Biodynamic Excisional Skin Tension Lines for Cutaneous Surgery

Dr Sharad P. Paul initially embarked on surgical training in general/plastic surgery before establishing an integrated skin cancer practice. He has worked as a surgical consultant in public/teaching hospitals and also in primary care. Since 1996, his Skin Surgery Clinic has performed over 45,000 skin cancer operations, making the center known for one of the largest series of skin cancer patients worldwide. He is a Senior Lecturer (skin cancer) at the School of Medicine, University of Queensland, Australia and an Honorary Senior Lecturer, Department of Surgery at the University of Auckland. He is also an Adjunct Professor at the Auckland University of Technology. Given these academic and teaching attachments, he has a long list of conference keynote presentation and publications in peer-reviewed journals. He is a Fellow of the Skin Cancer College of Australasia and has also been conferred the Distinguished Fellowship of the Royal NZ College of General Practitioners. In 2015, he was awarded the Ko Awatea International Excellence Award for Leading (Health) Improvement on a Global Scale with the citation noting "Dr Sharad Paul role in improving skin cancer management, education and patient-centred care internationally, across several countries." In 2016, Dr Sharad P. Paul co-authored Clinical Cases in Skin Cancer Surgery and Treatment (Springer). He is the author of several nonfiction books for popular audiences in the field of skin and medicine.

Introduction.- Examining the Science behind Skin Lines currently used for Surgical Excisions, and introducing a new concept of BEST (Biodynamic Excisional Skin Tension) Lines.- Why the Geological Approach Doesn't Work for Wrinkles: The Need to Move from Anatomy to Physiology.- Understanding the Interplay between Elastin and Collagen During Surgical Procedures and their Relationship to BEST Lines.- Biodynamic Excisional Skin Tension Lines: Using a New Skin Tensiometer Device and Computational Analyses to Understand Excisional Skin Biomechanics.- Biodynamic Excisional Skin Tension (BEST) Lines for Scalp Reconstruction After Skin Cancer Surgery.- Golden Spirals and Scalp Whorls: Nature's Patterns and the Designing of a new Scalp Flap.- The Golden Spiral Flap: A New Flap Design that allows for Closure of Larger Scalp Wounds better than other Rotational Flap Designs.- Zigs and Zags in Plastic Surgery: Lengthening v. Reduction of Tension.- Biodynamic Excisional Skin Tension (BEST)Lines on the Trunk.- BEST Lines of the Lower Limb.- Understanding Vascular Anatomy of the Lower Limb to help planning of Perforator based Island Flaps.- Anatomical Considerations during Cutaneous Surgery on the Cheek, Skin Biodynamics and BEST lines of the Face.- Patterns, Biomechanics and Behaviour.

"Biodynamic excisional skin tension lines for cutaneous surgery presents a new paradigm in skin lines. ... the illustrations, diagrams, and images that accompany this innovative approach make this book a worthy reference to have." (Derek W. Nickerson, Journal of the American Academy of Dermatology, Vol. 80 (5), May, 2019)