Abstract

The closure of any circular or asymmetric wound results in puckering or excess of tissue known as dog-ears. Facility in managing dog-ears is an invaluable tool in cutaneous surgery due to its common presentation. Methods for correcting dog-ears are extensively detailed in both the plastic and dermatologic surgery literature. This review provides a practical outline of nine methods of dog-ear correction along with pertinent schematic and clinical illustration. A comprehensive approach to dog-ears requires knowledge of tissue dynamics, adherence to proper surgical technique, and strategies for the management of dog-ears. A thorough understanding of dog-ear formation and correction allows the surgeon to choose the most appropriate management for dog-ears in any clinical setting.

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