Fig. 1.

Splinted excisional wound model. (a) The 16 mm punch is used to cut out the desired number of splints. (b) The 10 mm punch is then placed inside each silicone circle to remove the inner diameter and create the silicone splint. (c) A 6 mm punch is used to mark the location of the excisional wound. (d) Forceps retract the skin outward and scissors are used to sharply excise a circular piece of skin down through the panniculus carnosus. (e) The silicone splint is glued concentrically around the excisional wound. (f) Eight interrupted stitches reinforce the splint to the intact tissue surrounding the wound to prevent wound edge contracture