Elliptical Excisions

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Abstract
The primary linear closure of an elliptical excision is a crucial tool in cutaneous reconstruction.1 Although the excision is more properly called fusiform than elliptical because its edges are pointed not rounded,2-4 such a closure provides excellent cosmesis by minimizing tissue removal, skin movement, and incision length. Simplicity and versatility are among the other benefits.5 The side-to-side closure is easily learned by beginners and, in skilled hands, can be precisely everted and camouflaged within skin tension lines so as to be barely visible after healing. Variations in the basic technique of the elliptical excision can be used to adapt it to the particular circumstances facing the surgeon. Case-specific technique refinements can increase the reliability of the elliptical design, while accommodating specific anatomical topography.

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