Pearls for Surgical Dermatology: Common Sense Solutions for Common Problems

Authors

Richard Maxwell Regester, University of Nebraska Medical CenterFollow
Amy Cannella MD, MS, RhMSUS, University of Nebraska Medical CenterFollow
Wesley Chong, Creighton UniversityFollow
Ally Glaser, Kansas Health Science UniversityFollow
Amy Rau, Dermatology Specialists of OmahaFollow
Anthony J. Griess MD, University of Nebraska Medical CenterFollow

Files

Abstract or Description

Introduction:
Efficiency and precision in surgical dermatology are crucial for optimizing patient outcomes and procedural success. This study presents a collection of practical surgical pearls designed to address common challenges encountered in dermatologic surgery. By implementing these streamlined techniques, practitioners can improve hemostasis, enhance visualization, and reduce surgical tension while maintaining favorable cosmetic results.

Methods & Key Techniques:
Several surgical pearls were compiled based on clinical experience and literature review. Key strategies include:

• Forceps-Assisted Cautery for Hemostasis: A technique that enhances efficiency by directing electrical current through forceps to neutralize bleeding vessels without additional clamps or sutures.
• Nasal Ala Hemostasis with Q-Tip Support: Utilizing a cotton-tipped applicator within the nares to provide back pressure and improve bleeding control.
• Plicating Stitch for Linear Closure: A subcutaneous suture placed before wedge removal to minimize scar length and maintain aesthetic outcomes.
• Towel Clamp & High-Tensile Sutures for Scalp Flaps: Methods to facilitate tension-free closure and expedite wound approximation.
• Q-Tip-Assisted Punch Biopsy Hemostasis: A simple technique for maintaining hemostasis while preparing sutures.
• Tragus Displacement for Conchal Bowl Procedures: A method using a rake retractor to improve surgical access and visualization.

Conclusion:
These surgical pearls offer low-cost, high-impact modifications that can be seamlessly integrated into dermatologic surgery to enhance efficiency and patient outcomes. By incorporating these techniques, clinicians can reduce procedural complexity, improve hemostasis, and optimize cosmetic results while maintaining patient comfort.

Publication Date

2025

Keywords

Dermatologic Surgery, Procedural Efficiency, Cosmetic Outcomes

Disciplines

Dermatology

Recommended Citation

Regester, Richard Maxwell; Cannella, Amy MD, MS, RhMSUS; Chong, Wesley; Glaser, Ally; Rau, Amy; and Griess, Anthony J. MD, "Pearls for Surgical Dermatology: Common Sense Solutions for Common Problems" (2025). EMET Projects. 41.
https://digitalcommons.unmc.edu/emet_posters/41