BACKGROUND. The closure of any circular or asymmetric wound results in puck
ering or excess of tissue known as dog-ears.
OBJECTIVE. Facility in managing dog-ears is an invaluable tool in cutaneous
surgery due to its common presentation.
METHODS. Methods for correcting dog-ears are extensively detailed in both t
he plastic and dermatologic surgery literature. This review provides a prac
tical outline of nine methods of dog-ear correction along with pertinent sc
hematic and clinical illustration.
RESULTS. A comprehensive approach to dog-ears requires knowledge of tissue
dynamics, adherence to proper surgical technique, and strategies for the ma
nagement of dog-ears.
CONCLUSIONS. A thorough understanding of dog-ear formation and correction a
llows the surgeon to choose the most appropriate management for dog-ears in
any clinical setting.