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. 2012 May 21;12:e23.

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Copyright © 2012 The Author(s)

This is an open-access article whereby the authors retain copyright of the work. The article is distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Images of case 1: surgical procedure and outcome. (a) Deliberate self-harm scars before any surgical intervention. (b) Area selected for surgical excision and local anesthetic administered. (c) Scars surgically excised in a block down to deep bleeding fat. (d) Integra and split-thickness skin graft secured into place with sutures. (e) Negative pressure wound therapy immediately applied. (f) 3 months postreconstructive surgery. (g) 15 months postreconstructive surgery. (h) 15 months postreconstructive surgery (close up).