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August 31, 1895


JAMA. 1895;XXV(9):370-371. doi:10.1001/jama.1895.02430350026002i

In operations on the face and neck, we are often confronted with the difficult problem, "how to prevent ugly scars." The rules of surgery require extensive incisions, while cosmetic reasons call for the opposite, and even the most exact coaptation will not prevent cicatrices.

It is evident that if we found a method which would enable us to make an ample incision, and leave little or no trace of it, this method would be of great advantage.

After having studied this question theoretically and by experiments I have, in a few instances, made use of a special method. The results, though few as yet, and not conclusive, are so much encouraging that I venture to publish it.

The method is simple. Contrary to the accepted rule of our technique, the incision is made obliquely to the surface with a razor or a scalpel, one border of the wound forming a