Excision of sub-brow lesion
This is Richard Allen at the University of Iowa. This video demonstrates excision of a sub-brow lesion. The patient is in her teens and has noted the lesion for a few months. A sub-brow incision will be made. This is performed with the 15 blade. Westcott scissors are then used to dissect to the lesion. The lesion is encountered and dissection is carried out around the lesion which appears white and firm. The lesion is mobilized and is able to be prolapsed through the incision with the help of a Freer periosteal elevator. The periosteal elevator is used to complete the excision of the lesion. The lesion proved to be a pilomatricoma. The area of the excision is inspected. Hemostasis is obtained with unipolar cautery. In sub-brow incisions, I think that the cosmetic outcome is usually excellent. However, I would recommend closing these areas with a vertical mattress suture. This is performed with 6–0 Prolene suture. The patient will follow-up in approximately 1 week for suture removal and reevaluation. At the conclusion of the case the wound edges appear to be well everted. Massage of the area will be instituted for one month starting 1 week after suture removal.
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