germany.
Financial support and sponsorship
None.
Conflicts of interest
The author declared that there are no conflicts of interest.
Ethical approval and consent to participate
A written informed consent to participate in research projects was obtained automatically from all patients
of the Plastic Surgery Division of Markus-Hospital in Frankfurt am Main, Germany.
Consent for publication
A written informed consent to participate in possible publications was obtained automatically from all
patients of the Markus-Hospital in Frankfurt am Main, Germany.
Copyright
© The Author 2020.
REFERENCES
1. Langer K. On the anatomy and physiology of the skin. I. The cleavability of the cutis. (Translation from German in 1861). Br J Plast Surg
1978;31:3-8.
2. Kocher T. Textbook of operative surgery. 3rd English ed. London: Adam and Charles Black; 1911. p. 30.
3. Pinkus F. Die Faltung der Haut. In: Pinkus F, editor. Die normale Anatomie der Haut. Jadassohn’s Handbuch der Haut und
Geschlechtskrankheiten, Vol 1. Berlin: Springer; 1927. pp. 4-76.
4. Kraissl CJ, Conway H. Excision of small tumours of the skin of the face with special reference to the wrinkle lines. Surgery 1949;4:592-
600.
5. Kraissl CJ. The selection of appropriate lines for elective surgical incisions. Plast Reconstr Surg 1951;8:1-28.
6. Borges AF, Alexander JE. Relaxed skin tension lines, z-plasties on scars, and fusiform excision of lesions. Brit J Plast Surg 1962;15:242-54.
7. Borges AF. Elective incisions and scar revision. Boston: Little, Brown; 1973. pp. 5-10.
8. Borges AF. Relaxed skin tension lines (RSTL) versus other skin lines. Plast Reconstr Surg 1984;73:144-50.
9. von Torklus D. Atlas orthopädisch-chirurgischer Zugangswege. 4th ed. Auflage Munich: Urban & Fischer Verlag; 2002.
10. Miller MD, Wiesel SW. Operative Techniques in Sports Medicine & Surgery. Baltimore: Lippincott Williams & Wilkins; 2010.
11. Lemperle G, Tenenhaus M, Dieter Knapp D, Lemperle SM. The direction of optimal skin incisions derived from striae distensae. Plast
Reconstr Surg 2014;134:1424-34.
12. Wilhelmi BJ, Blackwell SJ, Phillips LG. Langer’s lines: to use or not to use. Plast Reconstr Surg 1999;104:208-14.
13. Carmichael SW. The tangled web of Langer’s lines. Clin Anat 2014;27:162-8.
14. Russell CJ, Bush JA, Russell GW, Thorlby A, McGrouther DA, et al. Dynamic skin tension in the forearm: effects of pronation and
supination. J Hand Surg Am 2009;34:423-31.
15. Courtiss EH, Longacre JJ, deStefano GA, Brizio L, Holmstrand K. The Placement of elective skin incisions. Plast Reconstr Surg
1963;31:31-44.
16. Barile L, Bufalini C. Incisioni chirurgiche in ortopedia e linee di tensione cutanea. Arch Putti Chir Organi Mov 1976;27:127-36.
17. Paul SP, Matulich J, Charlton N. A new skin tensiometer device: computational analyses to understand biodynamic excisional skin tension
lines. Sci Rep 2016;6:301.
18. Paul SP. Biodynamic excisional skin tension (BEST) lines: revisiting Langer’s lines, skin biomechanics, current concepts in cutaneous
surgery, and the (lack of) science behind skin lines used for surgical excisions. J Dermatol Res 2017;2:77-87.
19. Piérard GE, Lapière CM. Microanatomy of the dermis in relation to relaxed skin tension lines and Langer’s lines. Am J Dermatopathol
1987;9:219-24.