In plastic and reconstructive surgery, skin closure is a very important factor in achieving an aesthetically pleasing scar. Scars tend to proliferate as a result of patient-induced distraction forces or tension acting on the incision during healing.1 Protecting the wound from these external forces can contribute to a more visually pleasing scar.2 A recent study in France demonstrated how the Zip can reduce the formation of hypertrophic and even keloid scars when used to protect an excision site during healing.3
Two dermatologic studies in the US examined the use of the Zip for closure of skin excisions. Patient satisfaction including comfort and cosmetic results was high, while physicians found the Zip to be an excellent adjunct or replacement for traditional sutures in these cases. The Zip was shown to be easy to learn and use.4 Procedure times were reduced, which in a busy dermatologic clinic can improve patient satisfaction and result in greater practice efficiency and higher case throughput.4,5
Skin Lesion Excision
1. Ogawa R, Akaishi S, Huang C, Dohi T, Aoki M, Omori Y, Koike S, Kobe K, Akimoto M, Hyakusoku H. Clinical Applications of Basic Research that Shows Reducing Skin Tension Could Prevent and Treat Abnormal Scarring: The Importance of Fascial/Subcutaneous Tensi`le Reduction Sutures and Flap Surgery for Keloid and Hypertrophic Scar Reconstruction. J Nippon Med Sch 2011; 78 (2): 68-76.
2. Gurtner GC, Dauskardt RH, Wong VW. Improving Cutaneous Scar by Controlling the Mechanical Environment. Ann Surg 2011;254(2):217-225
3. Téot L, Boissière F, Bekara F, Herlin C, Fluieraru S. ”Contrôle de la tension des berges cicatricielles après résection cutanée : un nouveau dispositif médical adhésif réglable. [Control of the skin edge tension after resection: a new adjustable, adhesive medical device.]” Revue Francophone de Cicatrisation. Volume 1, Issue 1, 2017, Pages 46-50.”
4. Mitwalli H, Dolan C, Bacigalupi R, Khorasani H. A randomized, controlled, prospective clinical study comparing a novel skin closure device to conventional suturing. J Am Acad Dermatol. 2016 Jan;74(1):173-4.
5. Gorsulowsky DC, Talmor G. A novel noninvasive wound closure device as the final layer in skin closure. Dermatol Surg. 2015 Aug;41(8):987-989.